学习CTOCC CTO-PCI流程图的你
一定有此疑惑：
如何选择正向、逆向、IVUS指引及ADR技术？
别着急，葛雷教授带来动态幻灯版讲座：
《CTOCC CTO-PCI流程图精讲》
为您解答上述疑问
PS：本篇为第一部分
第二部分将于下周发布，敬请期待哦~
转自：CTOCC微信群
Case 1: Male 66 yrs, first attempt failed in local hospital
7F EBU 3.5, 6F SAL 1.0
• Stump
• Lesion length > 20 mm
• Absence calcification
• Promising landing zone
• Tortuosity epicardial CC
XT R KDL Parallel wiring UB3
Corsair Not Crossboss！
Stingray LP
Stick with GAIA Third
Final Results
既往逆向技术尝试失败，再次逆向成功率不高者
Case 2：Male，79 yrs old, Stable angina
March2015
5 hours later……
July2018
• No stump
• Lesion length > 20mm
• Severe tortuosity CC (Retro attempt failed)
• Diffuse lesion in target vessel
海昌俱乐部演示病例 115930
海昌俱乐部演示病例 115930
Step up: UB3 - GAIA Third - Conquest Pro
海昌俱乐部演示病例 115930
In side branch of LAD
海昌俱乐部演示病例 115930
KDL: GAIA Third
海昌俱乐部演示病例 115930
Step down: GAIA Third – UB3
海昌俱乐部演示病例 115930
Stingray balloon
海昌俱乐部演示病例 115930
Post blood drawn
海昌俱乐部演示病例 115930
Stick and swap to GAIA Third
海昌俱乐部演示病例 115930
海昌俱乐部演示病例 115930
Final Results
海昌俱乐部演示病例 115930
当逆向技术困难时，如解剖条件许可，应优选ADR
Case 3：男， 58岁，LVEF 45%
• Ipsilateral CC without an attacking length
• Ipsilateral with unfavorable attacking angle
• Severe tortuous and tiny epicardial CC
• Distal end bifurcation
• Promising landing zone
CTOCC JS 2018手术演示病例
135 cm Corsair + UB3
CTOCC JS 2018手术演示病例
Stingray balloon with optimal position
CTOCC JS 2018手术演示病例
Double blind stick with stingray wire
CTOCC JS 2018手术演示病例
CTOCC JS 2018手术演示病例
Swap for Pilot 200
CTOCC JS 2018手术演示病例
Swap for GAIA third
CTOCC JS 2018手术演示病例
Final Result
CTOCC JS 2018手术演示病例
逆向技术无条件（无可利用侧枝血管）
Case 4：Male, 70 yrs, first attempt failed in local hospital
Index procedure: 2018-11-20
No Promising CC
KDL + UB3, GAIA Second
Stingray LP + GAIA Third
Final Results
Case 5: Male, 58 yrs old, first attempt failed in
local hospital
Delta Health Live Case Demonstration
Delta Health Live Case Demonstration
Delta Health Live Case Demonstration
Retro: Corsair + Suoh 03
Delta Health Live Case Demonstration
Retro: Corsair + Suoh 03
Delta Health Live Case Demonstration
ADR: Stingray LP + GAIA Third
Delta Health Live Case Demonstration
ADR: Stingray LP + GAIA Third
Delta Health Live Case Demonstration
Final Results
Delta Health Live Case Demonstration
Case 6: Male 63 yrs, first attempt failed in August
• Severe ipsilateral CC
• Severe tortuous epicardial CC
• Promising landing zone
KDL+UB 3, GAIA Third, CP 12
Corsair +CP 12
Stingray LP with Optimal position
Stingray LP + GAIA Third, failed
Stingray wire
Final Results
