×
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+1)
Honolulu : Thursday, June 28th 2018 from 10:40pm to 12am (GMT-10)
San Francisco : Friday, June 29th 2018 from 01:40am to 03am (GMT-7)
New York : Friday, June 29th 2018 from 04:40am to 06am (GMT-4)
Buenos Aires : Friday, June 29th 2018 from 05:40am to 07am (GMT-3)
Reykjavik : Friday, June 29th 2018 from 08:40am to 10am (GMT)
London / Dublin : Friday, June 29th 2018 from 09:40am to 11am (GMT+1)
Paris / Berlin : Friday, June 29th 2018 from 10:40am to 12pm (GMT+2)
Istanbul : Friday, June 29th 2018 from 11:40am to 01pm (GMT+3)
Moscou / Dubaï : Friday, June 29th 2018 from 12:40pm to 02pm (GMT+4)
Bangkok : Friday, June 29th 2018 from 03:40pm to 05pm (GMT+7)
Shanghai : Friday, June 29th 2018 from 04:40pm to 06pm (GMT+8)
Tokyo : Friday, June 29th 2018 from 05:40pm to 07pm (GMT+9)
Sydney : Friday, June 29th 2018 from 07:40pm to 09pm (GMT+11)
Wellington : Friday, June 29th 2018 from 09:40pm to 11pm (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 (5)

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(11)
Join the Discussion
See previous comments (6)
  • 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

              • Serob M. I guess it has retrograde flow :)

              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.


                  • Serob M. Thomas Hovasse, super!

                      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

                    Tuesday, June 25th 2019 from 01:30pm to 03pm (GMT+1)
                    Honolulu : Tuesday, June 25th 2019 from 02:30am to 04am (GMT-10)
                    San Francisco : Tuesday, June 25th 2019 from 05:30am to 07am (GMT-7)
                    New York : Tuesday, June 25th 2019 from 08:30am to 10am (GMT-4)
                    Buenos Aires : Tuesday, June 25th 2019 from 09:30am to 11am (GMT-3)
                    Reykjavik : Tuesday, June 25th 2019 from 12:30pm to 02pm (GMT)
                    London / Dublin : Tuesday, June 25th 2019 from 01:30pm to 03pm (GMT+1)
                    Paris / Berlin : Tuesday, June 25th 2019 from 02:30pm to 04pm (GMT+2)
                    Istanbul : Tuesday, June 25th 2019 from 03:30pm to 05pm (GMT+3)
                    Moscou / Dubaï : Tuesday, June 25th 2019 from 04:30pm to 06pm (GMT+4)
                    Bangkok : Tuesday, June 25th 2019 from 07:30pm to 09pm (GMT+7)
                    Shanghai : Tuesday, June 25th 2019 from 08:30pm to 10pm (GMT+8)
                    Tokyo : Tuesday, June 25th 2019 from 09:30pm to 11pm (GMT+9)
                    Sydney : Tuesday, June 25th 2019 from 11:30pm to 01am (GMT+11)
                    Wellington : Wednesday, June 26th 2019 from 01:30am to 03am (GMT+13)

