How should I treat a chronic total occlusion of the LAD when the conventional hybrid approach fails?

A 54-year-old male was admitted with an inferior ST-segment elevation myocardial infarction. Coronary angiography (CAG) showed a thrombotic occlusion of the RCA and a total chronic occlusion (CTO) of the LAD and PCI on the RCA was performed.

Authors

Interventional cardiologist / Cardiologist

Aarhus University Hospital - aarhus N, Denmark

Evald Christiansen

Interventional cardiologist / Cardiologist

Aarhus Universitetshospital, Skejby - Aarhus, Denmark