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Chapters (5)
Description
Date : Thursday, September 14th 2017 from 01pm to 02:30pm (GMT+1)
Honolulu : Thursday, September 14th 2017 from 02am to 03:30am (GMT-10)
San Francisco : Thursday, September 14th 2017 from 05am to 06:30am (GMT-7)
New York : Thursday, September 14th 2017 from 08am to 09:30am (GMT-4)
Buenos Aires : Thursday, September 14th 2017 from 09am to 10:30am (GMT-3)
Reykjavik : Thursday, September 14th 2017 from 12pm to 01:30pm (GMT)
London / Dublin : Thursday, September 14th 2017 from 01pm to 02:30pm (GMT+1)
Paris / Berlin : Thursday, September 14th 2017 from 02pm to 03:30pm (GMT+2)
Istanbul : Thursday, September 14th 2017 from 03pm to 04:30pm (GMT+3)
Moscou / Dubaï : Thursday, September 14th 2017 from 04pm to 05:30pm (GMT+4)
Bangkok : Thursday, September 14th 2017 from 07pm to 08:30pm (GMT+7)
Shanghai : Thursday, September 14th 2017 from 08pm to 09:30pm (GMT+8)
Tokyo : Thursday, September 14th 2017 from 09pm to 10:30pm (GMT+9)
Sydney : Thursday, September 14th 2017 from 11pm to 12:30am (GMT+11)
Wellington : Friday, September 15th 2017 from 01am to 02:30am (GMT+13)
Last update : 2017-10-26
Language(s) : English
Complex coronary interventions will be performed in Kantonsspital, St Gallen (Switzerland) by Dr Daniel Weilenmann.
Around an inte...
Complex coronary interventions will be performed in Kantonsspital, St Gallen (Switzerland) by Dr Daniel Weilenmann.
Around an interactive discussion with Dr Stéphane Rinfret from Montreal (Canada), both Experts will review these video cases in a step-by-step approach, observing the chosen strategy depending on patients datas and indications, analysing the devices selection, commenting the management of complications, and concluding with the quality of results.

 

Program

13:00 Introduction
13:05 Case in box n°1: Complex PCI in MVD (Rotablator)
Panel Discussion
13:25 Case in box n°2: CTO of mid RCA
Panel Discussion
13:45 Case in box n°3: LAD PCI with a self apposing stent
Panel Discussion
14:05 Case in box n°4: In stent CTO post CTO PCI mid RCA
Panel Discussion
14:25 Take home messages

Cases in box: Clinical Data

  • Case in box n°1: Complex PCI in MVD (Rotablator)
    • Male, 78 years old
    • No CAD known
    • Since 3 weeks angina pectoris CCS II
    • No concomitant diseases known
    • CVRF: hypertension, dyslipidemia
    • 11.9.17 admitted for NSTEMI with intermittent angina
    • CAG 11.9.17: very calcified vessels, proximal LAD 50.70%, eccentric, mid LAD 95% (culprit lesion), CX proximal 50%, marginal 80%, RCA with severe stenosis ostial stenosis, mid RCA with severe stenosis
    • Echo: normal, LVEF 65%; mild aortic stenosis
    • Renal function: eGFR = 55 ml/min/1.73m2


       
  • Case in box n°2: CTO of mid RCA
    • Male, 62 years old
    • No CAD known
    • Check up showed a pathologic ECG, asymptomatic
    • Cardiologist found a slight inferior hypokinesia
    • Stresstest: significant ST depression, no angina
    • No concomitant diseases known
    • CVRF: smoker (70py), hypertension, dyslipidemia, family history
    • Sent for CAG
    • CAG 24.8.17:proximal LAD 50%, D1 and D2 50%, CX without stenosis, dominant with occlusion of the mid part
    • J-CTO score: 1


