retrograde recanalization of chronic total occlusion
Post on 03-Jun-2015
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Retrograde recanalization of CTO
Ramachandra
In the eve of World Heart Day-2013In the eve of World Heart Day-2013
Milestone……
1.20-22% of cath cases
2. PCI attempted in 5-15%
3. Most of them sent for surgery (BARI-1997 to SYNTAX-2007)
4. PCI in CTO: 60-85% success in best LAB, but SYNTAX -53%
Canadian Registry
classification
Predictors
Complications
Learning curve is inspiring
Mortality is not that furious!!!
Residual Syntax Score α events F/U
4 Yrs F/U
Retrograde Approach
4-Techs and septal collaterals
LAD/RCA
Mid LAD CTO
Trajectory….
Its their own
A Ladder with 5 stair cases….success
Check Out Your’s
I snapped ,snare it…CTO opener
Depth of ……effort
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