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IVUS for proximal cap
Andrea Gagnor
Maria Vittoria Hospital
Turin, Italy
I, Andrea Gagnor, DO NOT have a financial
interest/arrangement or affiliation with one or more
organizations that could be perceived as a real or
apparent conflict of interest in the context of
the subject of this presentation
Disclosure Statement of Financial Interest
Antegrade approach
Entry point identification
Side branch
CTO blunt stump
Entry point
Entry point
Anterogrado: due entry point
Proximal Cap in Retrograde
approach
Clarify wire position
Select position for XCART
Select sizing balloon XCART
Reduces complications
Increase predictability
Save contrast/X Ray
Vessel diameter
Stent length
Retrograde wire
Proximal cap bifurcations
Foto ap cranio pre
2.5 balloon
Ultimate retrograde wire
IVUS
1
1
2
3
2
3
1975: LAD occlusion
2 CABG: failure
CCS III-IV
Foto di dilatazione Tc-CX
3.0 balloon
Solve proximal cap ambiguity
position
plaque composition
Bifurcation !!!!!
Take home message
Solve proximal cap ambiguity
position
plaque composition
Bifurcation !!!!!
Take home message

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Andrea Gagnor: Connection Failure – Antegrade preparation is essential