       
  • Case in box n°3: LAD PCI with a self apposing stent
    • Male, 44 years old
    • No CAD known
    • Since 3 weeks angina, in the last days clas IIII
    • T-inversions in the V1-V6
    • Echo: normal LVEF 65%, inor regional dysfunction
    • CVRF: family history, dyslipidemia, former smoker
    • Renal function: eGFR =>90 ml/min/1.73m2
    • CAG: tight stenosis of the proximal LAD, intermediate stenosis of mid LAD, intermediate stenosis of the CX

  • Case in box n°4: In stent CTO post CTO PCI mid RCA
    • Male, 54 years old
    • 2005 CTO PCI of the RCA with DES
    • 2011 CTO PCI of the LAD with DES
    • Asymptomatic for several years
    • No concomitant diseases known
    • CVRF: former smoker (10py), hypertension, dyslipidemia, IDDM
    • Echo: LVEF 65%, normal
    • MRI: Normal LVEF, full viability, large inferior ischemia
    • Renal function: eGFR = 93 ml/min/1.73m2
    • Since 3 months angina pectoris CCS II
    • SPECT with inferior ischemia. Sent for CAG
    • CAG 5.9.17: LAD 50% with good result in DES, CX without stenosis, in-stent reocclusion of the RCA
    • J-CTO score: 1

Educational objectives

  • Improve coronary angioplasty knowledge (techniques and approach strategies).
  • Discuss the choice of a material.
  • How to manage complications.
  • Compare techniques and approach strategies of different experts.

Audience

  • This web symposium is dedicated to interventional cardiologists interested and/or specialized in coronary angioplasty.
  • A prerequisite for attendees in an initial knowledge and practice of angioplasty.

 

Linked playlists (1)
Comments(3)
Join the Discussion
  • Lorenzo A. Hi guys. Do you usually perform IVUS after Rotablator, to assess for the need for additional plaque modification, or on the contrary to decide if a DEB is enough?

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    • Obiora A. excellent

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      • venkatesa reddy D. lots of teachings in case helped to clear doubts

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        September 2015
        Honolulu : Tuesday, September 15th 2015 from 12am to 01:30am (GMT-10)
        San Francisco : Tuesday, September 15th 2015 from 03am to 04:30am (GMT-7)
        New York : Tuesday, September 15th 2015 from 06am to 07:30am (GMT-4)
        Buenos Aires : Tuesday, September 15th 2015 from 07am to 08:30am (GMT-3)
        Reykjavik : Tuesday, September 15th 2015 from 10am to 11:30am (GMT)
        London / Dublin : Tuesday, September 15th 2015 from 11am to 12:30pm (GMT+1)
        Paris / Berlin : Tuesday, September 15th 2015 from 12pm to 01:30pm (GMT+2)
        Istanbul : Tuesday, September 15th 2015 from 01pm to 02:30pm (GMT+3)
        Moscou / Dubaï : Tuesday, September 15th 2015 from 02pm to 03:30pm (GMT+4)
        Bangkok : Tuesday, September 15th 2015 from 05pm to 06:30pm (GMT+7)
        Shanghai : Tuesday, September 15th 2015 from 06pm to 07:30pm (GMT+8)
        Tokyo : Tuesday, September 15th 2015 from 07pm to 08:30pm (GMT+9)
        Sydney : Tuesday, September 15th 2015 from 09pm to 10:30pm (GMT+11)
        Wellington : Tuesday, September 15th 2015 from 11pm to 12:30am (GMT+13)

