在CTO两侧入路ConquestPro820导丝使用

1、在CTO两侧入路ConquestPro820导丝使用 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

2、 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, 2004NTUH CTO - Guide Wire Success Rate44.0% 66.1% 87.2%Retrograde ap

3、proachConquest 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 tryLIMA LAD Collateral to RCA Native RCA2006-3: RCA 1st try(c

4、onquest 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 intermediateConquest pro 12Conquest pro 8-20 (1) Conquest pro 8-20 (2)Hard lesionCheck distal flow from LCACheck distal flow from LIMACheck distal flow from

5、LIMA again1.25mm BC Tornus0.881.25 mm BCPost 2.5 mm BC ballooningCoaxial anchortechnique2.75x32mm Endeavor 2.5 mm BC 6 atmCoaxial anchortechniqueagainFinal Endeavor: 3.0 x323.0 x322.75x32 mmConquest Pro 8-20 cases I: RCA 2nd try, Conquest Pro 8-20 x2 (2008-4-30) II: RCA 2nd try, Conquest Pro-20, Fin

6、ecross (2008-5-23) 61/M CAD ,VT 2008-2-20: RCA 1st try2008-2-27: ICD 2008-5: 2nd try Cr:2.0 BW:60 kgEst. contrast amount:150 ml61/M CAD ,VT 2008-2-20: RCA 1st try LCA 2008-2-20: RCA ,1st try, Final 61/M CAD ,VT 2008-2: 1st try2008-2-27: ICD 2008-5: 2nd try Cr:2.0 BW:60 kgGC: AL1 ST 7Fr EBU3.75 7Fr R

7、etrograde approachRetrograde:septal br. 1GW: Fielder FCBC : 1.5x20 mm Maverick Septal dilatation : 1.5 BC 2 atmMiracle 4.5 gConquest pro 12EpicardialLAD-PDA:GW: Runthrough hypercoatFinecross Finecross first use finecrossresistanceConquest pro 12Anteograde approach :intend to doreverse CARTMiracle 4.

8、51.5mm OTWKissing wire Conquest pro 8-20conquest pro 12Dilatation:1.5mm BCTornusnew 1.5 mm BC2.5 mmBCPrevious septal routeMiracle 4.5 - PLARewire Conqust pro 8-20 PDAEndeavor 3.5x33 3.5x24Final Dye: 160 mlTime: 2 hr 40 minWire: x5BC: 1.5mm x2 2.5mmTornusFinecrossDES x2 Conquest Pro 8-20 can be used not only in crossing complex lesions with heavy calcifications and tough fibrous tissues, but also in kissing wi