Mid-RCA CTO with retrograde septal collateral

Mid-RCA CTO with retrograde septal collateral

Roberto Garbo, MD
Director of CTO and Complex PCI Program
Maria Pia Hospital, GVM  Turin, Italy

The patient is a 65-year-old male with multiple risk factors and submitted one year ago for acute coronary syndrome. He presented three-vessel disease: LAD, CX and RCA-CTO. The bilateral injection…

Mid-RCA CTO with ipsilateral collateral

Mid-RCA CTO with ipsilateral collateral

Roberto Garbo, MD
Director of CTO and Complex PCI Program
Maria Pia Hospital, GVM  Turin, Italy

The patient is a 56-year-old male. Multivessel disease was found in LAD and critical stenosis of the CX. RCA CTO was detected with septal and epicardial collaterals. We started with an antegrade…

Complex RCA CTO from antegrade

Complex RCA CTO from antegrade to retrograde approach

Roberto Garbo, MD 
Director of CTO and Complex PCI Program 
Maria Pia Hospital, GVM  Turin, Italy

The patient is a 64-year-old male. RCA CTO post stent was detected. We started with an antegrade approach with IVUS guidance for the entry point supported by Navitian but it failed due to…

Complex Calcified CTO

Complex Calcified CTO Clinical case

Roberto Garbo, MD 
Director of CTO and Complex PCI Program 
Maria Pia Hospital, GVM  Turin, Italy

The patient is a 74-year-old male. Mid-LAD CTO with the diffuse disease was detected. The LAD /Diagonal presented a severe calcified CTO treated by an antegrade approach, so rotational atherectomy…