Weitere ähnliche Inhalte Kürzlich hochgeladen (20) 1. DISTAL CAP PENETRATION –
Cart Vs REVERSE CART
Dr .V. Surya Prakasa Rao
HOD – Cardiology Department
Apollo Hospitals –Hyderguda, Hyderabad.
20. CTO Wire
Features required for CTO wires
1. Penetration force for penetrating proximal
fibrous cap and advancing into true lumen
2. Pushability for crossing chronic occlusions and
complex lesions with heavy calcifications and
tough fibrous tissues.
3. Steerability for easy manipulate in various
directions with good torque transmission
4. Shaping Memory of the tip
31. COMPLEX CTO – CHOOSING THE
RIGHT HARDWARE.
Dr .V. Surya Prakasa Rao
HOD – Cardiology Department
Apollo Hospitals –Hyderguda, Hyder
37. Low Profile Balloons
• ACROSTAT – 1.1mm.
• FALCON – 1.0mm.
• SAPHIRE- 1.0mm.
• MINI TREK – 1.25mm (Hydrophilic).
• TERUMO - 1.25mm.
39. Strategy :
• 7F Femoral approach and
5F Trans Radial for Contralateral Injection.
• XB / EBU / Amplatz.
• Plastic Jacket: Fielder XT.
• Conquest / Confluenza / Miracle – Parallel wire.
• Micro catheter – Corsair.
• Low Profile Balloons.
• DES
55. ISR - CTO
Fielder XT with
Contralateral
Injection
58. Ostial LAD CTO – Reverse CART
• 7F / 8F – short guiding ( customized / self made) with
SH.
• 135 / 154 cm Corsair.
• SION Blue - 0.014 ( Fielder XT, Conquest Pro12,
Miracle3 / 9, Fielder XTR)
• RG3 – 300cms.
• Volcano IVUS – Eagle Eye Gold.
• 2.5 / 3.0 mm NC Balloons.
• Snare.
• Coils.
• Covered Stent
67. CTO – CACTO Experience
• Total No of CTO’S-2006 to Dec 2012 : 326
cases
• Success rate 89.9 %
• Major complications: < 1%
