Patient Information
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Male, 57 years old, angina for 5 years
PMH: Hypertension(+), DM(-), Current smoker(+), Hyperlipidemia(+)
Normal hepatic and renal function
LVEF 54%, LVDd 41 mm
2019 LCX-PCI
2024 LAD-CTO PCI failed
Take Home Message
1. When antegrade approach fails and the patient lacks:
Well-developed septal collaterals (CC-1/2)
Suitable epicardial collaterals (high-risk for perforation)
-Septal branches are preferred
-Well-developed epicardial collaterals also be feasible
-SUOH 03 is recommended in extremely tortuous collaterals
2. Technical core:
Guide wire: hydrophilic polymer coating guidewire (e.g. SION BlACK, SION). lf collateral is severely tortuous, Suoh-03 is suitable
Surfing technology
Intentionally curved of the SION BLACK:
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