在cto两侧入路的conquestpro 820 导丝的使用

Used Conquest Pro 8-20 for RCA CTOs : two 2nd attempt cases Shih-Chi Liu, MD Far Eastern Memorial Hospital Fu-Tien Chiang , MD, Ph.D National Taiwan University Hospital 2008-06-20 10th CTO Club, Japan Conquest Pro 8-20 was introduced to Taiwan in this March. It is the finest and stiffest guidewire in the current Asahi Neos series. During these three months, 5 CTO cases were done with this wire , four cases were successful recanalization. Conquest Pro 8-20 Outcomes of CTO New techniQUE for STandard procedure trial (prospective, multi-center, registry in Japan; CONQUEST Trial) New Penetration Strategy for Tough CTO Muramatsu T, Mitsudo K, Asakura Y, Shibata Y , Doi O, Yamashita T, Morino Y, Sep. 30, 2004 NTUH CTO - Guide Wire Success Rate 44.0% 66.1% 87.2% Retrograde approach Conquest Pro 8-20 cases I: RCA 2nd try, Conquest Pro 8-20 x2 (2008-4-30) II: RCA 2nd try, Conquest Pro-20, Finecross (2008-5-23) 69/M CAD 3VD 1998: CABG 2006-3: RCA 1st try (conquest pro 12 parallel wires failed) 2007: PPM 2008-4: 2nd try LIMA LAD Collateral to RCA Native RCA 2006-3: RCA 1st try (conquest pro 12 parallel wires failed) 2006-3: RCA 1st try (conquest pro 12 parallel wires failed) 2008-4: 2nd try GC: AL1 7Fr 85cm GW: Runthrough intermediate Conquest pro 12 Conquest pro 8- 20 (1) Conquest pro 8- 20 (2) Hard lesion Check distal flow from LCA Check distal flow from LIMA Check distal flow from LIMA again 1.25mm BC Tornus 0.88 1.25 mm BC Post 2.5 mm BC ballooning Coaxial anchor technique 2.75x32mm Endeavor 2.5 mm BC 6 atm Coaxial anchor technique again Final Endeavor: 3.0x32 3.0x32 2.75x32 mm Conquest Pro 8-20 cases I: RCA 2nd try, Conquest Pro 8-20 x2 (2008-4-30) II: RCA 2nd try, Conquest Pro-20, Finecross (2008-5-23) 61/M CAD ,VT 2008-2-20: RCA 1st try 2008-2-27: ICD 2008-5: 2nd try Cr:2.0 BW:60 kg Est. contrast amount:150 ml 61/M CAD ,VT 2008-2-20: RCA 1st try LCA 2008-2-20: RCA ,1st try, Final 61/M CAD ,VT 2008-2: 1st try 2008-2-27: ICD 2008-5: 2nd try Cr:2.0 BW:60 kg GC: AL1 ST 7Fr EBU3.75 7Fr Retrograde approach Retrograde: septal br. 1 GW: Fielder FC BC : 1.5x20 mm Maverick Septal dilatation : 1.5 BC 2 atm Miracle 4.5 g Conquest pro 12 Epicardial LAD-PDA: GW: Runthrough hypercoat Finecross Finecross first use finecross resistance Conquest pro 12 Anteograde approach : intend to do reverse CART Miracle 4.5 1.5mm OTW Kissing wire Conquest pro 8-20 conquest pro 12 Dilatation: 1.5mm BC Tornus new 1.5 mm BC 2.5 mmBC Previous septal route Miracle 4.5 - PLA Rewire Conqust pro 8-20 PDA Endeavor 3.5x33 3.5x24 Final Dye: 160 ml Time: 2 hr 40 min Wire: x5 BC: 1.5mm x2 2.5mm Tornus Finecross DES x2 Conquest Pro 8-20 can be used not only in crossing complex lesions with heavy calcifications and tough fibrous tissues, but also in kiss