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Chapters (4)
Description
Date : May 2017
Honolulu : Tuesday, May 16th 2017 from 10:30pm to 11:30pm (GMT-10)
San Francisco : Wednesday, May 17th 2017 from 01:30am to 02:30am (GMT-7)
New York : Wednesday, May 17th 2017 from 04:30am to 05:30am (GMT-4)
Buenos Aires : Wednesday, May 17th 2017 from 05:30am to 06:30am (GMT-3)
Reykjavik : Wednesday, May 17th 2017 from 08:30am to 09:30am (GMT)
London / Dublin : Wednesday, May 17th 2017 from 09:30am to 10:30am (GMT+1)
Paris / Berlin : Wednesday, May 17th 2017 from 10:30am to 11:30am (GMT+2)
Istanbul : Wednesday, May 17th 2017 from 11:30am to 12:30pm (GMT+3)
Moscou / Dubaï : Wednesday, May 17th 2017 from 12:30pm to 01:30pm (GMT+4)
Bangkok : Wednesday, May 17th 2017 from 03:30pm to 04:30pm (GMT+7)
Shanghai : Wednesday, May 17th 2017 from 04:30pm to 05:30pm (GMT+8)
Tokyo : Wednesday, May 17th 2017 from 05:30pm to 06:30pm (GMT+9)
Sydney : Wednesday, May 17th 2017 from 07:30pm to 08:30pm (GMT+11)
Wellington : Wednesday, May 17th 2017 from 09:30pm to 10:30pm (GMT+13)
Last update : 2017-08-14
Language(s) : English
Views : 17871

Synopsis

Three complex coronary interventions have been performed in three different European centers. The three operators are discussing the indication, process, device selection, and quality of results.

Antonio Serra from Spain is presenting a calcified distal right coronary bifurcation treated with Rotablator to facilitate coronary stenting. The technique of rotablation as well as the interest of temporary cardiac pacing is discussed.

Lorenzo Azzalini from Italy is presenting an extremely complex RCA CTO in a post-CABG. The retrograde CTO is performed through an occluded saphenous BG.  Despite the failure of this attempt, several important learning points are openly demonstrated.

Daniel Weilenmann from Switzerland is presenting a three vessels diseased patient with a syntax score of 38, occlusion of CX and RCA, and LAD culprit lesion thrombotic and over diagonal bifurcation. The step procedures and the post procedure management are discussed. 

Moderator: Dr Max Amor
Presenters: Dr Lorenzo Azzalini, Dr Antonio Serra, Dr Daniel Weilenmann

Program

10:30 Case presentation "RCA with massive calcification" - Panel Discussion
Operator: Dr Antonio Serra

 
 
   
10:50 Case presentation "Complex retrograde CTO PCI" - Panel Discussion
Operator: Dr Lorenzo Azzalini
 
 
   
11:10 Case presentation "Complex PCI in Multivessel disease" - Panel Discussion
Operator: Dr Daniel Weilenmann
 
 
   
11:30  Take home messages

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 is an initial knowledge and practice of angioplasty

Take Home Messages

  • Rotablator is an indespensible device for complex calcified coronary lesions.
  • Old bypass grafts are a way to access to coronary toal occlusion. 
  • Drug coating balloons could be used at the level of bifurcation with a small coronary branch. 
  • Low osmolarity non ionic contrast mediums are safe for these procedures. 
Linked playlists (1)
Comments(5)
Join the Discussion
See previous comments (1)
  • Anil V. For additional support why not use a guideliner?

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    • venkatesa reddy D. very good cases
      thank you for explaining each step

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      • venkatesa reddy D. very good discussion

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        • Max A. Thank you Venkatesa

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          • Shiraz S. Excellent decision making and excellent demonstration of PCI of a complex case. Thank you.

