×
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: 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 : 2023-11-29
Alexandre Avran
Valenciennes, France
Stéphane Rinfret
Atlanta, United States

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 (2)
  • george M. Very informative from one of the best!

    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.


  • Aymen B. Wow many struggles and complications nicely managed from 2 masters !

    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.


  • 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

    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. 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 ????????????????

      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 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

        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.


      • 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 ?

          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

        Tuesday, January 25th 2022 from 06pm to 07:30pm (GMT+1)
        Honolulu : Tuesday, January 25th 2022 from 06am to 07:30am (GMT+1)
        San Francisco : Tuesday, January 25th 2022 from 08am to 09:30am (GMT+1)
        New York : Tuesday, January 25th 2022 from 11am to 12:30pm (GMT+1)
        Buenos Aires : Tuesday, January 25th 2022 from 01pm to 02:30pm (GMT+1)
        London / Dublin : Tuesday, January 25th 2022 from 04pm to 05:30pm (GMT+1)
        Paris / Berlin : Tuesday, January 25th 2022 from 05pm to 06:30pm (GMT+1)
        Istanbul : Tuesday, January 25th 2022 from 06pm to 07:30pm (GMT+1)
        Moscou / Dubaï : Tuesday, January 25th 2022 from 08pm to 09:30pm (GMT+1)
        Bangkok : Tuesday, January 25th 2022 from 11pm to 12:30am (GMT+1)
        Shanghai : Wednesday, January 26th 2022 from 12am to 01:30am (GMT+1)
        Tokyo : Wednesday, January 26th 2022 from 01am to 02:30am (GMT+1)
        Sydney : Wednesday, January 26th 2022 from 02am to 03:30am (GMT+1)
        Wellington : Wednesday, January 26th 2022 from 04am to 05:30am (GMT+1)

        The Role of Mechanical Circulatory Support in High-Risk PCI

        Impella Case Club

        Share
        Wednesday, March 30th 2022 from 06pm to 07pm (GMT+2)
        Honolulu : Wednesday, March 30th 2022 from 06am to 07am (GMT+2)
        San Francisco : Wednesday, March 30th 2022 from 09am to 10am (GMT+2)
        New York : Wednesday, March 30th 2022 from 12pm to 01pm (GMT+2)
        Buenos Aires : Wednesday, March 30th 2022 from 01pm to 02pm (GMT+2)
        Reykjavik : Wednesday, March 30th 2022 from 04pm to 05pm (GMT+2)
        London / Dublin : Wednesday, March 30th 2022 from 05pm to 06pm (GMT+2)
        Paris / Berlin : Wednesday, March 30th 2022 from 06pm to 07pm (GMT+2)
        Istanbul : Wednesday, March 30th 2022 from 07pm to 08pm (GMT+2)
        Moscou / Dubaï : Wednesday, March 30th 2022 from 08pm to 09pm (GMT+2)
        Bangkok : Wednesday, March 30th 2022 from 11pm to 12am (GMT+2)
        Shanghai : Thursday, March 31st 2022 from 12am to 01am (GMT+2)
        Tokyo : Thursday, March 31st 2022 from 01am to 02am (GMT+2)
        Sydney : Thursday, March 31st 2022 from 03am to 04am (GMT+2)
        Wellington : Thursday, March 31st 2022 from 05am to 06am (GMT+2)

        DAPT meets its MASTER webinar

        Part 2: When DAPT meets OAC - what to do?