        Stents choice for CTO

        Which stents for which lesions

        Share
        July 2016
        Honolulu : Wednesday, June 29th 2016 from 09pm to 07:30am (GMT-10)
        San Francisco : Thursday, June 30th 2016 from 12am to 10:30am (GMT-7)
        New York : Thursday, June 30th 2016 from 03am to 01:30pm (GMT-4)
        Buenos Aires : Thursday, June 30th 2016 from 04am to 02:30pm (GMT-3)
        Reykjavik : Thursday, June 30th 2016 from 07am to 05:30pm (GMT)
        London / Dublin : Thursday, June 30th 2016 from 08am to 06:30pm (GMT+1)
        Paris / Berlin : Thursday, June 30th 2016 from 09am to 07:30pm (GMT+2)
        Istanbul : Thursday, June 30th 2016 from 10am to 08:30pm (GMT+3)
        Moscou / Dubaï : Thursday, June 30th 2016 from 11am to 09:30pm (GMT+4)
        Bangkok : Thursday, June 30th 2016 from 02pm to 12:30am (GMT+7)
        Shanghai : Thursday, June 30th 2016 from 03pm to 01:30am (GMT+8)
        Tokyo : Thursday, June 30th 2016 from 04pm to 02:30am (GMT+9)
        Sydney : Thursday, June 30th 2016 from 06pm to 04:30am (GMT+11)
        Wellington : Thursday, June 30th 2016 from 08pm to 06:30am (GMT+13)

        ML-CTO 2016

        Live Streaming Event

        Share
        Friday, September 15th 2017 from 01:40pm to 03:30pm (GMT+1)
        Honolulu : Friday, September 15th 2017 from 02:40am to 04:30am (GMT-10)
        San Francisco : Friday, September 15th 2017 from 05:40am to 07:30am (GMT-7)
        New York : Friday, September 15th 2017 from 08:40am to 10:30am (GMT-4)
        Buenos Aires : Friday, September 15th 2017 from 09:40am to 11:30am (GMT-3)
        Reykjavik : Friday, September 15th 2017 from 12:40pm to 02:30pm (GMT)
        London / Dublin : Friday, September 15th 2017 from 01:40pm to 03:30pm (GMT+1)
        Paris / Berlin : Friday, September 15th 2017 from 02:40pm to 04:30pm (GMT+2)
        Istanbul : Friday, September 15th 2017 from 03:40pm to 05:30pm (GMT+3)
        Moscou / Dubaï : Friday, September 15th 2017 from 04:40pm to 06:30pm (GMT+4)
        Bangkok : Friday, September 15th 2017 from 07:40pm to 09:30pm (GMT+7)
        Shanghai : Friday, September 15th 2017 from 08:40pm to 10:30pm (GMT+8)
        Tokyo : Friday, September 15th 2017 from 09:40pm to 11:30pm (GMT+9)
        Sydney : Friday, September 15th 2017 from 11:40pm to 01:30am (GMT+11)
        Wellington : Saturday, September 16th 2017 from 01:40am to 03:30am (GMT+13)

        Live cases from CTO Summit Brazil

        Dr Yamane & Dr Weilenmann

        Share
        Saturday, September 16th 2017 from 02:10pm to 04pm (GMT+1)
        Honolulu : Saturday, September 16th 2017 from 03:10am to 05am (GMT-10)
        San Francisco : Saturday, September 16th 2017 from 06:10am to 08am (GMT-7)
        New York : Saturday, September 16th 2017 from 09:10am to 11am (GMT-4)
        Buenos Aires : Saturday, September 16th 2017 from 10:10am to 12pm (GMT-3)
        Reykjavik : Saturday, September 16th 2017 from 01:10pm to 03pm (GMT)
        London / Dublin : Saturday, September 16th 2017 from 02:10pm to 04pm (GMT+1)
        Paris / Berlin : Saturday, September 16th 2017 from 03:10pm to 05pm (GMT+2)
        Istanbul : Saturday, September 16th 2017 from 04:10pm to 06pm (GMT+3)
        Moscou / Dubaï : Saturday, September 16th 2017 from 05:10pm to 07pm (GMT+4)
        Bangkok : Saturday, September 16th 2017 from 08:10pm to 10pm (GMT+7)
        Shanghai : Saturday, September 16th 2017 from 09:10pm to 11pm (GMT+8)
        Tokyo : Saturday, September 16th 2017 from 10:10pm to 12am (GMT+9)
        Sydney : Sunday, September 17th 2017 from 12:10am to 02am (GMT+11)
        Wellington : Sunday, September 17th 2017 from 02:10am to 04am (GMT+13)

        Live case from CTO Summit Brazil

        Dr Rinfret

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