Planning of CTO PCI based on initial angiogram

Anchorperson: R. Garbo
Spokesperson: E. Smith
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Summary

View the case of a man with severe inferior ischemia and right coronary occlusion at the proximal and mi-parts, & follow discussion about how to approach the CTO, before analyzing the one of a 62-year-old man with anterior STEMI and elective PCI Cx, HTN, hyperlipidemia, LVEF 34 %, CCS III, HYHA III, & apical LV thrombus, to understand interventional collateral.

Learning Objectives

  • To understand how CTO anatomy dictates interventional strategy
  • To recognise the key anatomical features critical to procedural planning
  • To understand how anatomy defines skill sets needed and can predict complexity

Presentations available when logged in:

  • Antegrade case to demonstrate resolve ambiguous proximal cap
  • Retrograde case to demonstrate interventional collateral