Hybrid approach to treating Chronic Total Occlusion (CTO)

Subject: A 63-year-old man had experienced fatigue, shortness of breath, and angina for over two years, severely restricting his activities.

Diagnosis: Angiography showed a chronic total occlusion of the patient's left anterior descending artery, with the distal vessel filling through collaterals. He continued to be symptomatic despite maximally tolerated anti-anginal therapy.

Treatment: Interventional cardiologist Stephen Cook, MD, utilized the Bridgepoint Medical dissection-reentry system, combined with a single drug-eluting stent, to restore blood flow to the distal LAD.

Outcome: Even before discharge from the hospital the next day, the patient experienced an immediate improvement in his symptoms. Four months following the procedure he said, "It really made a difference in my life. I was out walking the other day, and I was amazed to be able to walk that far and feel so good."