CTO介入治疗策略的选择课件.ppt
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- CTO 介入 治疗 策略 选择 课件
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1、CTO介入治疗策略的选择复旦大学附属中山医院心内科 上海市心血管病研究所葛 雷Dual Catheter Angiography1.Clear proximal cap2.Good Distal Target3.Length 20 mmTortuous CTO segmentHeavy calcificationLength 20 mmPrevious failed attemptIn-stent restenosisUse of CrossBoss as primary crossing strategyYesNoProximal cap ambiguityNoIVUS-guided ent
2、ryYesAntegrade wire based approachYesYesInterventional collaterals presentNoPoor quality distal vesselNoRetrograde approachAP CTO Club PCI AlgorithmSuccessful crossingIF Antegrade approaches Failed 060235 Case 1:Male,47 yrs Tiny stump,healthy distal vessel,length 20 mmTortuous CTO segmentHeavy calci
3、ficationLength 20 mmPrevious failed attemptIn-stent restenosisUse of CrossBoss as primary crossing strategyYesNoProximal cap ambiguityNoIVUS-guided entryYesAntegrade wire based approachYesYesInterventional collaterals presentNoPoor quality distal vesselNoRetrograde approachAP CTO Club PCI AlgorithmS
4、uccessful crossingIF Antegrade approaches Failed 060235Corsair+Fielder XTCTO介入治疗策略的选择060235Gaia FirstCTO介入治疗策略的选择060235Stenting and Final ResultCTO介入治疗策略的选择68323Case 2:Male,69 yrsCTO介入治疗策略的选择68323CTO介入治疗策略的选择683237F EBU 3.5CTO介入治疗策略的选择Careful analysis of coronary angiogram/MSCTDissection-reentry(Cro
5、ssBoss/StingrayIf suitable reentry zoneParallel wiring+/-IVUS-guided wiringFeatures favouring early use ofdissection-reentry:Ambiguous course in CTOLength 20 mmTortuous CTO segmentHeavy calcificationLength 20 mmPrevious failed attemptIn-stent restenosisUse of CrossBoss as primary crossing strategyYe
6、sNoProximal cap ambiguityNoIVUS-guided entryYesAntegrade wire based approachYesYesInterventional collaterals presentNoPoor quality distal vesselNoRetrograde approachAP CTO Club PCI AlgorithmSuccessful crossingIF Antegrade approaches Failed 68323KDL(Crusade)+SionCTO介入治疗策略的选择68323IVUS(iLab)FrameCTO介入治
7、疗策略的选择68323FrameGAIA Second+130cm FineCrossCTO介入治疗策略的选择68323CTO介入治疗策略的选择68323Tip Injection+150cm FineCrossCTO介入治疗策略的选择68323Sion+150cm FineCrossTough Situation 1CTO介入治疗策略的选择68323Sion+150cm FineCrossCTO介入治疗策略的选择68323GAIA Second+150cm FineCrossCTO介入治疗策略的选择68323Position of Retrograde WireFrameCTO介入治疗策略的
8、选择68323Retro W not into Ante GC,even through Guidezilla usedTough Situation 2GuidezillaCTO介入治疗策略的选择68323Home made Snare with 5F child catheter150cm FineCrossRG3Big loop of Sion5F child catheterCTO介入治疗策略的选择68323Home made Snare with 5F child catheterCTO介入治疗策略的选择68323Pre-dilation and IVUSCTO介入治疗策略的选择68
9、323abacdebcdeTrue to true lumen trackingCTO介入治疗策略的选择68323Final ResultsCTO介入治疗策略的选择大连医科大学2015Case 3:Male,55,2015-9-8 failed to attempt recanalization LADCTO介入治疗策略的选择Careful analysis of coronary angiogram/MSCTDissection-reentry(CrossBoss/StingrayIf suitable reentry zoneParallel wiring+/-IVUS-guided wi
10、ringFeatures favouring early use ofdissection-reentry:Ambiguous course in CTOLength 20 mmTortuous CTO segmentHeavy calcificationLength 20 mmPrevious failed attemptIn-stent restenosisUse of CrossBoss as primary crossing strategyYesNoProximal cap ambiguityNoIVUS-guided entryYesAntegrade wire based app
11、roachYesYesInterventional collaterals presentNoPoor quality distal vesselNoRetrograde approachAP CTO Club PCI AlgorithmSuccessful crossingIF Antegrade approaches Failed 大连医科大学2015Fielder XT-R,GAIA Second+CorsairCTO介入治疗策略的选择大连医科大学2015Ipislateral CC tracking with 150 Corsair+SionCTO介入治疗策略的选择大连医科大学2015
12、Pingpang Technique and Reverse CART with 2.5 mm balloon(A:GAIA First;R:GAIA Second)CTO介入治疗策略的选择大连医科大学2015Pingpang Technique and Externalizaition with RG3CTO介入治疗策略的选择大连医科大学2015Final ResultsCTO介入治疗策略的选择56439Case 4:Male,48 yrs,2015-3-10 D1 stented(misrecognition for LAD)CTO介入治疗策略的选择Primary Retro:No stu
13、mp,Stent struts,Promising CCCareful analysis of coronary angiogram/MSCTDissection-reentry(CrossBoss/StingrayIf suitable reentry zoneParallel wiring+/-IVUS-guided wiringFeatures favouring early use ofdissection-reentry:Ambiguous course in CTOLength 20 mmTortuous CTO segmentHeavy calcificationLength 2
14、0 mmPrevious failed attemptIn-stent restenosisUse of CrossBoss as primary crossing strategyYesNoProximal cap ambiguityNoIVUS-guided entryYesAntegrade wire based approachYesYesInterventional collaterals presentNoPoor quality distal vesselNoRetrograde approachAP CTO Club PCI AlgorithmSuccessful crossi
15、ngIF Antegrade approaches Failed 56439150 Finecross+SionCTO介入治疗策略的选择56439150 Finecross+Fielder XTCTO介入治疗策略的选择56439Modified Reverse CART+GAIA Second,SionCTO介入治疗策略的选择56439Modified Reverse CART+Sion,Sion not into Ante GCCTO介入治疗策略的选择56439Guidezilla CTO介入治疗策略的选择56439Finecross changed to Corsair,externali
16、zation with RG3CTO介入治疗策略的选择56439Final ResultsCTO介入治疗策略的选择广西南宁2015CASE 5:Male,58 yrs,IDDM,LVEF 60%,First attempt failedCTO介入治疗策略的选择广西南宁2015CTO介入治疗策略的选择广西南宁2015R:6F SALL:7F EBU 3.75CTO介入治疗策略的选择J-CTO Score 2:Stump,length20 mm,re-try caseCareful analysis of coronary angiogram/MSCTDissection-reentry(Cros
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