TCTAP C-069 CTO Challenging with Simple Technique and Limited Budget, Why Not?

Chemical analysis showed creatinine serum was 2.4 mg/dL.Relevant Test Results Prior to Catheterization Electrocardiogram (ECG) on patient A revealed anteroseptal old myocardial infarction. ECG on patient B revealed anterior old myocardial infarction and abnormal LV systolic function (EF byteich 45%)...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2019-04, Vol.73 (15), p.S138-S139
Main Author: Pintaningrum, Yusra
Format: Article
Language:English
Subjects:
Angiography
Blood pressure
Cardiology
Catheterization
Catheters
Chemical analysis
Creatinine
EKG
Electrocardiography
Femoral artery
Femur
Heart attacks
Intubation
Myocardial infarction
Organic chemistry
Stenosis
Trinucleotide repeats
Veins & arteries
Wire
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Summary:Chemical analysis showed creatinine serum was 2.4 mg/dL.Relevant Test Results Prior to Catheterization Electrocardiogram (ECG) on patient A revealed anteroseptal old myocardial infarction. ECG on patient B revealed anterior old myocardial infarction and abnormal LV systolic function (EF byteich 45%) with anterior hypokinesis and eccentric LVH.Relevant Catheterization Findings Coronary angiography (CAG) on the patient A showed blunt CTO of the proximal LAD (J- CTO score was 2), stenosis 50 % of osteal OM 1, stenosis 50% proximal RCA and good collaterals from distal RCA to the LAD via septal branches. On the patient B, CAG showed blunt CTO of proximal LAD (J-CTO score was 2), CTO of distal left circumflex, stenosis 50% of proximal and distal RCA, with good collaterals to LAD via septal branches.Interventional Management Procedural Step The approach sites on the patient A was femoral artery.
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2019.03.260