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            Wednesday, October 31st 2018 from 12:30pm to 02pm (GMT+2)
            Honolulu : Wednesday, October 31st 2018 from 12:30am to 02am (GMT-10)
            San Francisco : Wednesday, October 31st 2018 from 02:30am to 04am (GMT-8)
            New York : Wednesday, October 31st 2018 from 05:30am to 07am (GMT-5)
            Buenos Aires : Wednesday, October 31st 2018 from 07:30am to 09am (GMT-3)
            London / Dublin : Wednesday, October 31st 2018 from 10:30am to 12pm (GMT)
            Paris / Berlin : Wednesday, October 31st 2018 from 11:30am to 01pm (GMT+1)
            Istanbul : Wednesday, October 31st 2018 from 12:30pm to 02pm (GMT+2)
            Moscou / Dubaï : Wednesday, October 31st 2018 from 02:30pm to 04pm (GMT+4)
            Bangkok : Wednesday, October 31st 2018 from 05:30pm to 07pm (GMT+7)
            Shanghai : Wednesday, October 31st 2018 from 06:30pm to 08pm (GMT+8)
            Tokyo : Wednesday, October 31st 2018 from 07:30pm to 09pm (GMT+9)
            Sydney : Wednesday, October 31st 2018 from 08:30pm to 10pm (GMT+10)
            Wellington : Wednesday, October 31st 2018 from 10:30pm to 12am (GMT+12)

            CHIP : The Italian Way

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            Thursday, November 15th 2018 from 01pm to 02pm (GMT+2)
            Honolulu : Thursday, November 15th 2018 from 01am to 02am (GMT-10)
            San Francisco : Thursday, November 15th 2018 from 03am to 04am (GMT-8)
            New York : Thursday, November 15th 2018 from 06am to 07am (GMT-5)
            Buenos Aires : Thursday, November 15th 2018 from 08am to 09am (GMT-3)
            London / Dublin : Thursday, November 15th 2018 from 11am to 12pm (GMT)
            Paris / Berlin : Thursday, November 15th 2018 from 12pm to 01pm (GMT+1)
            Istanbul : Thursday, November 15th 2018 from 01pm to 02pm (GMT+2)
            Moscou / Dubaï : Thursday, November 15th 2018 from 03pm to 04pm (GMT+4)
            Bangkok : Thursday, November 15th 2018 from 06pm to 07pm (GMT+7)
            Shanghai : Thursday, November 15th 2018 from 07pm to 08pm (GMT+8)
            Tokyo : Thursday, November 15th 2018 from 08pm to 09pm (GMT+9)
            Sydney : Thursday, November 15th 2018 from 09pm to 10pm (GMT+10)
            Wellington : Thursday, November 15th 2018 from 11pm to 12am (GMT+12)

            #noGuessPCI in real Bifurcations

            Enhance your outcomes with OCT and best in class DES

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            Tuesday, February 6th 2018 from 02pm to 03:30pm (GMT+2)
            Honolulu : Tuesday, February 6th 2018 from 02am to 03:30am (GMT-10)
            San Francisco : Tuesday, February 6th 2018 from 04am to 05:30am (GMT-8)
            New York : Tuesday, February 6th 2018 from 07am to 08:30am (GMT-5)
            Buenos Aires : Tuesday, February 6th 2018 from 09am to 10:30am (GMT-3)
            London / Dublin : Tuesday, February 6th 2018 from 12pm to 01:30pm (GMT)
            Paris / Berlin : Tuesday, February 6th 2018 from 01pm to 02:30pm (GMT+1)
            Istanbul : Tuesday, February 6th 2018 from 02pm to 03:30pm (GMT+2)
            Moscou / Dubaï : Tuesday, February 6th 2018 from 04pm to 05:30pm (GMT+4)
            Bangkok : Tuesday, February 6th 2018 from 07pm to 08:30pm (GMT+7)
            Shanghai : Tuesday, February 6th 2018 from 08pm to 09:30pm (GMT+8)
            Tokyo : Tuesday, February 6th 2018 from 09pm to 10:30pm (GMT+9)
            Sydney : Tuesday, February 6th 2018 from 10pm to 11:30pm (GMT+10)
            Wellington : Wednesday, February 7th 2018 from 12am to 01:30am (GMT+12)

