Excelsior Correspondent
SRINAGAR, Feb 6: The first indigenously performed Retrograde CTO (chronic total occlusion) has been carried in J&K at the Department of Cardiology of Khyber Hospital Srinagar.
Doctors said that there was a patient with CTO in the right coronary artery with a length of more than 30mm and ambiguous proximal cap getting severe angina on exertion with LV dysfunction.
“He had a failed antegrade procedure outside the state a few months back. This CTO was opened retrogradely by entering collateral channels from LAD (left anterior descending artery) followed by implantation of two stents with an excellent result,” they said.
It is to be noted here that this kind of an interventional cardiac procedure has been done on an indigenous basis for the first time in J&K.
The procedure was done by Dr Syed Maqbool, Dr Irfan Bhat and Cath Lab team including Ulfat, Hameem and Sarwar. Critical Care backup was provided by Dr Showkat Shah.
Coronary CTO (chronic total occlusion) is a term used when coronary artery remains 100% blocked for more than three months.
“These CTOs are difficult to open and stent compared to a non-CTO coronary blockage. There are two methods of opening this vessel by coronary intervention,” doctors said.
Doctors said that the retrograde approach is when we open the occluded artery by going through collateral channels from another artery, “which has a success rate of 90 to 95%, but it is the most demanding and the most difficult intervention among all cardiac interventions.”
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