×
Coronary / Pci / Live /

Become an Incathlab member and receive full access to its content!

You must be an Incathlab member to access videos without any restrictions. Register for free in one minute and access all services provided by Incathlab.You will also be able to log into Incathlab from your Facebook or twitter account by clicking on login on the top-right corner of Incathlab website.

Registration Login


Chapters (10)
Description
Date : 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)
Last update : 2018-12-19
Language(s) : English

This complete didactic procedure concerns a 72 yo male, with history of lateral STEMI (OM Stenting). The coronary angiography has also...

This complete didactic procedure concerns a 72 yo male, with history of lateral STEMI (OM Stenting). The coronary angiography has also shown proximal RCA Chronic total occlusion with residual proven ischemia.

This RCA Chronic total occlusion was recanalized antegradly using antegrade-dissection-reentry (ADR) technique explained step-by-step by a Proctor expert in ADR.

Educational objectives

  • How to manage patients with Coronary Chronic total occlusions.
  • How to  plan intervention strategy using the Hybrid algorithm.
  • How to perform Knuckle wire technique.
  • Optimal application of the  antergrade controlled dissecion using the CossBoss microcatheter.
  • Optimal preparation of the Stingray balloon.
  • How to perform reentry technique with Stingray guidewire.
  • Proctoring importance in optimal learning  curve of ADR technique.

Step-by-Step procedure

  • Dual Radial access : Left Radial 7F for the right & Right radial 6F for the left system.
  • AL0.75 7F in the RCA & EBU 4.0 6F in the LM.
  • Dual lumen injections and angiographic studying of the lesion (Proximal CAP, Length, Distal vessel, Collaterals).
  • Approach :antegrade wire escalation, if failed : Antegrade-Dissection-reentry as first strategy.
  • Pilot 200 Guidewire with a MAMBA  microcatheter (Boston Scientific) failed to engage the Proximal CAP.
  • Engaging the Proximal CAP with Confianza Pro 12 guidewire.and switch again to Pilot200.
  • Advancing the Pilot 200 as Knuckle wire Technique.
  • Retreiving the MAMBA microcatheter using the Trapper Catheter (Boston Scientific) to limit the risk of significant hematoma.
  • Advancing the CrosBoss catheter in the subintimal space with Pilot 200 guidewire inside.
  • Stingray preparation while CrossBoss is in the Subintimal space.
  • Retreiving the CrosBoss Catheter using the Trapper and advancing the Stingray balloon.
  • Getting the optimal Stingray Projection for reentry.
  • Reentry technque using the Stingray guidewire.
  • Retreiving the Stingray balloon using Trapper & Advancing the MAMBA microcatheter over the Stingray guidewire.
  • Advancing a regular guidewire to the distal RCA.
  • Predilatation with a 4.0x20mm.
  • Stenting with two 4.0x38mm Synergy stents. and additional 4.0x24mm Synergy stent.

Biobliography

 

Linked playlists (4)

Our Cases of the Month

The case of the month is a new way for our users to watch, learn, and share with incathlab. They can watch a video that highlights an innovative case and uses excellent pedagogical techniques, lear...

Share
Comments(9)
Join the Discussion
See previous comments (5)
  • abdallah A. too much metal for a rather shorter lesion !!!!!

      Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
      Your browser doesn't have Flash, Silverlight or HTML5 support.


    • mariwan S. GREAT JOB WELL DONE
      What was the cause of ostial dissection ?

        Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
        Your browser doesn't have Flash, Silverlight or HTML5 support.


      • Marc H. Could you have pulled your retrograde gear once your wire was in the true lumen

          Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
          Your browser doesn't have Flash, Silverlight or HTML5 support.


        • Bijan B. What happened to larg marginal branch

            Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
            Your browser doesn't have Flash, Silverlight or HTML5 support.


          • Amr A. what about 7fr sheath on transradial
            do you need pre procedure radial duplex or angio

              Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
              Your browser doesn't have Flash, Silverlight or HTML5 support.


            • Anselmo B. The right ventricular branches were all occluded. They didn’t try to recanalize anterograde, really possible, in my experience. Subintimal is a last resource

                Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
                Your browser doesn't have Flash, Silverlight or HTML5 support.


