Case of the Month

Operators: Dr. Karl CHAN, Dr. Ken CHI

The Beauty of Retrograde CTO Wiring Technique to Rescue Complex and Complicated

48-year-old gentleman, ex-smoker, with strong family history of ischemic heart disease, presented with CCS class II. Exercise stress test was positive and formal echocardiogram showed normal LVEF. Initial invasive coronary angiogram showed severe stenosis with a complex plaque over distal RCA, significant stenosis over LAD and LCx. PCI to RCA with attempted yet failed to wire and complicated with hematoma. PCI to LAD and LCx was done smoothly......


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