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

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Wednesday, November 7^th 2018 - 06pm to 07:30pm (GMT+2)

Cardiology / Coronary / Pci / Live

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Program

18:00	Introduction & Presentation
18:05	Case in box n°1: Treatment of Ostial LAD lesion Panel discussion
18:30	Case in box n°2: Distal RCA bifurcation in patient with multi-vessels diseases Panel discussion
18:55	Case in box n°3: Rotablator in a highly calcified LAD lesion Panel discussion
19:25	Conclusion & Take home messages

Educational objectives

How to treat Medina 1.0 Left main bifurcation lesion
In wich case we should use 1 or 2 stent(s) for bifurcation ?
Role of intravascular imaging to assess stent placement
Management of distal bifurcation
How to preserve the secondary branch
Tips&Tricks with rotablator
Role of stent enhancement

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

Shooting date : 2018-11-07
Last update : 2021-06-07

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See previous comments (8)

Sajan N. Why not predilate ostial lesion before stenting?

2018-11-07, 18h13
- Max A. It was a soft plaque .
  But it could be predilstead
  
  2018-11-08, 8h01
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Rossano F. Are all Stents equal in large vessels and LM in particular ?

2018-11-07, 18h21
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Rossano F. Do you recommend systematic POT technic for the LM ?

2018-11-07, 18h26
- Max A. YES it is mandatory
  
  2018-11-08, 8h01
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Rossano F. Do you recommend systematic Kissing Balloon technic in bifurcation and so for LM treatment ?

2018-11-07, 18h31
- Max A. From bench studies yes
  
  2018-11-08, 8h02
- sina P. If you look at Gerard Finet's work in bench studies too, POT Side POT looks like an good option too.
  
  2018-11-25, 19h39
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Rossano F. So you do OFDI after stenting but not before ?

2018-11-07, 18h32
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Rossano F. Very nice result ! Thanks for the operators

2018-11-07, 18h34
- Max A. Thank you Rossano
  
  2018-11-08, 7h58
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Rossano F. Wich kind of guidewires you use for this kind of distal lesion ?

2018-11-07, 18h42
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Abdulhakim D. If we have clear missmatch befor and post stenosis what the plan thanks

2018-11-07, 18h52
- Max A. Choose the size according to the distal and use a short non compliant balloon to enlarge the proximal .
  
  2018-11-08, 7h57
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Bruce A. 79 years old is not old. Assuming she is a generally healthy woman, bypass surgery without any doubt.

2018-11-07, 23h50
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Arash G. There is 6 mm NC balloons on the market with two markers

2018-11-08, 9h24
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Arash G. For the first case a 3.5-4.5 by 37 mm Stentys whould be another good option

2018-11-08, 9h26
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Felmeden D. Very nice and interesting cases. In the last case (rotablator case) did you notice the contrast extravasation in the distal LAD and probable rotawire fracture after the rotablation run prior to stent placement occurring at 1hr 09 minutes on the video?

2018-11-08, 18h15
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Bifurcation - Multivessels - Calcifications: How to treat the complex?

Complex PTCA: Experts' analysis

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