retrograde recanalization of chronic total occlusion
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Retrograde recanalization of Chronic total occlusionTRANSCRIPT
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Retrograde recanalization of CTO
Ramachandra
In the eve of World Heart Day-2013In the eve of World Heart Day-2013
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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%
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Canadian Registry
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classification
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Predictors
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Complications
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Learning curve is inspiring
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Mortality is not that furious!!!
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Residual Syntax Score α events F/U
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4 Yrs F/U
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Retrograde Approach
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4-Techs and septal collaterals
LAD/RCA
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Mid LAD CTO
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Trajectory….
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Its their own
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A Ladder with 5 stair cases….success
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Check Out Your’s
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I snapped ,snare it…CTO opener
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Depth of ……effort
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