        Share
        Tuesday, June 28th 2022 from 12:30pm to 01:50pm (GMT+2)
        Honolulu : Tuesday, June 28th 2022 from 12:30am to 01:50am (GMT+2)
        San Francisco : Tuesday, June 28th 2022 from 03:30am to 04:50am (GMT+2)
        New York : Tuesday, June 28th 2022 from 06:30am to 07:50am (GMT+2)
        Buenos Aires : Tuesday, June 28th 2022 from 07:30am to 08:50am (GMT+2)
        Reykjavik : Tuesday, June 28th 2022 from 10:30am to 11:50am (GMT+2)
        London / Dublin : Tuesday, June 28th 2022 from 11:30am to 12:50pm (GMT+2)
        Paris / Berlin : Tuesday, June 28th 2022 from 12:30pm to 01:50pm (GMT+2)
        Istanbul : Tuesday, June 28th 2022 from 01:30pm to 02:50pm (GMT+2)
        Moscou / Dubaï : Tuesday, June 28th 2022 from 02:30pm to 03:50pm (GMT+2)
        Bangkok : Tuesday, June 28th 2022 from 05:30pm to 06:50pm (GMT+2)
        Shanghai : Tuesday, June 28th 2022 from 06:30pm to 07:50pm (GMT+2)
        Tokyo : Tuesday, June 28th 2022 from 07:30pm to 08:50pm (GMT+2)
        Sydney : Tuesday, June 28th 2022 from 09:30pm to 10:50pm (GMT+2)
        Wellington : Tuesday, June 28th 2022 from 11:30pm to 12:50am (GMT+2)

        Addressing complexity & unmet needs in modern day PCI

        Share
        Wednesday, April 26th 2023 from 01pm to 02:30pm (GMT+2)
        Honolulu : Wednesday, April 26th 2023 from 01am to 02:30am (GMT+2)
        San Francisco : Wednesday, April 26th 2023 from 04am to 05:30am (GMT+2)
        New York : Wednesday, April 26th 2023 from 07am to 08:30am (GMT+2)
        Buenos Aires : Wednesday, April 26th 2023 from 08am to 09:30am (GMT+2)
        Reykjavik : Wednesday, April 26th 2023 from 11am to 12:30pm (GMT+2)
        London / Dublin : Wednesday, April 26th 2023 from 12pm to 01:30pm (GMT+2)
        Paris / Berlin : Wednesday, April 26th 2023 from 01pm to 02:30pm (GMT+2)
        Istanbul : Wednesday, April 26th 2023 from 02pm to 03:30pm (GMT+2)
        Moscou / Dubaï : Wednesday, April 26th 2023 from 03pm to 04:30pm (GMT+2)
        Bangkok : Wednesday, April 26th 2023 from 06pm to 07:30pm (GMT+2)
        Shanghai : Wednesday, April 26th 2023 from 07pm to 08:30pm (GMT+2)
        Tokyo : Wednesday, April 26th 2023 from 08pm to 09:30pm (GMT+2)
        Sydney : Wednesday, April 26th 2023 from 10pm to 11:30pm (GMT+2)
        Wellington : Thursday, April 27th 2023 from 12am to 01:30am (GMT+2)

        CAMP LIVE CASE

        European Session from Luzerner Kantonsspital

        Share
        Saturday, November 11th 2023 from 02:30am to 05am (GMT+1)
        Honolulu : Friday, November 10th 2023 from 02:30pm to 05pm (GMT+1)
        San Francisco : Friday, November 10th 2023 from 04:30pm to 07pm (GMT+1)
        New York : Friday, November 10th 2023 from 07:30pm to 10pm (GMT+1)
        Buenos Aires : Friday, November 10th 2023 from 09:30pm to 12am (GMT+1)
        London / Dublin : Saturday, November 11th 2023 from 12:30am to 03am (GMT+1)
        Paris / Berlin : Saturday, November 11th 2023 from 01:30am to 04am (GMT+1)
        Istanbul : Saturday, November 11th 2023 from 02:30am to 05am (GMT+1)
        Moscou / Dubaï : Saturday, November 11th 2023 from 04:30am to 07am (GMT+1)
        Bangkok : Saturday, November 11th 2023 from 07:30am to 10am (GMT+1)
        Shanghai : Saturday, November 11th 2023 from 08:30am to 11am (GMT+1)
        Tokyo : Saturday, November 11th 2023 from 09:30am to 12pm (GMT+1)
        Sydney : Saturday, November 11th 2023 from 10:30am to 01pm (GMT+1)
        Wellington : Saturday, November 11th 2023 from 12:30pm to 03pm (GMT+1)

        Bifurcation PCI

        Insights from the Visible Heart® Lab

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

        The journey from femoral to distal radial

        Episode 1 - The Theory

        Share
        Scroll Up