1、Used Conquest Pro 8-20 for RCA CTOs : two 2nd attempt cases,Shih-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 Stra
3、tegy for Tough CTOMuramatsu T, Mitsudo K, Asakura Y, Shibata Y , Doi O, Yamashita T, Morino Y, Sep. 30, 2004,NTUH CTO - Guide Wire Success Rate,44.0% 66.1% 87.2%,Retrograde approach,Conquest Pro 8-20 cases,I: RCA 2nd try, Conquest Pro 8-20 x2 (2008-4-30)II: RCA 2nd try, Conquest Pro-20, Finecross (2
4、008-5-23),69/M CAD 3VD 1998: CABG 2006-3: RCA 1st try (conquest pro 12 parallel wires failed) 2007: PPM 2008-4: 2nd try,LIMA LAD Collateral to RCA,Native RCA,2006-3: 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: AL
5、1 7Fr 85cm GW: Runthrough intermediate Conquest pro 12 Conquest pro 8-20 (1) Conquest pro 8-20 (2),Hard lesion,Check distal flow from LCA,Check distal flow from LIMA,Check distal flow from LIMA again,1.25mm BC Tornus 0.88 1.25 mm BC,Post 2.5 mm BC ballooning,Coaxial anchor technique 2.75x32mm Endeav
6、or 2.5 mm BC 6 atm,Coaxial anchor technique again,Final Endeavor: 3.0x32 3.0x32 2.75x32 mm,Conquest 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 try 2008-2-27: ICD 2008-5: 2nd try Cr:2.0 BW:60 k
7、g Est. contrast amount:150 ml,61/M CAD ,VT 2008-2-20: RCA 1st try LCA,2008-2-20: RCA ,1st try, Final,61/M CAD ,VT 2008-2: 1st try 2008-2-27: ICD 2008-5: 2nd try Cr:2.0 BW:60 kg,GC: AL1 ST 7Fr EBU3.75 7Fr Retrograde approach,Retrograde: septal br. 1 GW: Fielder FC BC : 1.5x20 mm Maverick,Septal dilat
8、ation : 1.5 BC 2 atm Miracle 4.5 g Conquest pro 12,Epicardial LAD-PDA: GW: Runthrough hypercoat Finecross,Finecross first use,finecross,resistance,Conquest pro 12,Anteograde approach : intend to do reverse CART,Miracle 4.5 1.5mm OTW,Kissing wire Conquest pro 8-20 conquest pro 12,Dilatation: 1.5mm BC
9、 Tornus new 1.5 mm BC 2.5 mmBC,Previous septal route,Miracle 4.5 - PLA,Rewire Conqust pro 8-20 PDA Endeavor 3.5x33 3.5x24,Final Dye: 160 ml Time: 2 hr 40 min Wire: x5 BC: 1.5mm x2 2.5mm Tornus Finecross DES 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 !,劉世奇 醫師 光藤和明 副院長 黃瑞仁 副院長 曾春典 教授 江福田 教授 亞東醫院 /倉敷中央病院 / 台大醫院,
