×
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


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

Alex & Friends

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
11 comments
Join the Discussion
See previous comments (7)
  • 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.

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

        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. 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

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

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

              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. This comment has been moderated

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

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

                    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. Perfect

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

                        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. Thank you very much for this amazing case

                          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, September 23rd 2022 from 08:30am to 04:10pm (GMT+2)
                        Honolulu : Thursday, September 22nd 2022 from 08:30pm to 04:10am (GMT+2)
                        San Francisco : Thursday, September 22nd 2022 from 11:30pm to 07:10am (GMT+2)
                        New York : Friday, September 23rd 2022 from 02:30am to 10:10am (GMT+2)
                        Buenos Aires : Friday, September 23rd 2022 from 03:30am to 11:10am (GMT+2)
                        Reykjavik : Friday, September 23rd 2022 from 06:30am to 02:10pm (GMT+2)
                        London / Dublin : Friday, September 23rd 2022 from 07:30am to 03:10pm (GMT+2)
                        Paris / Berlin : Friday, September 23rd 2022 from 08:30am to 04:10pm (GMT+2)
                        Istanbul : Friday, September 23rd 2022 from 09:30am to 05:10pm (GMT+2)
                        Moscou / Dubaï : Friday, September 23rd 2022 from 10:30am to 06:10pm (GMT+2)
                        Bangkok : Friday, September 23rd 2022 from 01:30pm to 09:10pm (GMT+2)
                        Shanghai : Friday, September 23rd 2022 from 02:30pm to 10:10pm (GMT+2)
                        Tokyo : Friday, September 23rd 2022 from 03:30pm to 11:10pm (GMT+2)
                        Sydney : Friday, September 23rd 2022 from 05:30pm to 01:10am (GMT+2)
                        Wellington : Friday, September 23rd 2022 from 07:30pm to 03:10am (GMT+2)

                        Luzern Complex and Calcified PCI Workshop

                        miniLUCCA

                        Share
                        Monday, September 19th 2022 from 06pm to 07pm (GMT+2)
                        Honolulu : Monday, September 19th 2022 from 06am to 07am (GMT+2)
                        San Francisco : Monday, September 19th 2022 from 09am to 10am (GMT+2)
                        New York : Monday, September 19th 2022 from 12pm to 01pm (GMT+2)
                        Buenos Aires : Monday, September 19th 2022 from 01pm to 02pm (GMT+2)
                        Reykjavik : Monday, September 19th 2022 from 04pm to 05pm (GMT+2)
                        London / Dublin : Monday, September 19th 2022 from 05pm to 06pm (GMT+2)
                        Paris / Berlin : Monday, September 19th 2022 from 06pm to 07pm (GMT+2)
                        Istanbul : Monday, September 19th 2022 from 07pm to 08pm (GMT+2)
                        Moscou / Dubaï : Monday, September 19th 2022 from 08pm to 09pm (GMT+2)
                        Bangkok : Monday, September 19th 2022 from 11pm to 12am (GMT+2)
                        Shanghai : Tuesday, September 20th 2022 from 12am to 01am (GMT+2)
                        Tokyo : Tuesday, September 20th 2022 from 01am to 02am (GMT+2)
                        Sydney : Tuesday, September 20th 2022 from 03am to 04am (GMT+2)
                        Wellington : Tuesday, September 20th 2022 from 05am to 06am (GMT+2)

