×
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.
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


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 : 2023-02-21

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 ...

Share
9 comments
Join the Discussion
See previous comments (5)
  • 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.


                    Suggestions

                    Wednesday, October 4th 2023 from 06pm to 06:45pm (GMT+2)
                    Honolulu : Wednesday, October 4th 2023 from 06am to 06:45am (GMT-10)
                    San Francisco : Wednesday, October 4th 2023 from 09am to 09:45am (GMT-7)
                    New York : Wednesday, October 4th 2023 from 12pm to 12:45pm (GMT-4)
                    Buenos Aires : Wednesday, October 4th 2023 from 01pm to 01:45pm (GMT-3)
                    Reykjavik : Wednesday, October 4th 2023 from 04pm to 04:45pm (GMT)
                    London / Dublin : Wednesday, October 4th 2023 from 05pm to 05:45pm (GMT+1)
                    Paris / Berlin : Wednesday, October 4th 2023 from 06pm to 06:45pm (GMT+2)
                    Istanbul : Wednesday, October 4th 2023 from 07pm to 07:45pm (GMT+3)
                    Moscou / Dubaï : Wednesday, October 4th 2023 from 08pm to 08:45pm (GMT+4)
                    Bangkok : Wednesday, October 4th 2023 from 11pm to 11:45pm (GMT+7)
                    Shanghai : Thursday, October 5th 2023 from 12am to 12:45am (GMT+8)
                    Tokyo : Thursday, October 5th 2023 from 01am to 01:45am (GMT+9)
                    Sydney : Thursday, October 5th 2023 from 03am to 03:45am (GMT+11)
                    Wellington : Thursday, October 5th 2023 from 05am to 05:45am (GMT+13)

                    Guides de 1ère intention :

                    algorithme décisionnel de la lésion simple à la lésion complexe

                    Share
                    Monday, July 4th 2022 from 05pm to 06pm (GMT+2)
                    Honolulu : Monday, July 4th 2022 from 05am to 06am (GMT-10)
                    San Francisco : Monday, July 4th 2022 from 08am to 09am (GMT-7)
                    New York : Monday, July 4th 2022 from 11am to 12pm (GMT-4)
                    Buenos Aires : Monday, July 4th 2022 from 12pm to 01pm (GMT-3)
                    Reykjavik : Monday, July 4th 2022 from 03pm to 04pm (GMT)
                    London / Dublin : Monday, July 4th 2022 from 04pm to 05pm (GMT+1)
                    Paris / Berlin : Monday, July 4th 2022 from 05pm to 06pm (GMT+2)
                    Istanbul : Monday, July 4th 2022 from 06pm to 07pm (GMT+3)
                    Moscou / Dubaï : Monday, July 4th 2022 from 07pm to 08pm (GMT+4)
                    Bangkok : Monday, July 4th 2022 from 10pm to 11pm (GMT+7)
                    Shanghai : Monday, July 4th 2022 from 11pm to 12am (GMT+8)
                    Tokyo : Tuesday, July 5th 2022 from 12am to 01am (GMT+9)
                    Sydney : Tuesday, July 5th 2022 from 02am to 03am (GMT+11)
                    Wellington : Tuesday, July 5th 2022 from 04am to 05am (GMT+13)

                    Comment optimiser le traitement des longues lésions calcifiées grâce à l’OCT ?

                    Live-in-a-box case, Angioplastie Coronaire guidée par l’OCT

                    Share
                    Monday, September 26th 2022 from 05pm to 07pm (GMT+2)
                    Honolulu : Monday, September 26th 2022 from 05am to 07am (GMT-10)
                    San Francisco : Monday, September 26th 2022 from 08am to 10am (GMT-7)
                    New York : Monday, September 26th 2022 from 11am to 01pm (GMT-4)
                    Buenos Aires : Monday, September 26th 2022 from 12pm to 02pm (GMT-3)
                    Reykjavik : Monday, September 26th 2022 from 03pm to 05pm (GMT)
                    London / Dublin : Monday, September 26th 2022 from 04pm to 06pm (GMT+1)
                    Paris / Berlin : Monday, September 26th 2022 from 05pm to 07pm (GMT+2)
                    Istanbul : Monday, September 26th 2022 from 06pm to 08pm (GMT+3)
                    Moscou / Dubaï : Monday, September 26th 2022 from 07pm to 09pm (GMT+4)
                    Bangkok : Monday, September 26th 2022 from 10pm to 12am (GMT+7)
                    Shanghai : Monday, September 26th 2022 from 11pm to 01am (GMT+8)
                    Tokyo : Tuesday, September 27th 2022 from 12am to 02am (GMT+9)
                    Sydney : Tuesday, September 27th 2022 from 02am to 04am (GMT+11)
                    Wellington : Tuesday, September 27th 2022 from 04am to 06am (GMT+13)

