Successful antegrade revascularization by the innovation of composite core dual coil in a three-vessel total occlusive disease for cardiac arrest patient using extracorporeal membrane oxygenation

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We report a successful antegrade recanalization of a 67-year-old male who survived cardiopulmonary resuscitation after a non-ST elevation acute myocardial infarction. The patient experienced cardiac arrest due to ventricular fibrillation after admission in hospital and he was stabilized after 25 min of cardiopulmonary resuscitation. After resuscitation no neurological symptoms were detected. Coronary angiography revealed in chronic total occlusions (CTO) three-vessels with severe coronary calcifications ( Panels D and E ); the patient was not considered to be a surgical candidate due to his poor clinical condition [very low ejection fraction (EF) <20% and acute coronary syndrome …