eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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Sarajevo Declaration on Integrity and Visibility of Scholarly Publications
1/2022
vol. 18
 
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abstract:
Image in intervention

Two life-threatening complications during chronic total occlusion management

Dimitra Maritsa
1
,
Gerasimos Gavrielatos
1
,
Antonios Dimopoulos
1
,
Nikolaos Patsourakos
1
,
Nikolaos Papakonstantinou
1
,
Evaggelos Pisimisis
1

1.
Department of Cardiology, Tzaneio General Hospital, Pireas, Greece
Adv Interv Cardiol 2022; 18, 1 (67): 81–82
DOI: https://doi.org/10.5114/aic.2022.115282
Online publish date: 2022/04/11
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A 50-year-old man, with one-month effort angina and a history of hypertension and dyslipidemia, was subjected to coronary angiography (CA), via the left radial approach, which revealed single-vessel chronic total occlusion (CTO) of the mid-right coronary artery (RCA) (Figures 1: Ia, b). The left ventricle ejection fraction (LVEF) was 50% with hypokinesia at the infero-lateral wall. Since the patient was recently symptomatic with a positive stress test and a relatively low J-CTO Score ≈ 2, an ad-hoc percutaneous coronary intervention (PCI) was decided, with the patient’s informed consent. In our cath lab, for the last three years, there has been a newly engaged CTO program including two operators with ≥ 20 CTO procedures per year and a total volume of 50 CTOs/year and both of them were involved in the present procedure.
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