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Patient's Presentation
- Gender: NC
- Age: 66 years old
Prior clinical history
-
PCI Left Main/LAD 08/23
-
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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Tuesday, April 23rd 2024 from 05pm to 06:15pm (GMT+2)
Honolulu : Tuesday, April 23rd 2024 from 05am to 06:15am (GMT+2)
San Francisco : Tuesday, April 23rd 2024 from 08am to 09:15am (GMT+2)
New York : Tuesday, April 23rd 2024 from 11am to 12:15pm (GMT+2)
Buenos Aires : Tuesday, April 23rd 2024 from 12pm to 01:15pm (GMT+2)
Reykjavik : Tuesday, April 23rd 2024 from 03pm to 04:15pm (GMT+2)
London / Dublin : Tuesday, April 23rd 2024 from 04pm to 05:15pm (GMT+2)
Paris / Berlin : Tuesday, April 23rd 2024 from 05pm to 06:15pm (GMT+2)
Istanbul : Tuesday, April 23rd 2024 from 06pm to 07:15pm (GMT+2)
Moscou / Dubaï : Tuesday, April 23rd 2024 from 07pm to 08:15pm (GMT+2)
Bangkok : Tuesday, April 23rd 2024 from 10pm to 11:15pm (GMT+2)
Shanghai : Tuesday, April 23rd 2024 from 11pm to 12:15am (GMT+2)
Tokyo : Wednesday, April 24th 2024 from 12am to 01:15am (GMT+2)
Sydney : Wednesday, April 24th 2024 from 02am to 03:15am (GMT+2)
Wellington : Wednesday, April 24th 2024 from 04am to 05:15am (GMT+2)
San Francisco : Tuesday, April 23rd 2024 from 08am to 09:15am (GMT+2)
New York : Tuesday, April 23rd 2024 from 11am to 12:15pm (GMT+2)
Buenos Aires : Tuesday, April 23rd 2024 from 12pm to 01:15pm (GMT+2)
Reykjavik : Tuesday, April 23rd 2024 from 03pm to 04:15pm (GMT+2)
London / Dublin : Tuesday, April 23rd 2024 from 04pm to 05:15pm (GMT+2)
Paris / Berlin : Tuesday, April 23rd 2024 from 05pm to 06:15pm (GMT+2)
Istanbul : Tuesday, April 23rd 2024 from 06pm to 07:15pm (GMT+2)
Moscou / Dubaï : Tuesday, April 23rd 2024 from 07pm to 08:15pm (GMT+2)
Bangkok : Tuesday, April 23rd 2024 from 10pm to 11:15pm (GMT+2)
Shanghai : Tuesday, April 23rd 2024 from 11pm to 12:15am (GMT+2)
Tokyo : Wednesday, April 24th 2024 from 12am to 01:15am (GMT+2)
Sydney : Wednesday, April 24th 2024 from 02am to 03:15am (GMT+2)
Wellington : Wednesday, April 24th 2024 from 04am to 05:15am (GMT+2)
From Access to Closure through Treatment:
How to Maximize Outcomes while Minimizing Impact
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Wednesday, October 16th 2024 from 06pm to 06:45pm (GMT+2)
Honolulu : Wednesday, October 16th 2024 from 06am to 06:45am (GMT+2)
San Francisco : Wednesday, October 16th 2024 from 09am to 09:45am (GMT+2)
New York : Wednesday, October 16th 2024 from 12pm to 12:45pm (GMT+2)
Buenos Aires : Wednesday, October 16th 2024 from 01pm to 01:45pm (GMT+2)
Reykjavik : Wednesday, October 16th 2024 from 04pm to 04:45pm (GMT+2)
London / Dublin : Wednesday, October 16th 2024 from 05pm to 05:45pm (GMT+2)
Paris / Berlin : Wednesday, October 16th 2024 from 06pm to 06:45pm (GMT+2)
Istanbul : Wednesday, October 16th 2024 from 07pm to 07:45pm (GMT+2)
Moscou / Dubaï : Wednesday, October 16th 2024 from 08pm to 08:45pm (GMT+2)
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Shanghai : Thursday, October 17th 2024 from 12am to 12:45am (GMT+2)
Tokyo : Thursday, October 17th 2024 from 01am to 01:45am (GMT+2)
Sydney : Thursday, October 17th 2024 from 03am to 03:45am (GMT+2)
Wellington : Thursday, October 17th 2024 from 05am to 05:45am (GMT+2)
San Francisco : Wednesday, October 16th 2024 from 09am to 09:45am (GMT+2)
New York : Wednesday, October 16th 2024 from 12pm to 12:45pm (GMT+2)
Buenos Aires : Wednesday, October 16th 2024 from 01pm to 01:45pm (GMT+2)
Reykjavik : Wednesday, October 16th 2024 from 04pm to 04:45pm (GMT+2)
London / Dublin : Wednesday, October 16th 2024 from 05pm to 05:45pm (GMT+2)
Paris / Berlin : Wednesday, October 16th 2024 from 06pm to 06:45pm (GMT+2)
Istanbul : Wednesday, October 16th 2024 from 07pm to 07:45pm (GMT+2)
