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08:30 Asakura - How to Succeed in Reverse - CART Technique
- 1. How to Succeed in Reverse-CART Technique Kasai Shoikai Hospital Yasushi Asakura M.D.
- 2. 2. Retrograde Wiring 1. Channel Crossing Previous Standardized Retrograde Technique Kasai Shoikai Hospital
- 6. Driving Pressure Kasai Shoikai Hospital
- 7. attempted technique number (%) retrograde wire crossing 38 (32%) kissing wire 6 (5%) R-CART 66 (55%) CART 3 (3%) antegrade approach 2 (2%) 96% 4% success recanalization failed Acute Results in Registry Kasai Shoikai Hospital
- 8. 2. Retrograde Wiring 3. Kissing Wire Technique 1. Channel Crossing Previous Standardized Retrograde Technique Kasai Shoikai Hospital
- 9. Kissing Wire Technique Kasai Shoikai Hospital
- 10. Major Limitation of Kissing Wire Technique If antegrade and retrograde wires are in different layers, it is difficult to align both wires. Kasai Shoikai Hospital
- 11. attempted technique number (%) retrograde wire crossing 38 (32%) kissing wire 6 (5%) R-CART 66 (55%) CART 3 (3%) antegrade approach 2 (2%) 96% 4% success recanalization failed Acute Results in Registry Kasai Shoikai Hospital
- 12. 2. Retrograde Wiring 3. Kissing Wire Technique 4. Subintimal Tracking 1. Channel Crossing Previous Standardized Retrograde Technique Kasai Shoikai Hospital
- 13. Problem in Retrograde Wiring Kasai Shoikai Hospital
- 14. Kasai Shoikai Hospital Concept of Contemporary Reverse CART
- 15. Kasai Shoikai Hospital Concept of Contemporary Reverse CART
- 27. 2. Retrograde Wiring 3. Kissing Wire Technique 4. Subintimal Tracking 5. IVUS Guidance 1. Channel Crossing Standardized Retrograde Technique Kasai Shoikai Hospital 2. Antegrade Ballooning Contemporary X-CART 3. IVUS Guidance Recent Standardized Retrograde Technique
- 28. 2. W/O Kissing Wire Technique 3. Preferred Antegrade Ballooning 4. Smaller Balloon 5. Wire with Good Torque Ability 1. W/O Retrograde Wiring Points of Contemporary Reverse CART Kasai Shoikai Hospital
- 29. 2. Retrograde Wiring 3. Kissing Wire Technique 1. Channel Crossing Standardized Retrograde Technique Kasai Shoikai Hospital 2. Antegrade Ballooning Contemporary X-CART 3. IVUS Guidance Recent Standardized Retrograde Technique
- 30. IVUS Findings Kasai Shoikai Hospital
- 39. Reverse CART Kasai Shoikai Hospital
- 40. Penetration Using Confienza Pro 12 Kasai Shoikai Hospital
- 42. Summary 1. The retrograde approach is absolutely indispensable in CTO PCI. 2. This technique has been established and standardized. 3. Retrograde wiring and kissing wire technique are not recommended. 4. Contemporary reverse CART is common procedure. Kasai Shoikai Hospital