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EURO CTO CLUB
Toulouse 2018
Guide catheter extensions and CTO PCI
Laurent Drogoul
Saint Laurent Du Var, Nice, FRANCE
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
The GuideLiner catheter: A supportive tool in percutaneous coronary intervention of chronic total occlusion
Jan-Erik Guelker Christian Blockhaus Knut Kroeger , Rosemarie Wehner , Heinrich Klues Alexander Bufe
EURO CTO CLUB
Toulouse 2018
Common use…
‘Routine’ angioplasty
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
MUST BE USED WITH BALLON
RISK of CORONARY RUPTURE
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
PROXIMAL JUNCTION
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
MICROCATHETER CROSSING FAILURE
Guide catheter extensions and CTO PCI
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
Lesion crossed with Filder XT-R
Impossible to cross with microcathter
( before rotawire)
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
REVERSE CART
Guide catheter extensions and CTO PCI
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
OSTIAL LAD AND CX LESIONS
Guide catheter extensions and CTO PCI
EURO CTO CLUB
Toulouse 2018
To prevent left main
occlusive dissection
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
OSTIAL LAD AND CX LESIONS
Guide catheter extensions and CTO PCI
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
IN CASE OF COMPLICATION
Guide catheter extensions and CTO PCI
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
Guiding extention reduce coronary flow
And help for covered stent implantation
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
EURO CTO CLUB
Toulouse 2018
Guide catheter extensions and CTO PCI
TAKE HOME MESSSAGE
 Increase support .
 Specially in CTO : « ballon guidance ».
 Usefull when lesion/septal are not cross by microcatheter vs anchoring ballon
 Key to success Reverse CART+++
 Prevent LM dissection for retrograde approch in ostial CTO LAD an Cx.
 In case of coronary rupture : ↘︎ coronary flow , implant covered stent.
EURO CTO CLUB
Toulouse 2018

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