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1、Used Conquest Pro 8-20 for RCA CTOs : two 2nd attempt casesShih-Chi Liu, MD Far Eastern Memorial HospitalFu-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

2、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 Strat

3、egy 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 approachConquest 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

4、-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(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

5、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 LIMA again1.25mm BC Tornus0.881.25 mm BCPost 2.5 mm BC ballooningCoaxial anchortechnique2.75x32mm Endeavor 2.5 mm BC 6 atmCoaxia

6、l 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, Finecross (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 ml6

7、1/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 Retrograde approachRetrograde:septal br. 1GW: Fielder FCBC : 1.5x20 mm Maverick Septal dilatation : 1.5 BC 2 atmMiracle 4.5 gConq

8、uest pro 12EpicardialLAD-PDA:GW: Runthrough hypercoatFinecross Finecross first use finecrossresistanceConquest pro 12Anteograde approach :intend to doreverse CARTMiracle 4.51.5mm OTWKissing wire Conquest pro 8-20conquest pro 12Dilatation:1.5mm BCTornusnew 1.5 mm BC2.5 mmBCPrevious septal routeMiracl

9、e 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 wire technique even the lesion is not so hard.I think Conquest pro 8-20 Thanks !Thanks !劉世奇劉世奇 醫(yī)師醫(yī)師光藤和明光藤和明 副院長副院長黃瑞仁黃瑞仁 副院長副院長 曾曾春典春典 教授教授 江福田江福田 教授教授亞東醫(yī)院亞東醫(yī)院 / /倉敷中央病院倉敷中央病院 / 臺(tái)大醫(yī)院臺(tái)大醫(yī)院