              • Narinder B. Why do you Need to be so Farm to reenter

                  Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
                  Your browser doesn't have Flash, Silverlight or HTML5 support.


                • ahmed S. excellent

                    Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
                    Your browser doesn't have Flash, Silverlight or HTML5 support.


                  • Phatarpekar A. Naice

                      Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
                      Your browser doesn't have Flash, Silverlight or HTML5 support.


                    Comment with Facebook

                    Friday, November 17th 2017 from 12:30pm to 02pm (GMT+2)
                    Honolulu : Friday, November 17th 2017 from 12:30am to 02am (GMT-10)
                    San Francisco : Friday, November 17th 2017 from 02:30am to 04am (GMT-8)
                    New York : Friday, November 17th 2017 from 05:30am to 07am (GMT-5)
                    Buenos Aires : Friday, November 17th 2017 from 07:30am to 09am (GMT-3)
                    London / Dublin : Friday, November 17th 2017 from 10:30am to 12pm (GMT)
                    Paris / Berlin : Friday, November 17th 2017 from 11:30am to 01pm (GMT+1)
                    Istanbul : Friday, November 17th 2017 from 12:30pm to 02pm (GMT+2)
                    Moscou / Dubaï : Friday, November 17th 2017 from 02:30pm to 04pm (GMT+4)
                    Bangkok : Friday, November 17th 2017 from 05:30pm to 07pm (GMT+7)
                    Shanghai : Friday, November 17th 2017 from 06:30pm to 08pm (GMT+8)
                    Tokyo : Friday, November 17th 2017 from 07:30pm to 09pm (GMT+9)
                    Sydney : Friday, November 17th 2017 from 08:30pm to 10pm (GMT+10)
                    Wellington : Friday, November 17th 2017 from 10:30pm to 12am (GMT+12)

                    Le réflexe FFR au coeur du Cathlab !

                    Simple, optimal et standardisé

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

                    Differences between South African and European cardiac patients’ care

                    Experts Discussion around Complex Cases

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

                    Coronary angioplasty : Master the Complex

                    Web Symposium

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

                    Bifurcation - Multivessels - Calcifications: How to treat the complex?

                    Complex PTCA: Experts' analysis

                    Share
                    March 2016
                    Honolulu : Wednesday, March 23rd 2016 from 12:30am to 02am (GMT-10)
                    San Francisco : Wednesday, March 23rd 2016 from 02:30am to 04am (GMT-8)
                    New York : Wednesday, March 23rd 2016 from 05:30am to 07am (GMT-5)
                    Buenos Aires : Wednesday, March 23rd 2016 from 07:30am to 09am (GMT-3)
                    London / Dublin : Wednesday, March 23rd 2016 from 10:30am to 12pm (GMT)
                    Paris / Berlin : Wednesday, March 23rd 2016 from 11:30am to 01pm (GMT+1)
                    Istanbul : Wednesday, March 23rd 2016 from 12:30pm to 02pm (GMT+2)
                    Moscou / Dubaï : Wednesday, March 23rd 2016 from 02:30pm to 04pm (GMT+4)
                    Bangkok : Wednesday, March 23rd 2016 from 05:30pm to 07pm (GMT+7)
                    Shanghai : Wednesday, March 23rd 2016 from 06:30pm to 08pm (GMT+8)
                    Tokyo : Wednesday, March 23rd 2016 from 07:30pm to 09pm (GMT+9)
                    Sydney : Wednesday, March 23rd 2016 from 08:30pm to 10pm (GMT+10)
                    Wellington : Wednesday, March 23rd 2016 from 10:30pm to 12am (GMT+12)

                    Complex PCI : Polymer Free Angioplasty?