                    Post CABG patient for complex CTO PCI

                    Live case performed by Dr Rinfret, Dr Amor & Dr Lemoine

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

                    Differences between South African and European cardiac patients’ care

                    Experts Discussion around Complex Cases

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

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

                    Complex PTCA: Experts' analysis

                    Share
                    Thursday, November 15th 2018 from 01pm to 02pm (GMT+1)
                    Honolulu : Thursday, November 15th 2018 from 02am to 03am (GMT-10)
                    San Francisco : Thursday, November 15th 2018 from 04am to 05am (GMT-8)
                    New York : Thursday, November 15th 2018 from 07am to 08am (GMT-5)
                    Buenos Aires : Thursday, November 15th 2018 from 09am to 10am (GMT-3)
                    London / Dublin : Thursday, November 15th 2018 from 12pm to 01pm (GMT)
                    Paris / Berlin : Thursday, November 15th 2018 from 01pm to 02pm (GMT+1)
                    Istanbul : Thursday, November 15th 2018 from 02pm to 03pm (GMT+2)
                    Moscou / Dubaï : Thursday, November 15th 2018 from 04pm to 05pm (GMT+4)
                    Bangkok : Thursday, November 15th 2018 from 07pm to 08pm (GMT+7)
                    Shanghai : Thursday, November 15th 2018 from 08pm to 09pm (GMT+8)
                    Tokyo : Thursday, November 15th 2018 from 09pm to 10pm (GMT+9)
                    Sydney : Thursday, November 15th 2018 from 10pm to 11pm (GMT+10)
                    Wellington : Friday, November 16th 2018 from 12am to 01am (GMT+12)

                    #noGuessPCI in real Bifurcations

                    Enhance your outcomes with OCT and best in class DES

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

                    New Fundamentals & Perspectives in coronary stenting

                    Mastering complex patients and complex lesions

                    Share
                    December 2016
                    Honolulu : Thursday, December 15th 2016 from 02am to 03:30am (GMT-10)
                    San Francisco : Thursday, December 15th 2016 from 04am to 05:30am (GMT-8)
                    New York : Thursday, December 15th 2016 from 07am to 08:30am (GMT-5)
                    Buenos Aires : Thursday, December 15th 2016 from 09am to 10:30am (GMT-3)
                    London / Dublin : Thursday, December 15th 2016 from 12pm to 01:30pm (GMT)
                    Paris / Berlin : Thursday, December 15th 2016 from 01pm to 02:30pm (GMT+1)
                    Istanbul : Thursday, December 15th 2016 from 02pm to 03:30pm (GMT+2)
                    Moscou / Dubaï : Thursday, December 15th 2016 from 04pm to 05:30pm (GMT+4)
                    Bangkok : Thursday, December 15th 2016 from 07pm to 08:30pm (GMT+7)
                    Shanghai : Thursday, December 15th 2016 from 08pm to 09:30pm (GMT+8)
                    Tokyo : Thursday, December 15th 2016 from 09pm to 10:30pm (GMT+9)
                    Sydney : Thursday, December 15th 2016 from 10pm to 11:30pm (GMT+10)
                    Wellington : Friday, December 16th 2016 from 12am to 01:30am (GMT+12)

                    Demystifying the Rotablator Procedure

                    From a quick set-up to a safe plaque modification

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

                    MLCTO 2018 - Live Case #9: Complex Retrograde CTO

                    Dr Mashayekhi & Dr Avran - From Institut Arnault Tzanck

                    Share
                    March 2017
                    Honolulu : Wednesday, March 15th 2017 from 01:30am to 03am (GMT-10)
                    San Francisco : Wednesday, March 15th 2017 from 03:30am to 05am (GMT-8)
                    New York : Wednesday, March 15th 2017 from 06:30am to 08am (GMT-5)
                    Buenos Aires : Wednesday, March 15th 2017 from 08:30am to 10am (GMT-3)
                    London / Dublin : Wednesday, March 15th 2017 from 11:30am to 01pm (GMT)
                    Paris / Berlin : Wednesday, March 15th 2017 from 12:30pm to 02pm (GMT+1)
                    Istanbul : Wednesday, March 15th 2017 from 01:30pm to 03pm (GMT+2)
                    Moscou / Dubaï : Wednesday, March 15th 2017 from 03:30pm to 05pm (GMT+4)
                    Bangkok : Wednesday, March 15th 2017 from 06:30pm to 08pm (GMT+7)
                    Shanghai : Wednesday, March 15th 2017 from 07:30pm to 09pm (GMT+8)
                    Tokyo : Wednesday, March 15th 2017 from 08:30pm to 10pm (GMT+9)
                    Sydney : Wednesday, March 15th 2017 from 09:30pm to 11pm (GMT+10)
                    Wellington : Wednesday, March 15th 2017 from 11:30pm to 01am (GMT+12)

                    LAD-Diagonal Bifurcation lesion

                    New Drug-Eluting Technologies

                    Share
                    Scroll Up