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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 : 2018-08-03
Language(s) : English
Views : 18767
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(5)
Join the Discussion
See previous comments (1)
  • 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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        • R A. dear sir...
          how do you manage highly eccentric stenosis especially wiring technique?
          small curved tip.?

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          • Daniel W. Great question! Well this can be very challenging. Basically the shape depends on the anaytomy. I personally do not use preshaped wires and shape my wire in relation to the anatomy. The type of wire can play a role too. Sometimes you choose also tapered polymeric wires.

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            Saturday, October 6th 2018 from 03:30pm to 05pm (GMT+1)
            Honolulu : Saturday, October 6th 2018 from 04:30am to 06am (GMT-10)
            San Francisco : Saturday, October 6th 2018 from 07:30am to 09am (GMT-7)
            New York : Saturday, October 6th 2018 from 10:30am to 12pm (GMT-4)
            Buenos Aires : Saturday, October 6th 2018 from 11:30am to 01pm (GMT-3)
            Reykjavik : Saturday, October 6th 2018 from 02:30pm to 04pm (GMT)
            London / Dublin : Saturday, October 6th 2018 from 03:30pm to 05pm (GMT+1)
            Paris / Berlin : Saturday, October 6th 2018 from 04:30pm to 06pm (GMT+2)
            Istanbul : Saturday, October 6th 2018 from 05:30pm to 07pm (GMT+3)
            Moscou / Dubaï : Saturday, October 6th 2018 from 06:30pm to 08pm (GMT+4)
            Bangkok : Saturday, October 6th 2018 from 09:30pm to 11pm (GMT+7)
            Shanghai : Saturday, October 6th 2018 from 10:30pm to 12am (GMT+8)
            Tokyo : Saturday, October 6th 2018 from 11:30pm to 01am (GMT+9)
            Sydney : Sunday, October 7th 2018 from 01:30am to 03am (GMT+11)
            Wellington : Sunday, October 7th 2018 from 03:30am to 05am (GMT+13)

            Live case from CTO Summit Brazil 2018: CTO PCI of LAD

            Dr Leibundgut & Prof. Dr Rickli

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            Monday, November 16th 2020 from 06pm to 07:15pm (GMT+1)
            Honolulu : Monday, November 16th 2020 from 07am to 08:15am (GMT-10)
            San Francisco : Monday, November 16th 2020 from 09am to 10:15am (GMT-8)
            New York : Monday, November 16th 2020 from 12pm to 01:15pm (GMT-5)
            Buenos Aires : Monday, November 16th 2020 from 02pm to 03:15pm (GMT-3)
            London / Dublin : Monday, November 16th 2020 from 05pm to 06:15pm (GMT)
            Paris / Berlin : Monday, November 16th 2020 from 06pm to 07:15pm (GMT+1)
            Istanbul : Monday, November 16th 2020 from 07pm to 08:15pm (GMT+2)
            Moscou / Dubaï : Monday, November 16th 2020 from 09pm to 10:15pm (GMT+4)
            Bangkok : Tuesday, November 17th 2020 from 12am to 01:15am (GMT+7)
            Shanghai : Tuesday, November 17th 2020 from 01am to 02:15am (GMT+8)
            Tokyo : Tuesday, November 17th 2020 from 02am to 03:15am (GMT+9)
            Sydney : Tuesday, November 17th 2020 from 03am to 04:15am (GMT+10)
            Wellington : Tuesday, November 17th 2020 from 05am to 06:15am (GMT+12)

