Retrograde recanalization of Chronic total occlusion

1. Retrograde
recanalization of
CTO
Ramachandra
In the eve of World Heart Day-2013In the eve of World Heart Day-2013

2. Milestone……
 1.20-22% of cath cases
 2. PCI attempted in 5-15%
 3. Most of them sent for surgery (BARI-1997 to
SYNTAX-2007)
 4. PCI in CTO: 60-85% success in best LAB, but
SYNTAX -53%

3. Canadian Registry

4. classification

5. Predictors

6. Complications

7. Learning curve is inspiring

9. Mortality is not that furious!!!

10. Residual Syntax Score α events F/U

11. 4 Yrs F/U

12. Retrograde Approach

13. 4-Techs and septal collaterals
LAD/RCA

14. Mid LAD CTO

15. Trajectory….

16. Its their own

17. A Ladder with 5 stair cases….success

18. Check Out Your’s

19. I snapped ,snare it…CTO opener

20. Depth of ……effort
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