札幌ハートセンター

札幌ハートセンター
Dr Fujita's blog. Enjoy it

2023年5月16日火曜日

CTO 58

 LMT CTO  post CABG to LAD.  reffered to SCVC  ,for doing PCI. CT examintion and col from bronchial A shows  LCX cTO lesion.

XB 7fr  first M3to HL then IVUS check. LCXOS is coverd by calcium plate by IIVUS. G2,G4 does not work.  MG12w/ susuke is advanced LCX CTO lesion.but not cross lesion. then STAR for LCX branch .TIP injection shows DTL, next step sionblack rerouting with susuke.   Success.


stenting


yutube

https://www.youtube.com/watch?v=zGcCUODOjH8&list=PLuzawSa5VWjEgtwNIK_Exw5wcmnptKfnt&index=1

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