×
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.
Cardiology / Coronary / Cto / Case in the box
My Player placeholder

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


Worldwide schedules comment Share

Patient's Presentation

  • Gender: male
  • Age: 67 years old

Prior clinical history

  • PCI LAD and OM
  • Risk factors: HTA, smoker

Clinical Presentation

  • Main symptoms: Complaining from angina
  • Stress echo positive inferior wall
  • Echocardiography: Normal EF

Angiography

Shooting date : 2023-01-25
Last update : 2025-06-26
Alexandre Avran
Valenciennes, France
Private message
Ahmed Elguindy
Cairo, Egypt
Private message
Read more

OptiCross Coronary Imaging Catheter / Boston Scientific

View more
Read more

Ryurei™ / Terumo

Semi-compliant PTCA balloon
View more
Read more

Synergy stent system / Boston Scientific

View more
Read more

Asahi Sion Blue / Asahi

PTCA Guide Wire
View more
Read more

ASAHI Gaia Third / Asahi

View more
Read more

HORNET™ / Boston Scientific

Guidewire
View more
Read more

MAMBA™ / Boston Scientific

View more
Read more

Gladius / Asahi

View more

Alex & Friends

14 Videos / Public /

Discover a NEW CTO Live Cases series This series will bring together members of the CTO community to chat and share their experiences. Every month Alexandre Avran will invite a close frien...

Share
Discover playlist
11 comments
Join the Discussion
See previous comments (7)
  • Aymen B.

    Aymen B. wow !! amazing case with lot of teatching points on how to deal with flush ostial RCA CTO's and with a couple of interresting tips and tricks. It's a good idea to record a case in very friendly envirement congratulation Dr Avran for the nice idea.

    2023-01-25, 17h21
      Join files
      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.


    • Alexandre A.

      Alexandre A. thanks my friend Good to have your feedback, See you for the next episode

      2023-01-28, 0h36
        Join files
        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.


      • Mahmoud S.

        Mahmoud S. Great case, thanks alot Avran, thanks Ahmed, very elegant thinking, with alot of tips and tricks,I realy was so impressed the way you deal with the case, big Like

        2023-01-28, 9h50
          Join files
          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 E.

          Ahmed E. Magnificent!
          Thanks alot Dr Ahmed and Dr Avran for this great educational idea.
          Amazing case , with many tips and tricks to learn .

          2023-02-10, 19h52
            Join files
            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.


          • Georges E.

            Georges E. Amazing case with a lot of teaching points ! Waiting for the next episode. Thanks Dr Avran

            2023-02-11, 20h11
              Join files
              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.


            • v22e V.

              v22e V. This comment has been moderated

              2023-02-23, 21h42
                Join files
                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.


              • Akyuz S.

                Akyuz S. Thanks Alex and Ahmed for this didactic case. (Dr. Sukru Akyuz from Turkey)

                2023-04-20, 19h47
                  Join files
                  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.


                • Mugilan S.

                  Mugilan S. Thank you so much Dr Alex and Dr Ahmed. Amazing case with so many learning points. Truly inspiring.

                  2023-07-15, 12h22
                    Join files
                    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.


                  • Baghdasaryan D.

                    Baghdasaryan D. Perfect

                    2024-04-14, 14h07
                      Join files
                      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.


                    • Hemn H.

                      Hemn H. Did you re-entered the true lumen or implanted in false lumen? difficult to understand the final steps, thanks

                      2024-12-12, 18h34
                        Join files
                        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.


                      • Umar S.

                        Umar S. Thank you very much for this amazing case

                        2025-02-04, 8h00
                          Join files
                          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.


                        Suggestions

                        Friday, March 28th 2025 from 08am to 10pm (GMT+1)
                        Honolulu : Thursday, March 27th 2025 from 08pm to 10am (GMT+1)
                        San Francisco : Thursday, March 27th 2025 from 10pm to 12pm (GMT+1)
                        New York : Friday, March 28th 2025 from 01am to 03pm (GMT+1)
                        Buenos Aires : Friday, March 28th 2025 from 03am to 05pm (GMT+1)
                        London / Dublin : Friday, March 28th 2025 from 06am to 08pm (GMT+1)
                        Paris / Berlin : Friday, March 28th 2025 from 07am to 09pm (GMT+1)
                        Istanbul : Friday, March 28th 2025 from 08am to 10pm (GMT+1)
                        Moscou / Dubaï : Friday, March 28th 2025 from 10am to 12am (GMT+1)
                        Bangkok : Friday, March 28th 2025 from 01pm to 03am (GMT+1)
                        Shanghai : Friday, March 28th 2025 from 02pm to 04am (GMT+1)
                        Tokyo : Friday, March 28th 2025 from 03pm to 05am (GMT+1)
                        Sydney : Friday, March 28th 2025 from 04pm to 06am (GMT+1)
                        Wellington : Friday, March 28th 2025 from 06pm to 08am (GMT+1)

