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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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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)
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
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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)
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)
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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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)
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
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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)
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
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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 ?