Moscou / Dubaï : Wednesday, October 16th 2024 from 08pm to 08:45pm (GMT+2)
Bangkok : Wednesday, October 16th 2024 from 11pm to 11:45pm (GMT+2)
Shanghai : Thursday, October 17th 2024 from 12am to 12:45am (GMT+2)
Tokyo : Thursday, October 17th 2024 from 01am to 01:45am (GMT+2)
Sydney : Thursday, October 17th 2024 from 03am to 03:45am (GMT+2)
Wellington : Thursday, October 17th 2024 from 05am to 05:45am (GMT+2)
Guides de 1ère intention :
les trucs et les astuces qui aident en pratique
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With Masahisa Yamane
Honolulu : Tuesday, June 6th 2023 from 12pm to 12pm (GMT+2)
San Francisco : Tuesday, June 6th 2023 from 03pm to 03pm (GMT+2)
New York : Tuesday, June 6th 2023 from 06pm to 06pm (GMT+2)
Buenos Aires : Tuesday, June 6th 2023 from 07pm to 07pm (GMT+2)
Reykjavik : Tuesday, June 6th 2023 from 10pm to 10pm (GMT+2)
London / Dublin : Tuesday, June 6th 2023 from 11pm to 11pm (GMT+2)
Paris / Berlin : Wednesday, June 7th 2023 from 12am to 12am (GMT+2)
Istanbul : Wednesday, June 7th 2023 from 01am to 01am (GMT+2)
Moscou / Dubaï : Wednesday, June 7th 2023 from 02am to 02am (GMT+2)
Bangkok : Wednesday, June 7th 2023 from 05am to 05am (GMT+2)
Shanghai : Wednesday, June 7th 2023 from 06am to 06am (GMT+2)
Tokyo : Wednesday, June 7th 2023 from 07am to 07am (GMT+2)
Sydney : Wednesday, June 7th 2023 from 09am to 09am (GMT+2)
Wellington : Wednesday, June 7th 2023 from 11am to 11am (GMT+2)
San Francisco : Tuesday, June 6th 2023 from 03pm to 03pm (GMT+2)
New York : Tuesday, June 6th 2023 from 06pm to 06pm (GMT+2)
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Reykjavik : Tuesday, June 6th 2023 from 10pm to 10pm (GMT+2)
London / Dublin : Tuesday, June 6th 2023 from 11pm to 11pm (GMT+2)
Paris / Berlin : Wednesday, June 7th 2023 from 12am to 12am (GMT+2)
Istanbul : Wednesday, June 7th 2023 from 01am to 01am (GMT+2)
Moscou / Dubaï : Wednesday, June 7th 2023 from 02am to 02am (GMT+2)
Bangkok : Wednesday, June 7th 2023 from 05am to 05am (GMT+2)
Shanghai : Wednesday, June 7th 2023 from 06am to 06am (GMT+2)
Tokyo : Wednesday, June 7th 2023 from 07am to 07am (GMT+2)
Sydney : Wednesday, June 7th 2023 from 09am to 09am (GMT+2)
Wellington : Wednesday, June 7th 2023 from 11am to 11am (GMT+2)
A complex ostial LAD occlusion in a 67 years old man
Alex & Friends - Ep.5
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Tuesday, October 4th 2022 from 05pm to 06:15pm (GMT+2)
Honolulu : Tuesday, October 4th 2022 from 05am to 06:15am (GMT+2)
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New York : Tuesday, October 4th 2022 from 11am to 12:15pm (GMT+2)
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Wellington : Wednesday, October 5th 2022 from 04am to 05:15am (GMT+2)
San Francisco : Tuesday, October 4th 2022 from 08am to 09:15am (GMT+2)
New York : Tuesday, October 4th 2022 from 11am to 12:15pm (GMT+2)
Buenos Aires : Tuesday, October 4th 2022 from 12pm to 01:15pm (GMT+2)
Reykjavik : Tuesday, October 4th 2022 from 03pm to 04:15pm (GMT+2)
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Paris / Berlin : Tuesday, October 4th 2022 from 05pm to 06:15pm (GMT+2)
Istanbul : Tuesday, October 4th 2022 from 06pm to 07:15pm (GMT+2)
Moscou / Dubaï : Tuesday, October 4th 2022 from 07pm to 08:15pm (GMT+2)
Bangkok : Tuesday, October 4th 2022 from 10pm to 11:15pm (GMT+2)
Shanghai : Tuesday, October 4th 2022 from 11pm to 12:15am (GMT+2)
Tokyo : Wednesday, October 5th 2022 from 12am to 01:15am (GMT+2)
Sydney : Wednesday, October 5th 2022 from 02am to 03:15am (GMT+2)
Wellington : Wednesday, October 5th 2022 from 04am to 05:15am (GMT+2)
Quand le patient et l’angiographie racontent des histoires différentes
Pourquoi le diagnostic des anomalies ou dysfonctions microcirculatoires est important