            Pushing the limits in CTO-PCI: Ipsilateral and sheathless

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            Thursday, November 29th 2018 from 02:10pm to 04:30pm (GMT+1)
            Honolulu : Thursday, November 29th 2018 from 03:10am to 05:30am (GMT-10)
            San Francisco : Thursday, November 29th 2018 from 05:10am to 07:30am (GMT-8)
            New York : Thursday, November 29th 2018 from 08:10am to 10:30am (GMT-5)
            Buenos Aires : Thursday, November 29th 2018 from 10:10am to 12:30pm (GMT-3)
            London / Dublin : Thursday, November 29th 2018 from 01:10pm to 03:30pm (GMT)
            Paris / Berlin : Thursday, November 29th 2018 from 02:10pm to 04:30pm (GMT+1)
            Istanbul : Thursday, November 29th 2018 from 03:10pm to 05:30pm (GMT+2)
            Moscou / Dubaï : Thursday, November 29th 2018 from 05:10pm to 07:30pm (GMT+4)
            Bangkok : Thursday, November 29th 2018 from 08:10pm to 10:30pm (GMT+7)
            Shanghai : Thursday, November 29th 2018 from 09:10pm to 11:30pm (GMT+8)
            Tokyo : Thursday, November 29th 2018 from 10:10pm to 12:30am (GMT+9)
            Sydney : Thursday, November 29th 2018 from 11:10pm to 01:30am (GMT+10)
            Wellington : Friday, November 30th 2018 from 01:10am to 03:30am (GMT+12)

            Journées JIF CTO 2018 : Occlusion intrastent CD

            2 Live cases simultanés diffusés depuis la Clinique Louis Pasteur Nancy

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            Friday, November 30th 2018 from 08:30am to 12pm (GMT+1)
            Honolulu : Thursday, November 29th 2018 from 09:30pm to 01am (GMT-10)
            San Francisco : Thursday, November 29th 2018 from 11:30pm to 03am (GMT-8)
            New York : Friday, November 30th 2018 from 02:30am to 06am (GMT-5)
            Buenos Aires : Friday, November 30th 2018 from 04:30am to 08am (GMT-3)
            London / Dublin : Friday, November 30th 2018 from 07:30am to 11am (GMT)
            Paris / Berlin : Friday, November 30th 2018 from 08:30am to 12pm (GMT+1)
            Istanbul : Friday, November 30th 2018 from 09:30am to 01pm (GMT+2)
            Moscou / Dubaï : Friday, November 30th 2018 from 11:30am to 03pm (GMT+4)
            Bangkok : Friday, November 30th 2018 from 02:30pm to 06pm (GMT+7)
            Shanghai : Friday, November 30th 2018 from 03:30pm to 07pm (GMT+8)
            Tokyo : Friday, November 30th 2018 from 04:30pm to 08pm (GMT+9)
            Sydney : Friday, November 30th 2018 from 05:30pm to 09pm (GMT+10)
            Wellington : Friday, November 30th 2018 from 07:30pm to 11pm (GMT+12)

            Journées JIF CTO 2018 : Tout est occlus !

            Live case diffusé depuis la Clinique Louis Pasteur Nancy

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            Monday, November 30th -0001 from 12am to 12am (GMT+1)
            Honolulu : Monday, November 29th 1999 from 01pm to 01pm (GMT-10)
            San Francisco : Monday, November 29th 1999 from 03pm to 03pm (GMT-8)
            New York : Monday, November 29th 1999 from 06pm to 06pm (GMT-5)
            Buenos Aires : Monday, November 29th 1999 from 08pm to 08pm (GMT-3)
            London / Dublin : Monday, November 29th 1999 from 11pm to 11pm (GMT)
            Paris / Berlin : Tuesday, November 30th 1999 from 12am to 12am (GMT+1)
            Istanbul : Tuesday, November 30th 1999 from 01am to 01am (GMT+2)
            Moscou / Dubaï : Tuesday, November 30th 1999 from 03am to 03am (GMT+4)
            Bangkok : Tuesday, November 30th 1999 from 06am to 06am (GMT+7)
            Shanghai : Tuesday, November 30th 1999 from 07am to 07am (GMT+8)
            Tokyo : Tuesday, November 30th 1999 from 08am to 08am (GMT+9)
            Sydney : Tuesday, November 30th 1999 from 09am to 09am (GMT+10)
            Wellington : Tuesday, November 30th 1999 from 11am to 11am (GMT+12)

