Case

[April 30] CTO LIVE_Severance Hospital, Seoul, Korea: Case #6

- Operator : Kenya Nasu

1st Operator: Kenya Nasu / 2nd Operator: Joong Hee Lee

Brief Case Summary

44/M
Exertional chest pain for 1 month

Past Medical History

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

Demographic Characteristics

  • Diabetes: N
  • Hypertension: N
  • Hyperlipidemia: N
  • Smoking: N
  • Family History: N
  • Age: 44
  • Sex: MALE
  • Other: Psoriasis

Clinical Presentation

Stable angina

Non-invasive Studies

Echocardiography

Akinesia without thinning, base to mid infero-septum, EF=53%

Coronary angiography (2019.2.13)

LCX PCI(2019.2.13)

s/p Biomime 3.0* 29 at LCX

Failed LAD PCI(2019.2.13)

XBG 7-3.5 SH
Corsair 135cm+ 014"G/W: Runthrough -> Gaia 1st -> Gaia 2nd -> Gaia 3rd
Conquest Pro 12 -> Pilot : Failed lesion passage

Cardiac CT (2019.01.21)


J-CTO score: 4 (Very Difficult)
Probability of GW crossing 30 min: 10-22%

CT-RECTOR score: 5 (Very Difficult)
Probability of GW crossing 30 min: 0%

Leave a comment

Sign in to leave a comment.