Case 248: Manual of CTO PCI - Micro Rx

[@KatherineMilan]

What a great concept of Microcatheter with Micro Rx. Very intuitive and practical design to address such cases in a very easy way. Looking forward to see it in Europe as well! Thank you for sharing this case Dr. Brilakis.

[@shangz0216]

Thanks for the excellent case presentation.

[@ВалерийАлмаев-у7л]

Hi, Professor Emmanouil Brilakis. Can i ask one question? What about PLB of RCA? We used cutting balloon and avacuated intramural hematoma. Do we need stent covering from RCA to PLB in this situation?

[@manosbrilakis]

Another stent could be used but that increases the complexity of the procedure and the risk of restenosis.

[@mohamedaymenbenabdessalem1160]

Can we exchange wires through this device ?

[@manosbrilakis]

No

[@elmiraaghaee6550]

Hello professor Brilakis. Thanks for your teaching and sharing your experiences. Why did you recanalized RCA while SVG flow and distal RCA branches was TIMI 3 ?

[@tom11298]

RCA had a CTO distally, and recanalizing cto ,if feasible, is always a favorable option over PCi/stenting to SvG that is degenerative and started to fail and had stenosis at touch down. Also native pci has a better outcomes. Initial PTCA was only meant to open the vessel, with very high chance of re occlusion

[@manosbrilakis]

Great point - the likelihood of achieving long-term SVG patency after the SVG becomes completely occluded during an AMI is quite low.