                        Benefits of Mechanical Circulatory Support devices

                        Swiss Case Club

                        Share
                        Saturday, March 29th 2025 from 08am to 10pm (GMT+1)
                        Honolulu : Friday, March 28th 2025 from 08pm to 10am (GMT+1)
                        San Francisco : Friday, March 28th 2025 from 10pm to 12pm (GMT+1)
                        New York : Saturday, March 29th 2025 from 01am to 03pm (GMT+1)
                        Buenos Aires : Saturday, March 29th 2025 from 03am to 05pm (GMT+1)
                        London / Dublin : Saturday, March 29th 2025 from 06am to 08pm (GMT+1)
                        Paris / Berlin : Saturday, March 29th 2025 from 07am to 09pm (GMT+1)
                        Istanbul : Saturday, March 29th 2025 from 08am to 10pm (GMT+1)
                        Moscou / Dubaï : Saturday, March 29th 2025 from 10am to 12am (GMT+1)
                        Bangkok : Saturday, March 29th 2025 from 01pm to 03am (GMT+1)
                        Shanghai : Saturday, March 29th 2025 from 02pm to 04am (GMT+1)
                        Tokyo : Saturday, March 29th 2025 from 03pm to 05am (GMT+1)
                        Sydney : Saturday, March 29th 2025 from 04pm to 06am (GMT+1)
                        Wellington : Saturday, March 29th 2025 from 06pm to 08am (GMT+1)

                        Complex & High-Risk Indicated Procedures

                        Discover the 6th edition - Day #2

                        Share
                        Thursday, January 19th 2023 from 05pm to 06pm (GMT+1)
                        Honolulu : Thursday, January 19th 2023 from 05am to 06am (GMT+1)
                        San Francisco : Thursday, January 19th 2023 from 07am to 08am (GMT+1)
                        New York : Thursday, January 19th 2023 from 10am to 11am (GMT+1)
                        Buenos Aires : Thursday, January 19th 2023 from 12pm to 01pm (GMT+1)
                        London / Dublin : Thursday, January 19th 2023 from 03pm to 04pm (GMT+1)
                        Paris / Berlin : Thursday, January 19th 2023 from 04pm to 05pm (GMT+1)
                        Istanbul : Thursday, January 19th 2023 from 05pm to 06pm (GMT+1)
                        Moscou / Dubaï : Thursday, January 19th 2023 from 07pm to 08pm (GMT+1)
                        Bangkok : Thursday, January 19th 2023 from 10pm to 11pm (GMT+1)
                        Shanghai : Thursday, January 19th 2023 from 11pm to 12am (GMT+1)
                        Tokyo : Friday, January 20th 2023 from 12am to 01am (GMT+1)
                        Sydney : Friday, January 20th 2023 from 01am to 02am (GMT+1)
                        Wellington : Friday, January 20th 2023 from 03am to 04am (GMT+1)

                        Left Main Bifurcation from data to clinical practice

                        Share
                        Wednesday, June 21st 2023 from 04pm to 05:30pm (GMT+2)
                        Honolulu : Wednesday, June 21st 2023 from 04am to 05:30am (GMT+2)
                        San Francisco : Wednesday, June 21st 2023 from 07am to 08:30am (GMT+2)
                        New York : Wednesday, June 21st 2023 from 10am to 11:30am (GMT+2)
                        Buenos Aires : Wednesday, June 21st 2023 from 11am to 12:30pm (GMT+2)
                        Reykjavik : Wednesday, June 21st 2023 from 02pm to 03:30pm (GMT+2)
                        London / Dublin : Wednesday, June 21st 2023 from 03pm to 04:30pm (GMT+2)
                        Paris / Berlin : Wednesday, June 21st 2023 from 04pm to 05:30pm (GMT+2)
                        Istanbul : Wednesday, June 21st 2023 from 05pm to 06:30pm (GMT+2)
                        Moscou / Dubaï : Wednesday, June 21st 2023 from 06pm to 07:30pm (GMT+2)
                        Bangkok : Wednesday, June 21st 2023 from 09pm to 10:30pm (GMT+2)
                        Shanghai : Wednesday, June 21st 2023 from 10pm to 11:30pm (GMT+2)
                        Tokyo : Wednesday, June 21st 2023 from 11pm to 12:30am (GMT+2)
                        Sydney : Thursday, June 22nd 2023 from 01am to 02:30am (GMT+2)
                        Wellington : Thursday, June 22nd 2023 from 03am to 04:30am (GMT+2)

                        Strategies and techniques to treat multivessel disease with complex lesions

                        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

                        Share
                        Scroll Up