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Wednesday, November 23rd 2022 from 05pm to 06pm (GMT+1)
Honolulu : Wednesday, November 23rd 2022 from 05am to 06am (GMT+1)
San Francisco : Wednesday, November 23rd 2022 from 07am to 08am (GMT+1)
New York : Wednesday, November 23rd 2022 from 10am to 11am (GMT+1)
Buenos Aires : Wednesday, November 23rd 2022 from 12pm to 01pm (GMT+1)
London / Dublin : Wednesday, November 23rd 2022 from 03pm to 04pm (GMT+1)
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Istanbul : Wednesday, November 23rd 2022 from 05pm to 06pm (GMT+1)
Moscou / Dubaï : Wednesday, November 23rd 2022 from 07pm to 08pm (GMT+1)
Bangkok : Wednesday, November 23rd 2022 from 10pm to 11pm (GMT+1)
Shanghai : Wednesday, November 23rd 2022 from 11pm to 12am (GMT+1)
Tokyo : Thursday, November 24th 2022 from 12am to 01am (GMT+1)
Sydney : Thursday, November 24th 2022 from 01am to 02am (GMT+1)
Wellington : Thursday, November 24th 2022 from 03am to 04am (GMT+1)
San Francisco : Wednesday, November 23rd 2022 from 07am to 08am (GMT+1)
New York : Wednesday, November 23rd 2022 from 10am to 11am (GMT+1)
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Paris / Berlin : Wednesday, November 23rd 2022 from 04pm to 05pm (GMT+1)
Istanbul : Wednesday, November 23rd 2022 from 05pm to 06pm (GMT+1)
Moscou / Dubaï : Wednesday, November 23rd 2022 from 07pm to 08pm (GMT+1)
Bangkok : Wednesday, November 23rd 2022 from 10pm to 11pm (GMT+1)
Shanghai : Wednesday, November 23rd 2022 from 11pm to 12am (GMT+1)
Tokyo : Thursday, November 24th 2022 from 12am to 01am (GMT+1)
Sydney : Thursday, November 24th 2022 from 01am to 02am (GMT+1)
Wellington : Thursday, November 24th 2022 from 03am to 04am (GMT+1)
UNCAGE coronaries - Episode 3 : UNCAGE chronic total occlusions
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Tuesday, February 28th 2023 from 06pm to 07:30pm (GMT+1)
Honolulu : Tuesday, February 28th 2023 from 06am to 07:30am (GMT+1)
San Francisco : Tuesday, February 28th 2023 from 08am to 09:30am (GMT+1)
New York : Tuesday, February 28th 2023 from 11am to 12:30pm (GMT+1)
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London / Dublin : Tuesday, February 28th 2023 from 04pm to 05:30pm (GMT+1)
Paris / Berlin : Tuesday, February 28th 2023 from 05pm to 06:30pm (GMT+1)
Istanbul : Tuesday, February 28th 2023 from 06pm to 07:30pm (GMT+1)
Moscou / Dubaï : Tuesday, February 28th 2023 from 08pm to 09:30pm (GMT+1)
Bangkok : Tuesday, February 28th 2023 from 11pm to 12:30am (GMT+1)
Shanghai : Wednesday, March 1st 2023 from 12am to 01:30am (GMT+1)
Tokyo : Wednesday, March 1st 2023 from 01am to 02:30am (GMT+1)
Sydney : Wednesday, March 1st 2023 from 02am to 03:30am (GMT+1)
Wellington : Wednesday, March 1st 2023 from 04am to 05:30am (GMT+1)
San Francisco : Tuesday, February 28th 2023 from 08am to 09:30am (GMT+1)
New York : Tuesday, February 28th 2023 from 11am to 12:30pm (GMT+1)
Buenos Aires : Tuesday, February 28th 2023 from 01pm to 02:30pm (GMT+1)
London / Dublin : Tuesday, February 28th 2023 from 04pm to 05:30pm (GMT+1)
Paris / Berlin : Tuesday, February 28th 2023 from 05pm to 06:30pm (GMT+1)
Istanbul : Tuesday, February 28th 2023 from 06pm to 07:30pm (GMT+1)
Moscou / Dubaï : Tuesday, February 28th 2023 from 08pm to 09:30pm (GMT+1)
Bangkok : Tuesday, February 28th 2023 from 11pm to 12:30am (GMT+1)
Shanghai : Wednesday, March 1st 2023 from 12am to 01:30am (GMT+1)
Tokyo : Wednesday, March 1st 2023 from 01am to 02:30am (GMT+1)
Sydney : Wednesday, March 1st 2023 from 02am to 03:30am (GMT+1)
Wellington : Wednesday, March 1st 2023 from 04am to 05:30am (GMT+1)
MCS-Support in der biventrikulären Herzinsuffizienz -
vergessen wir den rechten Ventrikel ?!
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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 ?