            Live case: Challenges of PCI and DAPT in an elderly patient with ASA allergy

            Dr Alexandre Avran invites Dr Georgios Sideris

            First live with Sonar© System
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            Tuesday, June 12th 2018 from 02:15pm to 04:15pm (GMT+2)
            Honolulu : Tuesday, June 12th 2018 from 02:15am to 04:15am (GMT-10)
            San Francisco : Tuesday, June 12th 2018 from 05:15am to 07:15am (GMT-7)
            New York : Tuesday, June 12th 2018 from 08:15am to 10:15am (GMT-4)
            Buenos Aires : Tuesday, June 12th 2018 from 09:15am to 11:15am (GMT-3)
            Reykjavik : Tuesday, June 12th 2018 from 12:15pm to 02:15pm (GMT)
            London / Dublin : Tuesday, June 12th 2018 from 01:15pm to 03:15pm (GMT+1)
            Paris / Berlin : Tuesday, June 12th 2018 from 02:15pm to 04:15pm (GMT+2)
            Istanbul : Tuesday, June 12th 2018 from 03:15pm to 05:15pm (GMT+3)
            Moscou / Dubaï : Tuesday, June 12th 2018 from 04:15pm to 06:15pm (GMT+4)
            Bangkok : Tuesday, June 12th 2018 from 07:15pm to 09:15pm (GMT+7)
            Shanghai : Tuesday, June 12th 2018 from 08:15pm to 10:15pm (GMT+8)
            Tokyo : Tuesday, June 12th 2018 from 09:15pm to 11:15pm (GMT+9)
            Sydney : Tuesday, June 12th 2018 from 11:15pm to 01:15am (GMT+11)
            Wellington : Wednesday, June 13th 2018 from 01:15am to 03:15am (GMT+13)

            Intensive plaque modification with rotational atherectomy and cutting balloon before DES implantatio...

            Live case on patient with severely calcified coronary lesions

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            Thursday, April 11th 2019 from 12:30pm to 02pm (GMT+2)
            Honolulu : Thursday, April 11th 2019 from 12:30am to 02am (GMT-10)
            San Francisco : Thursday, April 11th 2019 from 03:30am to 05am (GMT-7)
            New York : Thursday, April 11th 2019 from 06:30am to 08am (GMT-4)
            Buenos Aires : Thursday, April 11th 2019 from 07:30am to 09am (GMT-3)
            Reykjavik : Thursday, April 11th 2019 from 10:30am to 12pm (GMT)
            London / Dublin : Thursday, April 11th 2019 from 11:30am to 01pm (GMT+1)
            Paris / Berlin : Thursday, April 11th 2019 from 12:30pm to 02pm (GMT+2)
            Istanbul : Thursday, April 11th 2019 from 01:30pm to 03pm (GMT+3)
            Moscou / Dubaï : Thursday, April 11th 2019 from 02:30pm to 04pm (GMT+4)
            Bangkok : Thursday, April 11th 2019 from 05:30pm to 07pm (GMT+7)
            Shanghai : Thursday, April 11th 2019 from 06:30pm to 08pm (GMT+8)
            Tokyo : Thursday, April 11th 2019 from 07:30pm to 09pm (GMT+9)
            Sydney : Thursday, April 11th 2019 from 09:30pm to 11pm (GMT+11)
            Wellington : Thursday, April 11th 2019 from 11:30pm to 01am (GMT+13)

