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Cardiology / Coronary / Cto / Case in the box
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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
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Ahmed Elguindy
Cairo, Egypt
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OptiCross Coronary Imaging Catheter / Boston Scientific

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Ryurei™ / Terumo

Semi-compliant PTCA balloon
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Synergy stent system / Boston Scientific

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Asahi Sion Blue / Asahi

PTCA Guide Wire
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ASAHI Gaia Third / Asahi

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HORNET™ / Boston Scientific

Guidewire
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MAMBA™ / Boston Scientific

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Gladius / Asahi

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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...

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11 comments
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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
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    • Alexandre A.

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

      2023-01-28, 0h36
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      • 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
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        • 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
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          • Georges E.

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

            2023-02-11, 20h11
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            • v22e V.

              v22e V. This comment has been moderated

              2023-02-23, 21h42
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              • Akyuz S.

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

                2023-04-20, 19h47
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                • 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
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                  • Baghdasaryan D.

                    Baghdasaryan D. Perfect

                    2024-04-14, 14h07
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                    • 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
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                      • Umar S.

                        Umar S. Thank you very much for this amazing case

                        2025-02-04, 8h00
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