[April 30] CTO LIVE_Asan Medical Center, Seoul, Korea: Case #2

- Operator : Gerald Werner

1st Operator: Gerald Werner / 2nd Operator: Jong-Yong Lee

Brief Case Summary

A 58 year-old male was admitted for effort chest pain lasting a few months. Following coronary angiogram showed total occlusion at proximal RCA. Staged PCI was planned for the RCA.

Past Medical History

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

Demographic Characteristics

  • Diabetes: Y
  • Hypertension: N
  • Hyperlipidemia: N
  • Smoking: Y
  • Family History: N
  • Age: 58
  • Sex: Male

Clinical Presentation

Stable angina

Non-invasive Studies



Treadmill test


Thallium SPECT


Cardiac Catheterization Findings

  • The left coronary angiogram showed stenotic lesion at distal LCX and collateral flow from LCX to PL and LAD to PDA.
  • The right coronary angiogram showed total occlusion at proximal RCA.

Case Notes

Target Lesion(s)

CTO lesion at Proximal RCA

Planned device(s)

Intravascular ultrasound

Adjunctive Medication

  • ASA: Y
  • LMWH: N
  • Clopidogrel: Y
  • Heparin: N
  • Nitrates: N
  • IIb/IIIa: N
  • Other(s): Statin

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