×
It looks like you're using an obsolete version of internet explorer. Internet explorer is no longer supported by Microsoft since the end of 2015. We invite you to use a newer browser such as Firefox, Google Chrome or Microsoft Edge.

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 (5)
Description
Date : Thursday, September 14th 2017 from 01pm to 02:30pm (GMT+2)
Honolulu : Thursday, September 14th 2017 from 01am to 02:30am (GMT-10)
San Francisco : Thursday, September 14th 2017 from 04am to 05:30am (GMT-7)
New York : Thursday, September 14th 2017 from 07am to 08:30am (GMT-4)
Buenos Aires : Thursday, September 14th 2017 from 08am to 09:30am (GMT-3)
Reykjavik : Thursday, September 14th 2017 from 11am to 12:30pm (GMT)
London / Dublin : Thursday, September 14th 2017 from 12pm to 01:30pm (GMT+1)
Paris / Berlin : Thursday, September 14th 2017 from 01pm to 02:30pm (GMT+2)
Istanbul : Thursday, September 14th 2017 from 02pm to 03:30pm (GMT+3)
Moscou / Dubaï : Thursday, September 14th 2017 from 03pm to 04:30pm (GMT+4)
Bangkok : Thursday, September 14th 2017 from 06pm to 07:30pm (GMT+7)
Shanghai : Thursday, September 14th 2017 from 07pm to 08:30pm (GMT+8)
Tokyo : Thursday, September 14th 2017 from 08pm to 09:30pm (GMT+9)
Sydney : Thursday, September 14th 2017 from 10pm to 11:30pm (GMT+11)
Wellington : Friday, September 15th 2017 from 12am to 01:30am (GMT+13)
Last update : 2018-08-03
Language(s) : English
Views : 21599
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?

      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.


    • Obiora A. 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.


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

          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.


        • R A. dear sir...
          how do you manage highly eccentric stenosis especially wiring technique?
          small curved tip.?

            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.


          • 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.

              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.


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

            Post CABG patient for complex CTO PCI

            Live case performed by Dr Rinfret & Dr Amor

            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
            Monday, November 16th 2020 from 06pm to 07:15pm (GMT+2)
            Honolulu : Monday, November 16th 2020 from 06am to 07:15am (GMT-10)
            San Francisco : Monday, November 16th 2020 from 08am to 09:15am (GMT-8)
            New York : Monday, November 16th 2020 from 11am to 12:15pm (GMT-5)
            Buenos Aires : Monday, November 16th 2020 from 01pm to 02:15pm (GMT-3)
            London / Dublin : Monday, November 16th 2020 from 04pm to 05:15pm (GMT)
            Paris / Berlin : Monday, November 16th 2020 from 05pm to 06:15pm (GMT+1)
            Istanbul : Monday, November 16th 2020 from 06pm to 07:15pm (GMT+2)
            Moscou / Dubaï : Monday, November 16th 2020 from 08pm to 09:15pm (GMT+4)
            Bangkok : Monday, November 16th 2020 from 11pm to 12:15am (GMT+7)
            Shanghai : Tuesday, November 17th 2020 from 12am to 01:15am (GMT+8)
            Tokyo : Tuesday, November 17th 2020 from 01am to 02:15am (GMT+9)
            Sydney : Tuesday, November 17th 2020 from 02am to 03:15am (GMT+10)
            Wellington : Tuesday, November 17th 2020 from 04am to 05:15am (GMT+12)

            Pushing the limits in CTO-PCI: Ipsilateral and sheathless

            Share
            Wednesday, January 20th 2021 from 06pm to 07:30pm (GMT+2)
            Honolulu : Wednesday, January 20th 2021 from 06am to 07:30am (GMT-10)
            San Francisco : Wednesday, January 20th 2021 from 08am to 09:30am (GMT-8)
            New York : Wednesday, January 20th 2021 from 11am to 12:30pm (GMT-5)
            Buenos Aires : Wednesday, January 20th 2021 from 01pm to 02:30pm (GMT-3)
            London / Dublin : Wednesday, January 20th 2021 from 04pm to 05:30pm (GMT)
            Paris / Berlin : Wednesday, January 20th 2021 from 05pm to 06:30pm (GMT+1)
            Istanbul : Wednesday, January 20th 2021 from 06pm to 07:30pm (GMT+2)
            Moscou / Dubaï : Wednesday, January 20th 2021 from 08pm to 09:30pm (GMT+4)
            Bangkok : Wednesday, January 20th 2021 from 11pm to 12:30am (GMT+7)
            Shanghai : Thursday, January 21st 2021 from 12am to 01:30am (GMT+8)
            Tokyo : Thursday, January 21st 2021 from 01am to 02:30am (GMT+9)
            Sydney : Thursday, January 21st 2021 from 02am to 03:30am (GMT+10)
            Wellington : Thursday, January 21st 2021 from 04am to 05:30am (GMT+12)

            Protected PCI: Indikationen, Voraussetzungen und Planung einer PCI

            COMPLEX SKILLS in Protected PCI Series - Course 1

            Share
            Friday, February 12th 2021 from 12pm to 01:30pm (GMT+2)
            Honolulu : Friday, February 12th 2021 from 12am to 01:30am (GMT-10)
            San Francisco : Friday, February 12th 2021 from 02am to 03:30am (GMT-8)
            New York : Friday, February 12th 2021 from 05am to 06:30am (GMT-5)
            Buenos Aires : Friday, February 12th 2021 from 07am to 08:30am (GMT-3)
            London / Dublin : Friday, February 12th 2021 from 10am to 11:30am (GMT)
            Paris / Berlin : Friday, February 12th 2021 from 11am to 12:30pm (GMT+1)
            Istanbul : Friday, February 12th 2021 from 12pm to 01:30pm (GMT+2)
            Moscou / Dubaï : Friday, February 12th 2021 from 02pm to 03:30pm (GMT+4)
            Bangkok : Friday, February 12th 2021 from 05pm to 06:30pm (GMT+7)
            Shanghai : Friday, February 12th 2021 from 06pm to 07:30pm (GMT+8)
            Tokyo : Friday, February 12th 2021 from 07pm to 08:30pm (GMT+9)
            Sydney : Friday, February 12th 2021 from 08pm to 09:30pm (GMT+10)
            Wellington : Friday, February 12th 2021 from 10pm to 11:30pm (GMT+12)

