采用心外膜侧支逆向法经皮冠状动脉介入治疗的慢性完全闭塞左前降支英文课件.pptVIP

Percutaneous coronary intervention of a left anterior descending chronic total occlusion using an epicardial collateral retrograde approach Dr Patricia HT Hon Dr David CK Hu CTO-LAD retrograde approach 59 yo male exertional angina March ’07 Risk factors: hypertension, hyperlipidaemia, new onset Type 2 DM and smoking occasionally CTO-LAD retrograde approach CTA coronary angiogram: severe and extensive disease shown in RCA and LAD LV function satisfactory on echocardiogram CTO-LAD retrograde approach Diagnostic coronary angiogram March ’07: CTO mid LAD, severe proximal disease, good col