Case of the Month

Operator: Dr. Yu-ho CHAN


Near but Far Away! A Rock Blocking Antegrade and Retrograde Catheters!

75 M, with history of diabetic mellitus, was recently admitted for NSTEMI with cardiogenic shock. PCI was done for the culprit lesion from LM to proximal LAD. A double CTO lesion was noted over the middle to distal RCA. Staged procedure was arranged because echo showed features of viable inferior wall myocardium. The mid RCA CTO lesion was calcified with ambiguous proximal cap, angulated with 45 degree. A big side branch was located next to proximal cap. For the distal RCA CTO lesion, the proximal cap was also not clear.....

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