            How to Treat Complex Bifurcation Lesions

            In Live Case and from the Bench

            Share
            Tuesday, May 15th 2018 from 12:30pm to 02pm (GMT+2)
            Honolulu : Tuesday, May 15th 2018 from 12:30am to 02am (GMT-10)
            San Francisco : Tuesday, May 15th 2018 from 03:30am to 05am (GMT-7)
            New York : Tuesday, May 15th 2018 from 06:30am to 08am (GMT-4)
            Buenos Aires : Tuesday, May 15th 2018 from 07:30am to 09am (GMT-3)
            Reykjavik : Tuesday, May 15th 2018 from 10:30am to 12pm (GMT)
            London / Dublin : Tuesday, May 15th 2018 from 11:30am to 01pm (GMT+1)
            Paris / Berlin : Tuesday, May 15th 2018 from 12:30pm to 02pm (GMT+2)
            Istanbul : Tuesday, May 15th 2018 from 01:30pm to 03pm (GMT+3)
            Moscou / Dubaï : Tuesday, May 15th 2018 from 02:30pm to 04pm (GMT+4)
            Bangkok : Tuesday, May 15th 2018 from 05:30pm to 07pm (GMT+7)
            Shanghai : Tuesday, May 15th 2018 from 06:30pm to 08pm (GMT+8)
            Tokyo : Tuesday, May 15th 2018 from 07:30pm to 09pm (GMT+9)
            Sydney : Tuesday, May 15th 2018 from 09:30pm to 11pm (GMT+11)
            Wellington : Tuesday, May 15th 2018 from 11:30pm to 01am (GMT+13)

            La coronaire à la parisienne : de l'aigüe au chronique

            Réseau de l'ASAHP

            Share
            Tuesday, April 21st 2020 from 05:30pm to 07:30pm (GMT+2)
            Honolulu : Tuesday, April 21st 2020 from 05:30am to 07:30am (GMT-10)
            San Francisco : Tuesday, April 21st 2020 from 08:30am to 10:30am (GMT-7)
            New York : Tuesday, April 21st 2020 from 11:30am to 01:30pm (GMT-4)
            Buenos Aires : Tuesday, April 21st 2020 from 12:30pm to 02:30pm (GMT-3)
            Reykjavik : Tuesday, April 21st 2020 from 03:30pm to 05:30pm (GMT)
            London / Dublin : Tuesday, April 21st 2020 from 04:30pm to 06:30pm (GMT+1)
            Paris / Berlin : Tuesday, April 21st 2020 from 05:30pm to 07:30pm (GMT+2)
            Istanbul : Tuesday, April 21st 2020 from 06:30pm to 08:30pm (GMT+3)
            Moscou / Dubaï : Tuesday, April 21st 2020 from 07:30pm to 09:30pm (GMT+4)
            Bangkok : Tuesday, April 21st 2020 from 10:30pm to 12:30am (GMT+7)
            Shanghai : Tuesday, April 21st 2020 from 11:30pm to 01:30am (GMT+8)
            Tokyo : Wednesday, April 22nd 2020 from 12:30am to 02:30am (GMT+9)
            Sydney : Wednesday, April 22nd 2020 from 02:30am to 04:30am (GMT+11)
            Wellington : Wednesday, April 22nd 2020 from 04:30am to 06:30am (GMT+13)

            Webinar für kardiologisches Assistenzpersonal

            Share
            Saturday, June 23rd 2018 from 12am to 04:30pm (GMT+2)
            Honolulu : Friday, June 22nd 2018 from 12pm to 04:30am (GMT-10)
            San Francisco : Friday, June 22nd 2018 from 03pm to 07:30am (GMT-7)
            New York : Friday, June 22nd 2018 from 06pm to 10:30am (GMT-4)
            Buenos Aires : Friday, June 22nd 2018 from 07pm to 11:30am (GMT-3)
            Reykjavik : Friday, June 22nd 2018 from 10pm to 02:30pm (GMT)
            London / Dublin : Friday, June 22nd 2018 from 11pm to 03:30pm (GMT+1)
            Paris / Berlin : Saturday, June 23rd 2018 from 12am to 04:30pm (GMT+2)
            Istanbul : Saturday, June 23rd 2018 from 01am to 05:30pm (GMT+3)
            Moscou / Dubaï : Saturday, June 23rd 2018 from 02am to 06:30pm (GMT+4)
            Bangkok : Saturday, June 23rd 2018 from 05am to 09:30pm (GMT+7)
            Shanghai : Saturday, June 23rd 2018 from 06am to 10:30pm (GMT+8)
            Tokyo : Saturday, June 23rd 2018 from 07am to 11:30pm (GMT+9)
            Sydney : Saturday, June 23rd 2018 from 09am to 01:30am (GMT+11)
            Wellington : Saturday, June 23rd 2018 from 11am to 03:30am (GMT+13)

            Live Case #3 : Angioplastie coronaire complexe

            Journée CARDIOLIVE - Dr Durand & Dr Cador

            Share
            Scroll Up