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Andreas Synetos , MD, PhD, FESC, First Department of Cardiology, University of Athens, Hippocration Hospital

Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade

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Page 1: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade

Andreas Synetos, MD, PhD, FESC,

First Department of Cardiology, University of Athens, Hippocration Hospital

Page 2: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 3: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade

Fefer et al, J Am Coll Cardiol, 2012;59:991–7

Page 4: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 5: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade

Catheterization and Cardiovascular Diagnosis 20:8&93 (1990)

Page 6: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 7: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 8: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 9: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade

Case loads Retro vs non Retro operators

Page 10: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 11: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 12: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade

Elective

Planed

Quicker

Easier

Safer

Page 13: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 14: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade

• Trace potential channels

• Examine all projections

Page 15: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 16: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 17: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 18: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 19: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade

RETROGRADE

SION /FIELDER FC

Sion

Fielder FC

Page 20: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 21: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 22: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 23: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 24: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 25: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 26: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 27: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 28: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 29: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 30: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 31: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 32: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 33: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 34: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 35: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 36: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 37: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 38: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 39: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 40: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade

Conoid ending

Polymer covering

Page 41: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 42: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 43: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 44: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 45: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 46: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 47: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 48: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 49: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 50: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade

Galassi AR, CTO and LM Summit, 21-23

February 2013, New York

Page 51: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 52: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 53: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 54: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 55: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 56: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 57: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade

Female 75 years old

DM, HTN,

Angina CCS IIΙ

ECHO: akinesia inferior wall LVEF: 40%

CASE

Page 58: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 59: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 60: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 61: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 62: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 63: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 64: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 65: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 66: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 67: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 68: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 69: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 70: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 71: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 72: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 73: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 74: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade
Page 75: Andreas Synetos, MD, PhD, FESC, · 2017. 9. 16. · Retrograde CTO EuroCTO Club; Procedural Success divided 0/0100 3.6 10 2010 87.6 2011 89.1 2012 2013, New EURO Cia CLUB Antegrade