Retrograde recanalization of CTO

Ramachandra

In the eve of World Heart Day-2013In the eve of World Heart Day-2013

Milestone……

1.20-22% of cath cases

2. PCI attempted in 5-15%

3. Most of them sent for surgery (BARI-1997 to SYNTAX-2007)

4. PCI in CTO: 60-85% success in best LAB, but SYNTAX -53%

Canadian Registry

classification

Predictors

Complications

Learning curve is inspiring

Mortality is not that furious!!!

Residual Syntax Score α events F/U

4 Yrs F/U

Retrograde Approach

4-Techs and septal collaterals

LAD/RCA

Mid LAD CTO

Trajectory….

Its their own

A Ladder with 5 stair cases….success

Check Out Your’s

I snapped ,snare it…CTO opener

Depth of ……effort

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