                        Complex & High-Risk Indicated Procedures

                        Discover the 6th edition - Day #1

                        Cardiology / Coronary / Event/1 Comments
                        View more
                        Share
                        Wednesday, May 22nd 2024 from 03pm to 04pm (GMT+2)
                        Honolulu : Wednesday, May 22nd 2024 from 03am to 04am (GMT+2)
                        San Francisco : Wednesday, May 22nd 2024 from 06am to 07am (GMT+2)
                        New York : Wednesday, May 22nd 2024 from 09am to 10am (GMT+2)
                        Buenos Aires : Wednesday, May 22nd 2024 from 10am to 11am (GMT+2)
                        Reykjavik : Wednesday, May 22nd 2024 from 01pm to 02pm (GMT+2)
                        London / Dublin : Wednesday, May 22nd 2024 from 02pm to 03pm (GMT+2)
                        Paris / Berlin : Wednesday, May 22nd 2024 from 03pm to 04pm (GMT+2)
                        Istanbul : Wednesday, May 22nd 2024 from 04pm to 05pm (GMT+2)
                        Moscou / Dubaï : Wednesday, May 22nd 2024 from 05pm to 06pm (GMT+2)
                        Bangkok : Wednesday, May 22nd 2024 from 08pm to 09pm (GMT+2)
                        Shanghai : Wednesday, May 22nd 2024 from 09pm to 10pm (GMT+2)
                        Tokyo : Wednesday, May 22nd 2024 from 10pm to 11pm (GMT+2)
                        Sydney : Thursday, May 23rd 2024 from 12am to 01am (GMT+2)
                        Wellington : Thursday, May 23rd 2024 from 02am to 03am (GMT+2)

                        DanGER shock trial results and the significance to reduce adverse events

                        Cardiology / Coronary / Webinar
                        View more
                        Share
                        Wednesday, October 16th 2024 from 06pm to 06:45pm (GMT+2)
                        Honolulu : Wednesday, October 16th 2024 from 06am to 06:45am (GMT+2)
                        San Francisco : Wednesday, October 16th 2024 from 09am to 09:45am (GMT+2)
                        New York : Wednesday, October 16th 2024 from 12pm to 12:45pm (GMT+2)
                        Buenos Aires : Wednesday, October 16th 2024 from 01pm to 01:45pm (GMT+2)
                        Reykjavik : Wednesday, October 16th 2024 from 04pm to 04:45pm (GMT+2)
                        London / Dublin : Wednesday, October 16th 2024 from 05pm to 05:45pm (GMT+2)
                        Paris / Berlin : Wednesday, October 16th 2024 from 06pm to 06:45pm (GMT+2)
                        Istanbul : Wednesday, October 16th 2024 from 07pm to 07:45pm (GMT+2)
                        Moscou / Dubaï : Wednesday, October 16th 2024 from 08pm to 08:45pm (GMT+2)
                        Bangkok : Wednesday, October 16th 2024 from 11pm to 11:45pm (GMT+2)
                        Shanghai : Thursday, October 17th 2024 from 12am to 12:45am (GMT+2)
                        Tokyo : Thursday, October 17th 2024 from 01am to 01:45am (GMT+2)
                        Sydney : Thursday, October 17th 2024 from 03am to 03:45am (GMT+2)
                        Wellington : Thursday, October 17th 2024 from 05am to 05:45am (GMT+2)

                        Guides de 1ère intention :

                        les trucs et les astuces qui aident en pratique

                        Cardiology / Coronary / Roundtable/1 Comments
                        View more
                        Share
                        Discover it now!

