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Patient's Presentation
- Gender: NC
- Age: 66 years old
Prior clinical history
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PCI Left Main/LAD 08/23
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Risk factors: HTA, Dyslepidemia, Diabetis, ex smoker
Clinical Presentation
- Scintigraphia: inferior & lateral ischemia
- Echocardiography: EF 55%
Angiography
Shooting date : 2023-11-29
Last update : 2025-06-26
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...
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Upcoming, Wednesday 28th February
Where is my guidewire? Only IVUS knows - A story about an ambiguous RCA proximal cap
Alex & The Young Generation - Ep.10
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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)
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
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Wednesday, April 2nd 2025 from 06pm to 07pm (GMT+2)
Honolulu : Wednesday, April 2nd 2025 from 06am to 07am (GMT+2)
San Francisco : Wednesday, April 2nd 2025 from 09am to 10am (GMT+2)
New York : Wednesday, April 2nd 2025 from 12pm to 01pm (GMT+2)
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Reykjavik : Wednesday, April 2nd 2025 from 04pm to 05pm (GMT+2)
London / Dublin : Wednesday, April 2nd 2025 from 05pm to 06pm (GMT+2)
Paris / Berlin : Wednesday, April 2nd 2025 from 06pm to 07pm (GMT+2)
Istanbul : Wednesday, April 2nd 2025 from 07pm to 08pm (GMT+2)
Moscou / Dubaï : Wednesday, April 2nd 2025 from 08pm to 09pm (GMT+2)
Bangkok : Wednesday, April 2nd 2025 from 11pm to 12am (GMT+2)
Shanghai : Thursday, April 3rd 2025 from 12am to 01am (GMT+2)
Tokyo : Thursday, April 3rd 2025 from 01am to 02am (GMT+2)
Sydney : Thursday, April 3rd 2025 from 03am to 04am (GMT+2)
Wellington : Thursday, April 3rd 2025 from 05am to 06am (GMT+2)
San Francisco : Wednesday, April 2nd 2025 from 09am to 10am (GMT+2)
New York : Wednesday, April 2nd 2025 from 12pm to 01pm (GMT+2)
Buenos Aires : Wednesday, April 2nd 2025 from 01pm to 02pm (GMT+2)
Reykjavik : Wednesday, April 2nd 2025 from 04pm to 05pm (GMT+2)
London / Dublin : Wednesday, April 2nd 2025 from 05pm to 06pm (GMT+2)
Paris / Berlin : Wednesday, April 2nd 2025 from 06pm to 07pm (GMT+2)
Istanbul : Wednesday, April 2nd 2025 from 07pm to 08pm (GMT+2)
Moscou / Dubaï : Wednesday, April 2nd 2025 from 08pm to 09pm (GMT+2)
Bangkok : Wednesday, April 2nd 2025 from 11pm to 12am (GMT+2)
Shanghai : Thursday, April 3rd 2025 from 12am to 01am (GMT+2)
Tokyo : Thursday, April 3rd 2025 from 01am to 02am (GMT+2)
Sydney : Thursday, April 3rd 2025 from 03am to 04am (GMT+2)
Wellington : Thursday, April 3rd 2025 from 05am to 06am (GMT+2)
Le choix des armes contre les lésions calcifiées
Nouveaux outils pour la prise en charge de calcifications coronaires
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Discover now !
Proximal right coronary occlusion: a task for Gaia Next?
Alex & Friends - Ep.14
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Friday, October 20th 2023 from 05pm to 07:15pm (GMT+2)
Honolulu : Friday, October 20th 2023 from 05am to 07:15am (GMT+2)
San Francisco : Friday, October 20th 2023 from 08am to 10:15am (GMT+2)
New York : Friday, October 20th 2023 from 11am to 01:15pm (GMT+2)
Buenos Aires : Friday, October 20th 2023 from 12pm to 02:15pm (GMT+2)
Reykjavik : Friday, October 20th 2023 from 03pm to 05:15pm (GMT+2)
London / Dublin : Friday, October 20th 2023 from 04pm to 06:15pm (GMT+2)
Paris / Berlin : Friday, October 20th 2023 from 05pm to 07:15pm (GMT+2)
Istanbul : Friday, October 20th 2023 from 06pm to 08:15pm (GMT+2)
Moscou / Dubaï : Friday, October 20th 2023 from 07pm to 09:15pm (GMT+2)
Bangkok : Friday, October 20th 2023 from 10pm to 12:15am (GMT+2)
Shanghai : Friday, October 20th 2023 from 11pm to 01:15am (GMT+2)
Tokyo : Saturday, October 21st 2023 from 12am to 02:15am (GMT+2)
Sydney : Saturday, October 21st 2023 from 02am to 04:15am (GMT+2)
Wellington : Saturday, October 21st 2023 from 04am to 06:15am (GMT+2)
San Francisco : Friday, October 20th 2023 from 08am to 10:15am (GMT+2)
New York : Friday, October 20th 2023 from 11am to 01:15pm (GMT+2)
Buenos Aires : Friday, October 20th 2023 from 12pm to 02:15pm (GMT+2)
Reykjavik : Friday, October 20th 2023 from 03pm to 05:15pm (GMT+2)
London / Dublin : Friday, October 20th 2023 from 04pm to 06:15pm (GMT+2)
Paris / Berlin : Friday, October 20th 2023 from 05pm to 07:15pm (GMT+2)
Istanbul : Friday, October 20th 2023 from 06pm to 08:15pm (GMT+2)
Moscou / Dubaï : Friday, October 20th 2023 from 07pm to 09:15pm (GMT+2)
Bangkok : Friday, October 20th 2023 from 10pm to 12:15am (GMT+2)
Shanghai : Friday, October 20th 2023 from 11pm to 01:15am (GMT+2)
Tokyo : Saturday, October 21st 2023 from 12am to 02:15am (GMT+2)
Sydney : Saturday, October 21st 2023 from 02am to 04:15am (GMT+2)
Wellington : Saturday, October 21st 2023 from 04am to 06:15am (GMT+2)
Bifurcation PCI: an immersive experience
Live cases from the Visible Heart® Lab
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Discover it now!
Proximal RCA occlusion with ipsi and controlateral collateral
Alex & Friends - Ep.7
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george M. Very informative from one of the best!
Alexandre A. thanks George
Aymen B. Wow many struggles and complications nicely managed from 2 masters !
Alexandre A. Thanks Aymen
Marin V. Vauuu... Full house of very nice managed extreme coronary intervention complication! Very useful tips, thank you. Was there any room or need for perinterventional cardiac echo?
Alexandre A. Yes we did Echo after the case, no effusion,
Thanks for following us
Ahmed E. Awesome work by two master operators. A live demo of the various challenges faced during CTO PCI beyond wire crossing. Loved the rota tips. Had the same experience with OPN balloons in a similar scenario where a spike of calcium kept rupturing every other balloon ????????????????
ahmed B. A very tough case & elegant performance. Also very unusual mishap regarding the wasted ballons, and the damaged Burr.
Finally the CX lookks amazing at the end
Very happy to see both of you scrubbed on a case
It really has to be undoubtly tough since you both there.
Yours
A fond fan of you
Mohamed R. Very informative case with lots of well managed complications, some questions if I may, retrospectively was using IVL before rota or even after stenting of LCx ostium a good option, then how is LAD flow restored despite using a covered stent from LM to LCx ?