Thank you Orbus Neich & Dato Sri Dr Azhari Rosman from IJN for organizing this CTO workshop with Sensei Dr Michiya Kageyama from Nasu Red Cross Hospital, Japan!
It was great learning from sensei regarding CTO techniques, with tips & tricks! Our in-house CTO enthusiast Dr Mugilan Sundarajoo also came to join us!
Did a CTO case via retrograde approach using Reverse CART technique
CTO stands for chronic total occlusion, which is a complete or near-complete blockage in a coronary artery that lasts three months or longer. Coronary arteries are the blood vessels that supply blood to the heart.
Reverse controlled antegrade and retrograde tracking (CART) is a technique used to treat chronic total occlusions (CTOs) in the coronary arteries:
How it works
This technique involves retrograde dissection to create a subintimal space, then navigating a retrograde microcatheter over the dissection. Next, an antegrade dissection is performed, and an antegrade balloon is inflated in the subintimal space. Finally, the subintimal space is connected, and a retrograde wire is used to navigate into the proximal true lumen.
Hope to learn more from all the sensei!!
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