                    30 Years of Transradial Access:

                    Pushing the boundaries in cardiology & beyond

                    Share
                    Wednesday, September 14th 2022 from 06pm to 07pm (GMT+2)
                    Honolulu : Wednesday, September 14th 2022 from 06am to 07am (GMT-10)
                    San Francisco : Wednesday, September 14th 2022 from 09am to 10am (GMT-7)
                    New York : Wednesday, September 14th 2022 from 12pm to 01pm (GMT-4)
                    Buenos Aires : Wednesday, September 14th 2022 from 01pm to 02pm (GMT-3)
                    Reykjavik : Wednesday, September 14th 2022 from 04pm to 05pm (GMT)
                    London / Dublin : Wednesday, September 14th 2022 from 05pm to 06pm (GMT+1)
                    Paris / Berlin : Wednesday, September 14th 2022 from 06pm to 07pm (GMT+2)
                    Istanbul : Wednesday, September 14th 2022 from 07pm to 08pm (GMT+3)
                    Moscou / Dubaï : Wednesday, September 14th 2022 from 08pm to 09pm (GMT+4)
                    Bangkok : Wednesday, September 14th 2022 from 11pm to 12am (GMT+7)
                    Shanghai : Thursday, September 15th 2022 from 12am to 01am (GMT+8)
                    Tokyo : Thursday, September 15th 2022 from 01am to 02am (GMT+9)
                    Sydney : Thursday, September 15th 2022 from 03am to 04am (GMT+11)
                    Wellington : Thursday, September 15th 2022 from 05am to 06am (GMT+13)

                    Protected PCI: Clinical Evidence and Best Practices Improvement

                    Impella Case Club

                    Share
                    Friday, September 23rd 2022 from 08:30am to 04:10pm (GMT+2)
                    Honolulu : Thursday, September 22nd 2022 from 08:30pm to 04:10am (GMT-10)
                    San Francisco : Thursday, September 22nd 2022 from 11:30pm to 07:10am (GMT-7)
                    New York : Friday, September 23rd 2022 from 02:30am to 10:10am (GMT-4)
                    Buenos Aires : Friday, September 23rd 2022 from 03:30am to 11:10am (GMT-3)
                    Reykjavik : Friday, September 23rd 2022 from 06:30am to 02:10pm (GMT)
                    London / Dublin : Friday, September 23rd 2022 from 07:30am to 03:10pm (GMT+1)
                    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+3)
                    Moscou / Dubaï : Friday, September 23rd 2022 from 10:30am to 06:10pm (GMT+4)
                    Bangkok : Friday, September 23rd 2022 from 01:30pm to 09:10pm (GMT+7)
                    Shanghai : Friday, September 23rd 2022 from 02:30pm to 10:10pm (GMT+8)
                    Tokyo : Friday, September 23rd 2022 from 03:30pm to 11:10pm (GMT+9)
                    Sydney : Friday, September 23rd 2022 from 05:30pm to 01:10am (GMT+11)
                    Wellington : Friday, September 23rd 2022 from 07:30pm to 03:10am (GMT+13)

