Case 85: Manual of CTO Interventions - Case long learning

Challenging case of right coronary artery chronic total occlusion in a patient with prior coronary bypass graft surgery. Several challenges had to be overcome: (1) access site complication; (2) electrocardiographic changes and hypotension; (3) balloon rupture; (4) difficulty advancing equipment through calcification and tortuosity; and (5) losing guidewire position after successful crossing... Eventually successful recanalization was achieved. Persistence and humility are important for CTO PCI.

[masahisayamane]

This is one of the greatest cases that persistence with good perspective is a final key for success in a ultra- complex case. And thanks for showing this case for sharing your endurance with audience. Excellent blend of expertise of art and advanced technology.
Dr MY