In stent CTO.

50 y old female pt had pci to LAD at OSH a year ago.
now came with effort angio. CAG at OSH instent cto of LAD.
cabg refused.
blunt proximal cap with calcification. distal cap at bifurcation.
MC with pilot 50 to approach and probe the lesion.
gaia 2nd failed to penetrate then switched to CP 12. crossed in diagonal exchanged with workhorse wire.
again MC with pilot used to cross in lad. pilot 200 crossed in. pre dilation with nc. stenting of lad followed by post dilation and KBI.
timi III flow achieved.

[@MinorityDoc]

Good job.

[@krishnendudas2154]

# I cannot understand why a few surgeons of corporate hospitals speaks out " your patient will die " only at the last and critical moments when departing the hospital is nearest to impossible.
## I cannot understand what the problem is to disclose the risk factors at the first sitting or well in advance in the cases of fatal or high risk surgeries despite knowing the impending facts.
The victim families feel how devastating is to lose both life and money..
Please forgive if I am wrong.

[@maisamtaherian986]

Thank you very much. Would you please tell us about the wires and microcatheter you used?

[@drimranhanifhashmi5442]

Caravel MC.
Pilot 50, gaia 2nd, CP 12.
Then pilot 200

[@maisamtaherian986]

@@drimranhanifhashmi5442 thank you 🙏❤️