Lecturer of Cardiology - Faculty of Medicine Tanta University . EGYPT
Title: RETROGRADE CTO RCA
Master degree (2009)
Fellowship of critical care medicine (2008-2009)
Fellowship of interventional cardiology- Ravenna , Italy (2009-2011)
Male patient 54 years old , hypertensive 4 years ago on ACE1 , diabetic on oral hypoglycemic drugs 10 years ago, hypercholesterolemic with positive family history .
Anterior STEMI 2019 underwent 1ry PCI to LAD with one DES. During this session we discovered that his RCA was CTO receiving retrograde collateral from septal branch of LAD and epicardial collateral from circumflex. Stress MPI was decided to detect viability and ischemic burden which was positive (ischemic viable ).Ischemic burden was 15%
So , we decided to do CTO PCI to his RCA.