Complex coronary cases
Ostial LAD CTO PCI via Retrograde Approach – March 2020


Case and Plan:

52-year-old male with COPD and OSA presented on January 31, 2020 with acute hypercarbic respiratory failure requiring intubation and ruled in with peak Troponin of 12 (Type 2 MI) and acute systolic heart failure NYHA Class IV. Patient was stabilized on medical therapy and extubated. A Cardiac Cath on February 3, 2020 revealed 1 V CAD: flush long total occlusion of ostial LAD with excellent collaterals from RCA and LVEF 48%. Patient was managed medically due to multiple medical and psychiatric issues. Patient has been compliant with GDMT with CCS Class II angina. A followup stress MPI revealed large area of severe anterior wall ischemia with partial scarring. Patient is now planned for PCI of ostial LAD CTO via retrograde approach from RCA collaterals.


Join the Discussion

12 thoughts on “Ostial LAD CTO PCI via Retrograde Approach – March 2020”

  1. Basem Enany says:

    Dear all
    I can.t see the webcast

  2. Rameshwar Bishnoi says:

    regularly follow up live cases

  3. Rameshwar Bishnoi says:

    In psychiatric patient compliance of drugs remains a big challenge.Do you think post PCI in such complex case compliance makes you little worry.

  4. Shmuel Shapira MD says:

    I can not view the case

  5. anas says:

    how can i see it

  6. Ashish says:

    The file is not available

  7. Suresh Sharma says:

    I can only see the case description but no video link to the case.

  8. Tanvir Ahmad says:

    very useful



  10. surender kumar md says:


  11. yolandi says:

    still no youtube video on this case?

  12. Arthur Calick says:

    Could not download archived case

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