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An elderly patient at high bleeding risk and ASA allergy with previous PCI will be undergoing PCI live from Tzanck Institute, Saint-Laurent du Var (France) by Dr Alexandre Avran and Dr Georgios Sideris.
 
Around this live case & interactive discussion with the audience, both experts will perform this case in a step-by-step approach, observing the chosen strategy depending on patient data and indications, analysing the devices selection, commenting the management of complications, and concluding with the quality of results.
 

Program

14:00 Introduction & Presentation of the Case
 
14:10 Live case: Challenges of PCI and DAPT in an elderly patient with ASA allergy 
Dr Avran & Dr Sideris
 
15:20 Take home messages
 

Clinical Data

  • Female, 82 years old
  • Angor crescendo
  • Risk Factors:
    • Non-insulin dependent diabetes (NIDDM)
    • Dyslipidemia
  • Allergy to aspirin (quincke edema)
  • Plavix treatment
  • Previous LAD and Cx stenting with Synergy stents
  • The patient needs a short dual antiaggregant therapy

Educational objectives

  • Discuss challenges of PCI in high bleeding risk elderly.
  • How new studies such as SENIOR can impact our choice of stents.
  • ASA allergy and how to deal with it post PCI.
  • Role of intravascular imaging in PCI and short DAPT.

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.

This session is produced and broadcasted with sonar system by incathlab

Shooting date : 2018-02-06
Last update : 2018-08-03
Alexandre Avran
Valenciennes, France
Private message
Georgios Sideris
Paris, France
Private message

Live cases

8 Videos / Public /

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See previous comments (1)
  • Sajan N.

    Sajan N. any role for aspirin desensitisation in this case before proceeding to PCI? especially since patient is stable

    2018-02-06, 14h11
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    • Veselin B.

      Veselin B. The diagonals are below 2mm,there should be no plan for bifurcational stenting

      2018-02-18, 8h54
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      • Mohamed A.

        Mohamed A. Very interesting discussion and Good results

        2018-03-12, 23h09
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        • Ahmed S.

          Ahmed S. Is there any study comparing Synergy vs Bio-freedom stents

          2018-08-28, 15h46
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          • Giedre G.

            Giedre G. What about the Idea to repeat FFR after PCI?

            2018-11-06, 20h25
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