            Designed for challenging cases - the role of ultrathin DES

            Live from UZ Leuven, Belgium

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            Monday, October 23rd 2017 from 01pm to 02pm (GMT+2)
            Honolulu : Monday, October 23rd 2017 from 01am to 02am (GMT-10)
            San Francisco : Monday, October 23rd 2017 from 04am to 05am (GMT-7)
            New York : Monday, October 23rd 2017 from 07am to 08am (GMT-4)
            Buenos Aires : Monday, October 23rd 2017 from 08am to 09am (GMT-3)
            Reykjavik : Monday, October 23rd 2017 from 11am to 12pm (GMT)
            London / Dublin : Monday, October 23rd 2017 from 12pm to 01pm (GMT+1)
            Paris / Berlin : Monday, October 23rd 2017 from 01pm to 02pm (GMT+2)
            Istanbul : Monday, October 23rd 2017 from 02pm to 03pm (GMT+3)
            Moscou / Dubaï : Monday, October 23rd 2017 from 03pm to 04pm (GMT+4)
            Bangkok : Monday, October 23rd 2017 from 06pm to 07pm (GMT+7)
            Shanghai : Monday, October 23rd 2017 from 07pm to 08pm (GMT+8)
            Tokyo : Monday, October 23rd 2017 from 08pm to 09pm (GMT+9)
            Sydney : Monday, October 23rd 2017 from 10pm to 11pm (GMT+11)
            Wellington : Tuesday, October 24th 2017 from 12am to 01am (GMT+13)

            Best practice use of Resorbable Magnesium Scaffold technology (RMS)

            Magmaris in a class of its own

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            Friday, June 29th 2018 from 09:40am to 11am (GMT+2)
            Honolulu : Thursday, June 28th 2018 from 09:40pm to 11pm (GMT-10)
            San Francisco : Friday, June 29th 2018 from 12:40am to 02am (GMT-7)
            New York : Friday, June 29th 2018 from 03:40am to 05am (GMT-4)
            Buenos Aires : Friday, June 29th 2018 from 04:40am to 06am (GMT-3)
            Reykjavik : Friday, June 29th 2018 from 07:40am to 09am (GMT)
            London / Dublin : Friday, June 29th 2018 from 08:40am to 10am (GMT+1)
            Paris / Berlin : Friday, June 29th 2018 from 09:40am to 11am (GMT+2)
            Istanbul : Friday, June 29th 2018 from 10:40am to 12pm (GMT+3)
            Moscou / Dubaï : Friday, June 29th 2018 from 11:40am to 01pm (GMT+4)
            Bangkok : Friday, June 29th 2018 from 02:40pm to 04pm (GMT+7)
            Shanghai : Friday, June 29th 2018 from 03:40pm to 05pm (GMT+8)
            Tokyo : Friday, June 29th 2018 from 04:40pm to 06pm (GMT+9)
            Sydney : Friday, June 29th 2018 from 06:40pm to 08pm (GMT+11)
            Wellington : Friday, June 29th 2018 from 08:40pm to 10pm (GMT+13)

            Complex Right Coronary Artery CTO Procedure: Step-by-Step antegrade dissection reentry technique

            Case of the month: September 2018 - Live Case #6 MLCTO 2018

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            Saturday, June 30th 2018 from 09:30am to 11am (GMT+2)
            Honolulu : Friday, June 29th 2018 from 09:30pm to 11pm (GMT-10)
            San Francisco : Saturday, June 30th 2018 from 12:30am to 02am (GMT-7)
            New York : Saturday, June 30th 2018 from 03:30am to 05am (GMT-4)
            Buenos Aires : Saturday, June 30th 2018 from 04:30am to 06am (GMT-3)
            Reykjavik : Saturday, June 30th 2018 from 07:30am to 09am (GMT)
            London / Dublin : Saturday, June 30th 2018 from 08:30am to 10am (GMT+1)
            Paris / Berlin : Saturday, June 30th 2018 from 09:30am to 11am (GMT+2)
            Istanbul : Saturday, June 30th 2018 from 10:30am to 12pm (GMT+3)
            Moscou / Dubaï : Saturday, June 30th 2018 from 11:30am to 01pm (GMT+4)
            Bangkok : Saturday, June 30th 2018 from 02:30pm to 04pm (GMT+7)
            Shanghai : Saturday, June 30th 2018 from 03:30pm to 05pm (GMT+8)
            Tokyo : Saturday, June 30th 2018 from 04:30pm to 06pm (GMT+9)
            Sydney : Saturday, June 30th 2018 from 06:30pm to 08pm (GMT+11)
            Wellington : Saturday, June 30th 2018 from 08:30pm to 10pm (GMT+13)

            MLCTO 2018 - Live Case #9: Complex Retrograde CTO

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