慢性完全闭塞之个人观点精选.pptVIP

LAD ostial CTO Candidate channels Retrograde channel wiring Dilatation and MC advance My way of retrograde CTO crossing Try hydrophilic GW for less than 5 minutes and avoid over-steering Try to advance the MC gently When MC cannot be advanced Extend GW and remove MC Advance 1.25 OTW balloon for channel dilatation Exchange the hydrophilic GW to CTO GW inside MC Bi-plane imaging for retrograde CTO crossing Retrograde CTO crossed Next step options Antegrade wire advancement? Balloon dilatation from the retrograde wire? “Level 4” technique Advance GW and MC into antegrade GC Withdraw retrograde GW