Tsutomu Fujita MD
@Laserrman
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Interventinal cardiolgist .Founder of sapporo heart center. #SCVC. Chief of Cardiology in Bali interernal hospital [email protected]
札幌
Joined May 2009
RCA. double #CTO CABG failed. Great case sharing. #TDADR,#TDADR,#MHA,#singleaccess,#7Fr PC by ST punctured HDR failed⇨UB3⇨HDR showed EP⇨KWT⇨#TDHDR ⇨proximal CTO crossed⇨XT⇨#HDR⇨XTnot advanced⇨KWTto PL branch⇨#TDHDR⇨#HDR⇨XTcrossed DTL @realarainmd @DaitaroK
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We all know that it's not just mortality though, need to also think about re-infarction and rpt revasc. The most interesting slide was the one of PCI with and without imaging vs cabg
The 10-year outcome of Noble trial may be the most impactful data presented at #TCT2025 PCI=CABG for isolated left main disease regardless of Syntax score Which isolated LM patients (suitable for PCI) will you refer to CABG?
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This suggests that, except for special circumstances, a retrograde approach is not necessary. #CTO #HDR #STAR #investment
HDR>>STAR>>investment>>relook>>DCB. This may become a common workflow in the CTO realm. @realarainmd @AnjaKsnes @Laserrman @DrBIqbal #TCT2025
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HDR>>STAR>>investment>>relook>>DCB. This may become a common workflow in the CTO realm. @realarainmd @AnjaKsnes @Laserrman @DrBIqbal #TCT2025
@realarainmd @AnjaKsnes @evandrofilhobr @mornei2011 It is a continuous workflow. I will present a case of HDR X 2 followed by STAR and investment, poor distal vessel. Relook at 5 weeks showed larger distal vessel and a great result. Important patient was now free of symptoms.
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RCA #CTO 2nd failure case with Huge dissection remained. #TDADR #BostonIVUS #reverseGW Sionblack #KWT→IVUS does not advance→POBA→#TDADR→ST could not be controlled→#GAIA3 could be controlled→#TDADR success to get PD→#reverseGW success to get PL GW manuplation was not
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#TCT2025 @TCTConference @crfheart 10 year results of Noble Trial 🧨PCI vs. CABG: similar all-cause mortality 🧨No difference at 0-5 and 5-10 years 🧨In ACS: PCI associated with lower mortality 🧨SYNTAX score: no association with mortality
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· 🚀THE 9TH GEN IMPELLA CP The next-gen Impella CP introduces key innovations: 1⃣ One piece pigtail design. 2⃣ Refined catheter packaging 3⃣ Updated purge cassette 👉 Learn: more: 9th GEN IMPELLA CP https://t.co/kvwneG3uJk
#IMPELLA
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LAD #CTO #HDR #HDR????→Tip injection→Type 2A?→Sionblack→several #HDR →icebreak→XTA→5th HDR→Lake stain (Type 2A)→XTA #KWT→cross DTL→Stent+ DCB Lake stain is intraplaque stain. @realarainmd @cto_chip_japan @DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511
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FFR-guided #PCI using zotarolimus DES provides significantly better long-term value than CABG for treatment of patients with multivessel CAD, with equivalent clinical outcomes at substantially lower cost. https://t.co/eXK1yE4OLF
#TCT2025 #JACC #cvCABG #cvCAD @wfearonmd
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