7. Good CTO Angiography
Optimal view of the distal run off
Optimal view of the donor vessel
Good views of the collaterals
Several views of the occluded vessel
At least 1 same view for both vessels
Educate the referring physicians
8. What are the Questions ?
Is it really a CTO ?
Proximal and distal ambiguity ?
Lesion length ?
Vessel course, Island ?
Lesion calcification and tortuosity ?
Distal run off ?
Collaterals ?
Good and safe support ?
61. Conclusion
Take extra time during the diagnostic
angiogram to obtain specific anatomic
information that will guide strategy (ies) for the
subsequent CTO PCI.
Study the film in detail during coronary
angiography in order to check that you have all
the informations needed.
Educate refering physicians