            Complex CTO: Ostial LAD CTO with ambiguous Proximal CAP

            Case of the month: May 2019

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            Tuesday, June 9th 2020 from 01pm to 02:15pm (GMT+1)
            Honolulu : Tuesday, June 9th 2020 from 02am to 03:15am (GMT-10)
            San Francisco : Tuesday, June 9th 2020 from 05am to 06:15am (GMT-7)
            New York : Tuesday, June 9th 2020 from 08am to 09:15am (GMT-4)
            Buenos Aires : Tuesday, June 9th 2020 from 09am to 10:15am (GMT-3)
            Reykjavik : Tuesday, June 9th 2020 from 12pm to 01:15pm (GMT)
            London / Dublin : Tuesday, June 9th 2020 from 01pm to 02:15pm (GMT+1)
            Paris / Berlin : Tuesday, June 9th 2020 from 02pm to 03:15pm (GMT+2)
            Istanbul : Tuesday, June 9th 2020 from 03pm to 04:15pm (GMT+3)
            Moscou / Dubaï : Tuesday, June 9th 2020 from 04pm to 05:15pm (GMT+4)
            Bangkok : Tuesday, June 9th 2020 from 07pm to 08:15pm (GMT+7)
            Shanghai : Tuesday, June 9th 2020 from 08pm to 09:15pm (GMT+8)
            Tokyo : Tuesday, June 9th 2020 from 09pm to 10:15pm (GMT+9)
            Sydney : Tuesday, June 9th 2020 from 11pm to 12:15am (GMT+11)
            Wellington : Wednesday, June 10th 2020 from 01am to 02:15am (GMT+13)

            Coronary drug-coated balloons: where, when and how?

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            Tuesday, June 23rd 2020 from 05pm to 06:30pm (GMT+1)
            Honolulu : Tuesday, June 23rd 2020 from 06am to 07:30am (GMT-10)
            San Francisco : Tuesday, June 23rd 2020 from 09am to 10:30am (GMT-7)
            New York : Tuesday, June 23rd 2020 from 12pm to 01:30pm (GMT-4)
            Buenos Aires : Tuesday, June 23rd 2020 from 01pm to 02:30pm (GMT-3)
            Reykjavik : Tuesday, June 23rd 2020 from 04pm to 05:30pm (GMT)
            London / Dublin : Tuesday, June 23rd 2020 from 05pm to 06:30pm (GMT+1)
            Paris / Berlin : Tuesday, June 23rd 2020 from 06pm to 07:30pm (GMT+2)
            Istanbul : Tuesday, June 23rd 2020 from 07pm to 08:30pm (GMT+3)
            Moscou / Dubaï : Tuesday, June 23rd 2020 from 08pm to 09:30pm (GMT+4)
            Bangkok : Tuesday, June 23rd 2020 from 11pm to 12:30am (GMT+7)
            Shanghai : Wednesday, June 24th 2020 from 12am to 01:30am (GMT+8)
            Tokyo : Wednesday, June 24th 2020 from 01am to 02:30am (GMT+9)
            Sydney : Wednesday, June 24th 2020 from 03am to 04:30am (GMT+11)
            Wellington : Wednesday, June 24th 2020 from 05am to 06:30am (GMT+13)

            Approaching Complex CTOs via radial access

            Day 1

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            Thursday, June 25th 2020 from 05pm to 06:30pm (GMT+1)
            Honolulu : Thursday, June 25th 2020 from 06am to 07:30am (GMT-10)
            San Francisco : Thursday, June 25th 2020 from 09am to 10:30am (GMT-7)
            New York : Thursday, June 25th 2020 from 12pm to 01:30pm (GMT-4)
            Buenos Aires : Thursday, June 25th 2020 from 01pm to 02:30pm (GMT-3)
            Reykjavik : Thursday, June 25th 2020 from 04pm to 05:30pm (GMT)
            London / Dublin : Thursday, June 25th 2020 from 05pm to 06:30pm (GMT+1)
            Paris / Berlin : Thursday, June 25th 2020 from 06pm to 07:30pm (GMT+2)
            Istanbul : Thursday, June 25th 2020 from 07pm to 08:30pm (GMT+3)
            Moscou / Dubaï : Thursday, June 25th 2020 from 08pm to 09:30pm (GMT+4)
            Bangkok : Thursday, June 25th 2020 from 11pm to 12:30am (GMT+7)
            Shanghai : Friday, June 26th 2020 from 12am to 01:30am (GMT+8)
            Tokyo : Friday, June 26th 2020 from 01am to 02:30am (GMT+9)
            Sydney : Friday, June 26th 2020 from 03am to 04:30am (GMT+11)
            Wellington : Friday, June 26th 2020 from 05am to 06:30am (GMT+13)

            Approaching Complex CTOs via radial access

            Day 2

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