×
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: 72 years old

Prior clinical history

  • PCI distal Cx and left main/Cx with Megatron 4.5/16
  • Risk factors: Type 2 diabete, Dyslipidemia

Clinical Presentation

  • MRI Anterior wall viability
  • Cardiac defibrillator
  • Echocardiography: EF 25/30 %

Angiography

Shooting date : 2023-02-22
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
5 comments
Join the Discussion
See previous comments (1)
  • Stefan H. What a joyous and educational cooperation, Alexandre & Roberto!
    Great strategy, and efficient use of IVUS

      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.


    • Aly T. Very nice teaching case thank you both

        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.


      • Pavel S. Thank you for this theaching point with ivus!
        Great case and result!

          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.


        • Nair V. Thank you both for this excellent case and commentary on best practices during the procedure.

            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.


          • khaled E. Great case done by two Masters. Live démonstration of use of IVUS in ambigious cap, sizing vessel, checking re entry into the stent.
            It would be a risky procedure without IVUS.
            Thanks for this teaching episode of alex and friends.

              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, July 5th 2023 from 06pm to 07pm (GMT+2)
            Honolulu : Wednesday, July 5th 2023 from 06am to 07am (GMT+2)
            San Francisco : Wednesday, July 5th 2023 from 09am to 10am (GMT+2)
            New York : Wednesday, July 5th 2023 from 12pm to 01pm (GMT+2)
            Buenos Aires : Wednesday, July 5th 2023 from 01pm to 02pm (GMT+2)
            Reykjavik : Wednesday, July 5th 2023 from 04pm to 05pm (GMT+2)
            London / Dublin : Wednesday, July 5th 2023 from 05pm to 06pm (GMT+2)
            Paris / Berlin : Wednesday, July 5th 2023 from 06pm to 07pm (GMT+2)
            Istanbul : Wednesday, July 5th 2023 from 07pm to 08pm (GMT+2)
            Moscou / Dubaï : Wednesday, July 5th 2023 from 08pm to 09pm (GMT+2)
            Bangkok : Wednesday, July 5th 2023 from 11pm to 12am (GMT+2)
            Shanghai : Thursday, July 6th 2023 from 12am to 01am (GMT+2)
            Tokyo : Thursday, July 6th 2023 from 01am to 02am (GMT+2)
            Sydney : Thursday, July 6th 2023 from 03am to 04am (GMT+2)
            Wellington : Thursday, July 6th 2023 from 05am to 06am (GMT+2)

            Left Main and Bifurcation treatment:

            impact of clinical trials in daily practice

            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

            Share
            Thursday, May 30th 2024 from 07:30am to 10:30pm (GMT+2)
            Honolulu : Wednesday, May 29th 2024 from 07:30pm to 10:30am (GMT+2)
            San Francisco : Wednesday, May 29th 2024 from 10:30pm to 01:30pm (GMT+2)
            New York : Thursday, May 30th 2024 from 01:30am to 04:30pm (GMT+2)
            Buenos Aires : Thursday, May 30th 2024 from 02:30am to 05:30pm (GMT+2)
            Reykjavik : Thursday, May 30th 2024 from 05:30am to 08:30pm (GMT+2)
            London / Dublin : Thursday, May 30th 2024 from 06:30am to 09:30pm (GMT+2)
            Paris / Berlin : Thursday, May 30th 2024 from 07:30am to 10:30pm (GMT+2)
            Istanbul : Thursday, May 30th 2024 from 08:30am to 11:30pm (GMT+2)
            Moscou / Dubaï : Thursday, May 30th 2024 from 09:30am to 12:30am (GMT+2)
            Bangkok : Thursday, May 30th 2024 from 12:30pm to 03:30am (GMT+2)
            Shanghai : Thursday, May 30th 2024 from 01:30pm to 04:30am (GMT+2)
            Tokyo : Thursday, May 30th 2024 from 02:30pm to 05:30am (GMT+2)
            Sydney : Thursday, May 30th 2024 from 04:30pm to 07:30am (GMT+2)
            Wellington : Thursday, May 30th 2024 from 06:30pm to 09:30am (GMT+2)

            CTO LIVE AID 2024

            5th edition

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

            Guides de 1ère intention :

            algorithme décisionnel de la lésion simple à la lésion complexe

            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
            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

            Share
            Scroll Up