                    Luzern Complex and Calcified PCI Workshop

                    miniLUCCA

                    Share
                    Tuesday, October 25th 2022 from 06pm to 07:15pm (GMT+2)
                    Honolulu : Tuesday, October 25th 2022 from 06am to 07:15am (GMT-10)
                    San Francisco : Tuesday, October 25th 2022 from 09am to 10:15am (GMT-7)
                    New York : Tuesday, October 25th 2022 from 12pm to 01:15pm (GMT-4)
                    Buenos Aires : Tuesday, October 25th 2022 from 01pm to 02:15pm (GMT-3)
                    Reykjavik : Tuesday, October 25th 2022 from 04pm to 05:15pm (GMT)
                    London / Dublin : Tuesday, October 25th 2022 from 05pm to 06:15pm (GMT+1)
                    Paris / Berlin : Tuesday, October 25th 2022 from 06pm to 07:15pm (GMT+2)
                    Istanbul : Tuesday, October 25th 2022 from 07pm to 08:15pm (GMT+3)
                    Moscou / Dubaï : Tuesday, October 25th 2022 from 08pm to 09:15pm (GMT+4)
                    Bangkok : Tuesday, October 25th 2022 from 11pm to 12:15am (GMT+7)
                    Shanghai : Wednesday, October 26th 2022 from 12am to 01:15am (GMT+8)
                    Tokyo : Wednesday, October 26th 2022 from 01am to 02:15am (GMT+9)
                    Sydney : Wednesday, October 26th 2022 from 03am to 04:15am (GMT+11)
                    Wellington : Wednesday, October 26th 2022 from 05am to 06:15am (GMT+13)

                    The role of hemodynamic support in cardiogenic shock:

                    When to escalate and when to de-escalate

                    Share
                    Thursday, September 16th 2021 from 05pm to 06pm (GMT+2)
                    Honolulu : Thursday, September 16th 2021 from 05am to 06am (GMT-10)
                    San Francisco : Thursday, September 16th 2021 from 08am to 09am (GMT-7)
                    New York : Thursday, September 16th 2021 from 11am to 12pm (GMT-4)
                    Buenos Aires : Thursday, September 16th 2021 from 12pm to 01pm (GMT-3)
                    Reykjavik : Thursday, September 16th 2021 from 03pm to 04pm (GMT)
                    London / Dublin : Thursday, September 16th 2021 from 04pm to 05pm (GMT+1)
                    Paris / Berlin : Thursday, September 16th 2021 from 05pm to 06pm (GMT+2)
                    Istanbul : Thursday, September 16th 2021 from 06pm to 07pm (GMT+3)
                    Moscou / Dubaï : Thursday, September 16th 2021 from 07pm to 08pm (GMT+4)
                    Bangkok : Thursday, September 16th 2021 from 10pm to 11pm (GMT+7)
                    Shanghai : Thursday, September 16th 2021 from 11pm to 12am (GMT+8)
                    Tokyo : Friday, September 17th 2021 from 12am to 01am (GMT+9)
                    Sydney : Friday, September 17th 2021 from 02am to 03am (GMT+11)
                    Wellington : Friday, September 17th 2021 from 04am to 05am (GMT+13)

                    The role of drug-coated balloons in PCI

                    Share
                    Tuesday, November 30th 2021 from 07pm to 08pm (GMT+2)
                    Honolulu : Tuesday, November 30th 2021 from 07am to 08am (GMT-10)
                    San Francisco : Tuesday, November 30th 2021 from 09am to 10am (GMT-8)
                    New York : Tuesday, November 30th 2021 from 12pm to 01pm (GMT-5)
                    Buenos Aires : Tuesday, November 30th 2021 from 02pm to 03pm (GMT-3)
                    London / Dublin : Tuesday, November 30th 2021 from 05pm to 06pm (GMT)
                    Paris / Berlin : Tuesday, November 30th 2021 from 06pm to 07pm (GMT+1)
                    Istanbul : Tuesday, November 30th 2021 from 07pm to 08pm (GMT+2)
                    Moscou / Dubaï : Tuesday, November 30th 2021 from 09pm to 10pm (GMT+4)
                    Bangkok : Wednesday, December 1st 2021 from 12am to 01am (GMT+7)
                    Shanghai : Wednesday, December 1st 2021 from 01am to 02am (GMT+8)
                    Tokyo : Wednesday, December 1st 2021 from 02am to 03am (GMT+9)
                    Sydney : Wednesday, December 1st 2021 from 03am to 04am (GMT+10)
                    Wellington : Wednesday, December 1st 2021 from 05am to 06am (GMT+12)

                    The Role of Mechanical Circulatory Support in High-Risk PCI & in CTO PCI

                    Impella Case Club

                    Share
                    Scroll Up