                        Blunt proximal LAD occlusion

                        Alex & Friends - Ep.6

                        Cardiology / Coronary / Case in the box/1 Comments
                        View more
                        Share
                        Tuesday, February 3rd 2026 from 06pm to 07pm (GMT+1)
                        Honolulu : Tuesday, February 3rd 2026 from 06am to 07am (GMT+1)
                        San Francisco : Tuesday, February 3rd 2026 from 08am to 09am (GMT+1)
                        New York : Tuesday, February 3rd 2026 from 11am to 12pm (GMT+1)
                        Buenos Aires : Tuesday, February 3rd 2026 from 01pm to 02pm (GMT+1)
                        London / Dublin : Tuesday, February 3rd 2026 from 04pm to 05pm (GMT+1)
                        Paris / Berlin : Tuesday, February 3rd 2026 from 05pm to 06pm (GMT+1)
                        Istanbul : Tuesday, February 3rd 2026 from 06pm to 07pm (GMT+1)
                        Moscou / Dubaï : Tuesday, February 3rd 2026 from 08pm to 09pm (GMT+1)
                        Bangkok : Tuesday, February 3rd 2026 from 11pm to 12am (GMT+1)
                        Shanghai : Wednesday, February 4th 2026 from 12am to 01am (GMT+1)
                        Tokyo : Wednesday, February 4th 2026 from 01am to 02am (GMT+1)
                        Sydney : Wednesday, February 4th 2026 from 02am to 03am (GMT+1)
                        Wellington : Wednesday, February 4th 2026 from 04am to 05am (GMT+1)

                        Novel HC-IVL technique to maximize calcium fractures to improve vessels compliance

                        Cardiology / Coronary / Webinar/5 Comments
                        View more
                        Share
                        Mittwoch, 10. Juni 2026 – 19:00 bis 20:00 Uhr (GMT+2)
                        Honolulu : Wednesday, June 10th 2026 from 07am to 08am (GMT+2)
                        San Francisco : Wednesday, June 10th 2026 from 10am to 11am (GMT+2)
                        New York : Wednesday, June 10th 2026 from 01pm to 02pm (GMT+2)
                        Buenos Aires : Wednesday, June 10th 2026 from 02pm to 03pm (GMT+2)
                        Reykjavik : Wednesday, June 10th 2026 from 05pm to 06pm (GMT+2)
                        London / Dublin : Wednesday, June 10th 2026 from 06pm to 07pm (GMT+2)
                        Paris / Berlin : Wednesday, June 10th 2026 from 07pm to 08pm (GMT+2)
                        Istanbul : Wednesday, June 10th 2026 from 08pm to 09pm (GMT+2)
                        Moscou / Dubaï : Wednesday, June 10th 2026 from 09pm to 10pm (GMT+2)
                        Bangkok : Thursday, June 11th 2026 from 12am to 01am (GMT+2)
                        Shanghai : Thursday, June 11th 2026 from 01am to 02am (GMT+2)
                        Tokyo : Thursday, June 11th 2026 from 02am to 03am (GMT+2)
                        Sydney : Thursday, June 11th 2026 from 04am to 05am (GMT+2)
                        Wellington : Thursday, June 11th 2026 from 06am to 07am (GMT+2)

                        SELUTION EVOLUTION

                        Theorie trifft Praxis

                        Cardiology / Coronary / Webinar
                        View more
                        Share
                        Discover it now!

                        Proximal RCA occlusion with ipsi and controlateral collateral

                        Alex & Friends - Ep.7

                        Cardiology / Coronary / Case in the box/2 Comments
                        View more
                        Share
                        Saturday, November 11th 2023 from 02:30am to 05am (GMT+1)
                        Honolulu : Friday, November 10th 2023 from 02:30pm to 05pm (GMT+1)
                        San Francisco : Friday, November 10th 2023 from 04:30pm to 07pm (GMT+1)
                        New York : Friday, November 10th 2023 from 07:30pm to 10pm (GMT+1)
                        Buenos Aires : Friday, November 10th 2023 from 09:30pm to 12am (GMT+1)
                        London / Dublin : Saturday, November 11th 2023 from 12:30am to 03am (GMT+1)
                        Paris / Berlin : Saturday, November 11th 2023 from 01:30am to 04am (GMT+1)
                        Istanbul : Saturday, November 11th 2023 from 02:30am to 05am (GMT+1)
                        Moscou / Dubaï : Saturday, November 11th 2023 from 04:30am to 07am (GMT+1)
                        Bangkok : Saturday, November 11th 2023 from 07:30am to 10am (GMT+1)
                        Shanghai : Saturday, November 11th 2023 from 08:30am to 11am (GMT+1)
                        Tokyo : Saturday, November 11th 2023 from 09:30am to 12pm (GMT+1)
                        Sydney : Saturday, November 11th 2023 from 10:30am to 01pm (GMT+1)
                        Wellington : Saturday, November 11th 2023 from 12:30pm to 03pm (GMT+1)

                        Bifurcation PCI

                        Insights from the Visible Heart® Lab

                        Cardiology / Coronary / Live Case
                        View more
                        Share
                        Scroll Up