                    Share
                    Thursday, March 28th 2019 from 08:40am to 10:30am (GMT+2)
                    Honolulu : Wednesday, March 27th 2019 from 08:40pm to 10:30pm (GMT-10)
                    San Francisco : Wednesday, March 27th 2019 from 10:40pm to 12:30am (GMT-8)
                    New York : Thursday, March 28th 2019 from 01:40am to 03:30am (GMT-5)
                    Buenos Aires : Thursday, March 28th 2019 from 03:40am to 05:30am (GMT-3)
                    London / Dublin : Thursday, March 28th 2019 from 06:40am to 08:30am (GMT)
                    Paris / Berlin : Thursday, March 28th 2019 from 07:40am to 09:30am (GMT+1)
                    Istanbul : Thursday, March 28th 2019 from 08:40am to 10:30am (GMT+2)
                    Moscou / Dubaï : Thursday, March 28th 2019 from 10:40am to 12:30pm (GMT+4)
                    Bangkok : Thursday, March 28th 2019 from 01:40pm to 03:30pm (GMT+7)
                    Shanghai : Thursday, March 28th 2019 from 02:40pm to 04:30pm (GMT+8)
                    Tokyo : Thursday, March 28th 2019 from 03:40pm to 05:30pm (GMT+9)
                    Sydney : Thursday, March 28th 2019 from 04:40pm to 06:30pm (GMT+10)
                    Wellington : Thursday, March 28th 2019 from 06:40pm to 08:30pm (GMT+12)

                    4C 2019 : Live Case 5 - Le calcaire, c'est mon affaire !

                    Dr Hakim Benamer et Dr Erwan Bressollette

                    Share
                    Thursday, June 28th 2018 from 09:25am to 11am (GMT+2)
                    Honolulu : Wednesday, June 27th 2018 from 09:25pm to 11pm (GMT-10)
                    San Francisco : Thursday, June 28th 2018 from 12:25am to 02am (GMT-7)
                    New York : Thursday, June 28th 2018 from 03:25am to 05am (GMT-4)
                    Buenos Aires : Thursday, June 28th 2018 from 04:25am to 06am (GMT-3)
                    Reykjavik : Thursday, June 28th 2018 from 07:25am to 09am (GMT)
                    London / Dublin : Thursday, June 28th 2018 from 08:25am to 10am (GMT+1)
                    Paris / Berlin : Thursday, June 28th 2018 from 09:25am to 11am (GMT+2)
                    Istanbul : Thursday, June 28th 2018 from 10:25am to 12pm (GMT+3)
                    Moscou / Dubaï : Thursday, June 28th 2018 from 11:25am to 01pm (GMT+4)
                    Bangkok : Thursday, June 28th 2018 from 02:25pm to 04pm (GMT+7)
                    Shanghai : Thursday, June 28th 2018 from 03:25pm to 05pm (GMT+8)
                    Tokyo : Thursday, June 28th 2018 from 04:25pm to 06pm (GMT+9)
                    Sydney : Thursday, June 28th 2018 from 06:25pm to 08pm (GMT+11)
                    Wellington : Thursday, June 28th 2018 from 08:25pm to 10pm (GMT+13)

                    MLCTO 2018 - Live Case #1 & #2: Discover CTO PCI

                    From Heart Center Bad Krozingen

                    Share
                    March 2017
                    Honolulu : Wednesday, March 15th 2017 from 12:30am to 02am (GMT-10)
                    San Francisco : Wednesday, March 15th 2017 from 02:30am to 04am (GMT-8)
                    New York : Wednesday, March 15th 2017 from 05:30am to 07am (GMT-5)
                    Buenos Aires : Wednesday, March 15th 2017 from 07:30am to 09am (GMT-3)
                    London / Dublin : Wednesday, March 15th 2017 from 10:30am to 12pm (GMT)
                    Paris / Berlin : Wednesday, March 15th 2017 from 11:30am to 01pm (GMT+1)
                    Istanbul : Wednesday, March 15th 2017 from 12:30pm to 02pm (GMT+2)
                    Moscou / Dubaï : Wednesday, March 15th 2017 from 02:30pm to 04pm (GMT+4)
                    Bangkok : Wednesday, March 15th 2017 from 05:30pm to 07pm (GMT+7)
                    Shanghai : Wednesday, March 15th 2017 from 06:30pm to 08pm (GMT+8)
                    Tokyo : Wednesday, March 15th 2017 from 07:30pm to 09pm (GMT+9)
                    Sydney : Wednesday, March 15th 2017 from 08:30pm to 10pm (GMT+10)
                    Wellington : Wednesday, March 15th 2017 from 10:30pm to 12am (GMT+12)

                    LAD-Diagonal Bifurcation lesion

                    New Drug-Eluting Technologies

                    Share
                    Scroll Up