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CTOCC CTO

 duke2018 2019-01-25

Case 7: Male,54 yrs,F(xiàn)irst attempt (ante retro) failed

2018-8: 90 cm 7F EBU 3.5; 6F SAL 1.0

 · Ambiguous entry point 

 · Lesion length > 20 mm 

 · Distal end bifurcation 

 · Promising landing zone 

 · Tortuosity epicardial CC

CHC 2018 Live case demonstration

 · Ambiguous entry point 

 · Lesion length > 20 mm 

 · Distal end bifurcation 

 · Promising landing zone 

 · Tortuosity epicardial CC

CHC 2018 Live case demonstration

IVUS finding entry point

CHC 2018 Live case demonstration

閉塞殘端處發(fā)現(xiàn)局部鈣化

CHC 2018 Live case demonstration

Step up: UB3-GAIA Third

Finecross UB3               Finecross GAIA Third


CHC 2018 Live case demonstration

Corsair CP12

CHC 2018 Live case demonstration

Retrograde:Corsair Sion

CHC 2018 Live case demonstration

Tip Injection

CHC 2018 Live case demonstration

Corsair Suoh 03: with cardiac movement

CHC 2018 Live case demonstration

Corsair Suoh 03: with cardiac movement

CHC 2018 Live case demonstration

Distal end bifurcation with stumpless

CHC 2018 Live case demonstration

Step up: UB 3-GAIA Third

UB 3                    UB 3                 GAIA Third

2.0 mm balloon Modified Reverse CART 

GAIA Third                          GAIA Third

CHC 2018 Live case demonstration

Antegrade: Step down: UB 3-Fielder XTR,Knuckling

CHC 2018 Live case demonstration

2.0mm balloon Classic Reverse CART

GAIA Third                                GAIA Third

CHC 2018 Live case demonstration

2.5mm balloon Classic Reverse CART

                                              GAIA Third

CHC 2018 Live case demonstration

IVUS Guided Reverse CART

CHC 2018 Live case demonstration

IVUS: ante in subintimal, retro in intimal

CHC 2018 Live case demonstration

3.0mm balloon Classic Reverse CART

CHC 2018 Live case demonstration

AGT Technique

CHC 2018 Live case demonstration

Final Result

CHC 2018 Live case demonstration

 Case 8:男,60歲

CTO Club 2018 Live Case Demonstration

 · No stump 

 · Lesion length > 20mm 

 · Ipsilateral CC 

 · Good landing zone

CTO Club 2018 Live Case Demonstration

CTO Club 2018 Live Case Demonstration

IVUS guided UB3 with Sasuke

 Slipstream technique

CTO Club 2018 Live Case Demonstration

Step up: UB3 to Gaia Second with Sasuke

CTO Club 2018 Live Case Demonstration

Final Result

CTO Club 2018 Live Case Demonstration

相似的解剖結構,不同的治療策略

 Case 9: Male, 56 yrs old

Promising AV Groove Channel with severe tortuosity

KDL UB3

Stingray LP

Stingray LP GAIA Third

Final Result

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