AsuccessfulIVUSA successful IVUS ...summitmd.com/pdf/pdf/2066_Kumada.pdf · AsuccessfulIVUSA...
Transcript of AsuccessfulIVUSA successful IVUS ...summitmd.com/pdf/pdf/2066_Kumada.pdf · AsuccessfulIVUSA...
A successful IVUS-guided PCI case for obtuseA successful IVUS guided PCI case for obtuse marginal branch ostial CTO lesion with antegrade approach using the dual 6Fr
Catheter Intervention & EP
antegrade approach using the dual 6Fr guidings’ system
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th ti
Masahiro Kumada, Satoru Sumitsuji, Koichi Tachibana,
TherapeuticsTherapeuticsTadashi Kuroda, Isamau Mizote, Seiko Ide,
Keita Okayama, Kensuke Yokoi, Togo Iwahana, Shinsuke Nanto
Education and Clinical Researchy g
Department of Advanced Cardiovascular Therapeuticsp p
Osaka University Graduate School of Medicine, Japan
ANGIOPLASTY SUMMIT TCTAP 2012 April 25th, 2012, SEOUL, KOREA
Case : a 54-year-old manCase : a 54 year old man
Clinical course
Catheter Intervention & EP
Clinical course
2011/6 Severe chest pain on his job
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th ti
Since then angina under medication
8/19 CAG in another hospital
TherapeuticsTherapeutics(Two CTO lesions : proximal LAD, OM br.)
10/24 successful PCI for his proximal LAD CTOEducation and Clinical Research
10/24 successful PCI for his proximal LAD CTO
in our hospital
12/19 staged PCI for OM br. CTO
(ostial abrupt type)
PCI for LAD (2011/10/24)PCI for LAD (2011/10/24)
Catheter Intervention & EP
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical ResearchRAO30CRA30
GC : brite-tip 6FrXB3.5SH TM Balloon : NC Sprinter 2.25/12 TM
RAO30CRA30
Wire : Conquest Pro TM Stent : Nobori 2.5/18 TM
PCI for OM (2011/12/19)PCI for OM (2011/12/19)
Catheter Intervention & EP
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical Research
RAO30CAU25 LAO60CAU35RAO30CAU25 LAO60CAU35
PCI for OM (2011/12/19)PCI for OM (2011/12/19)
Catheter Intervention & EP
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical Research
CAU35CAU35 CAU35CAU35
PCI for OM antegrade 1st tryPCI for OM antegrade 1st try
Catheter Intervention & EP
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical Research
GC : brite-tip 6FrXB3.5SH TM IVUS : Revolution TM
PCI for OM antegrade 1st tryPCI for OM antegrade 1st try
Catheter Intervention & EPGC : brite-tip 6FrXB3 5SH TM
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th ti
Wire : Conquest Pro TM
GC : brite tip 6FrXB3.5SH
TherapeuticsTherapeuticsFinecross MG TM
Education and Clinical Research
PCI for OM antegrade 1st tryPCI for OM antegrade 1st try
Catheter Intervention & EPExtravasation
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical Research
PCI for OM antegrade 1st tryPCI for OM antegrade 1st try
Catheter Intervention & EP
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical Research
Balloon : NC Sprinter2.5/15 TM
PCI for OM antegrade 1st tryPCI for OM antegrade 1st try
Catheter Intervention & EP
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical Research
PCI for OM retrogradePCI for OM retrograde
Catheter Intervention & EP
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical Research
GC : 6Fr RU TMGC : 6Fr RU TM
PCI for OM retrogradePCI for OM retrograde
Catheter Intervention & EP
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical Research
Wire : SUOH TMWire : SUOH TM
Micro catheter : Corsair TM
PCI for OM retrogradePCI for OM retrograde
Catheter Intervention & EP
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical Research
Wire : SUOH TMWire : SUOH TM
Micro catheter : Finecross MG TM
PCI for OM antegrade 2nd tryPCI for OM antegrade 2nd try
Catheter Intervention & EP
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical Research
GC : brite-tip 6FrXB3.5SH TM Wire : Conquest Pro TMGC : brite tip 6FrXB3.5SH
brite-tip 6FrXB3.0SH TM Corsair TM
IVUS : Revolution TM
PCI for OM pre-stenting IVUSPCI for OM pre-stenting IVUS
Catheter Intervention & EP
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical Research
IVUS : Revolution TM
PCI for OM Balloon and StentPCI for OM Balloon and Stent
Catheter Intervention & EP
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical Research
Balloon : Sprinter Legend 2.0/15 TM
PCI for OM Balloon and StentPCI for OM Balloon and Stent
Catheter Intervention & EP
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical Research
Stent : Nobori 2.5/28 TM
PCI for OM Balloon and StentPCI for OM Balloon and Stent
Catheter Intervention & EP
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical Research
Balloon : NC Sprinter 2.5/12 TM
PCI for OM Final IVUSPCI for OM Final IVUS
Catheter Intervention & EP
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical Research
Stent : Nobori 2.5/28 TM
PCI for OM final angiogramPCI for OM final angiogram
Catheter Intervention & EP
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th tiTherapeuticsTherapeutics
Education and Clinical Research
CAU35RAO30CAU25
SummarySummary
Catheter Intervention & EPWe experienced a successful IVUS-guided PCI case for obtuse marginal branch ostial CTO lesion
Advanced Cardiovascular Th ti
Advanced Cardiovascular Th ti
with antegrade approach using the dual 6Fr guidings’ system through bilateral radial arteries.
TherapeuticsTherapeuticsEducation and Clinical Research