Case

[April 30] CTO LIVE_Severance Hospital, Seoul, Korea: Case #8

- Operator : Toshiya Muramatsu

1st Toshiya Muramatsu / 2nd Operator: Chul-Min Ahn

Brief Case Summary

41/M
Chest pain, dyspnea for 3 months

Past Medical History

  • Previous MI: N
  • Previous CABG : N
  • Previous PCI: N

Demographic Characteristics

  • Diabetes: N
  • Hypertension: N
  • Hyperlipidemia: Y
  • Smoking: N
  • Family History: N
  • Age: 41
  • Sex: MALE

Clinical Presentation

Stable angina

Non-invasive Studies

Echocardiography

2018 No RWMA, EF74%. E/E'8

Coronary angiography (2018.5.16)

PTCA at RCA (2018.5.16)

Orsiro 4.0x22 at pRCA

Coronary angiography (2018.5.16)

Failed PTCA at mLAD (2018.5.16)

Corsair + 014" G/W (Runthrough -> XT-R -> Gaia 2nd -> XT-R -> Gaia 2nd -> lesion pass fail)

Cardiac CT (2018.5.15)


J-CTO score: 3 (Very Difficult)
Probability of GW crossing 30 min: 10-22%

CT-RECTOR score: 4 (Very Difficult)
Probability of GW crossing 30 min: ~25%

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