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演示文稿演讲PPT学习教学课件医学文件教学培训课件
Chronic Total Occlusion(CTO)
Case Presentation:
Key Concepts and Techniques;Role of DES for CTO angioplaty
Improve the prognosis?;Role of DES for CTO angioplaty;CTO angioplasty in DES era;SES for CTO lesions:
CTO vs Non-CTO
Cypher Post Marketing Study
(PMS) in Japan;Study Design (Cypher PMS in Japan);Enrollment Period
1st Year: 9/1/04~3/31/05
2nd Year: 4/1/05~9/30/05;;:Non-CTO;;Clinical events during follow-up period ;MACE free survival : CTO angioplasty
BMS vs SES;Recent concepts and techniques
for CTO angioplasty;
65 y.o M EAP
DM, HT
Retry Case (unsuccessful; 3 month before);;Control angiography ;Strategy:
Retrograde or antegrade approach ?
;Wiring at LAD;Re-wiring and dilation with a 2.5mm
balloon by the physician;Change the
Operator;Parallel wire technique;Recent advance in CTO angioplasty:
Procedural view ;K.S 64 y.o M EAP;K.S 64 y.o M EAP;Pre PCI; The stiffness of a guide wire :
expressed as the resistance of the tip to bending
(1cm from tip) against force (g);Comparison of Tip Stiffness(Guidewire) ;First Wire;LAD: Cranial view;Parallel guidewire technique:Advantage;O.T 64 y.o EAP;O.T 64 y.o EAP;O.T 64 y.o EAP;O.T 64 y.o EAP;O.T 64 y.o EAP;RAO view;Distal tip of the wire support catheter;POBA and Stenting;CTO : Strategy of procedure;Conclusions;; In daily practice, more than 20% of treatments are complex lesions like in stent restenosis, etc.;Purpose;Study Design (Cypher PMS in Japan);;Enrollment Period
1st Year: 9/1/04~3/31/05
2nd Year: 4/1/05~9/30/05
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