×
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: 76 years old

Prior clinical history

  • EF 60%
  • Risk factors: HTA, Angina with anterior ischemia (scintigraphia)
  • Normal LCX & RCA
  • Ostial LAD occlusion (no retrograde collateral)

 

Angiography

Shooting date : 2024-03-27
Last update : 2025-06-26
Alexandre Avran
Valenciennes, France

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
6 comments
Join the Discussion
  • Ahmed M. wonderful result especially first attempt with Gia next!

    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. Congratulations this is beautiful result. I wonder does the secondary curve changes the the tip load of the GAIA NEXT? And what is your advice in angulation of secondary curve for GAIA family? Thank you for making this videos, and all tactile feedback :-)

    • Alexandre A. Dear Marin, the secondary curve doesn't modify the gaia next tip load,, you need to perform this secondary curve 3mm after the first one, ;thanks for following us and you comment. hope to see you at MLCTO Nice

    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.


  • Umar S. Very nice demonstration of Gaia next family and your guidance sir was very appreciated

      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.


    • sokol L. Thank you for Sharing Dr Avran

        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

      Friday, March 28th 2025 from 08am to 10pm (GMT+1)
      Honolulu : Thursday, March 27th 2025 from 08pm to 10am (GMT+1)
      San Francisco : Thursday, March 27th 2025 from 10pm to 12pm (GMT+1)
      New York : Friday, March 28th 2025 from 01am to 03pm (GMT+1)
      Buenos Aires : Friday, March 28th 2025 from 03am to 05pm (GMT+1)
      London / Dublin : Friday, March 28th 2025 from 06am to 08pm (GMT+1)
      Paris / Berlin : Friday, March 28th 2025 from 07am to 09pm (GMT+1)
      Istanbul : Friday, March 28th 2025 from 08am to 10pm (GMT+1)
      Moscou / Dubaï : Friday, March 28th 2025 from 10am to 12am (GMT+1)
      Bangkok : Friday, March 28th 2025 from 01pm to 03am (GMT+1)
      Shanghai : Friday, March 28th 2025 from 02pm to 04am (GMT+1)
      Tokyo : Friday, March 28th 2025 from 03pm to 05am (GMT+1)
      Sydney : Friday, March 28th 2025 from 04pm to 06am (GMT+1)
      Wellington : Friday, March 28th 2025 from 06pm to 08am (GMT+1)

      Complex & High-Risk Indicated Procedures

      Discover the 6th edition - Day #1

      Share
      Saturday, November 8th 2025 from 01:30pm to 02:15pm (GMT+1)
      Honolulu : Saturday, November 8th 2025 from 01:30am to 02:15am (GMT+1)
      San Francisco : Saturday, November 8th 2025 from 03:30am to 04:15am (GMT+1)
      New York : Saturday, November 8th 2025 from 06:30am to 07:15am (GMT+1)
      Buenos Aires : Saturday, November 8th 2025 from 08:30am to 09:15am (GMT+1)
      London / Dublin : Saturday, November 8th 2025 from 11:30am to 12:15pm (GMT+1)
      Paris / Berlin : Saturday, November 8th 2025 from 12:30pm to 01:15pm (GMT+1)
      Istanbul : Saturday, November 8th 2025 from 01:30pm to 02:15pm (GMT+1)
      Moscou / Dubaï : Saturday, November 8th 2025 from 03:30pm to 04:15pm (GMT+1)
      Bangkok : Saturday, November 8th 2025 from 06:30pm to 07:15pm (GMT+1)
      Shanghai : Saturday, November 8th 2025 from 07:30pm to 08:15pm (GMT+1)
      Tokyo : Saturday, November 8th 2025 from 08:30pm to 09:15pm (GMT+1)
      Sydney : Saturday, November 8th 2025 from 09:30pm to 10:15pm (GMT+1)
      Wellington : Saturday, November 8th 2025 from 11:30pm to 12:15am (GMT+1)

      SELUTION DeNovo 1-year data – New data = New perspectives?

      What do the SELUTION DeNovo 1-year results mean for clinical practice in Germany?

      Share
      Tuesday, February 3rd 2026 from 06pm to 07pm (GMT+1)
      Honolulu : Tuesday, February 3rd 2026 from 06am to 07am (GMT+1)
      San Francisco : Tuesday, February 3rd 2026 from 08am to 09am (GMT+1)
      New York : Tuesday, February 3rd 2026 from 11am to 12pm (GMT+1)
      Buenos Aires : Tuesday, February 3rd 2026 from 01pm to 02pm (GMT+1)
      London / Dublin : Tuesday, February 3rd 2026 from 04pm to 05pm (GMT+1)
      Paris / Berlin : Tuesday, February 3rd 2026 from 05pm to 06pm (GMT+1)
      Istanbul : Tuesday, February 3rd 2026 from 06pm to 07pm (GMT+1)
      Moscou / Dubaï : Tuesday, February 3rd 2026 from 08pm to 09pm (GMT+1)
      Bangkok : Tuesday, February 3rd 2026 from 11pm to 12am (GMT+1)
      Shanghai : Wednesday, February 4th 2026 from 12am to 01am (GMT+1)
      Tokyo : Wednesday, February 4th 2026 from 01am to 02am (GMT+1)
      Sydney : Wednesday, February 4th 2026 from 02am to 03am (GMT+1)
      Wellington : Wednesday, February 4th 2026 from 04am to 05am (GMT+1)

      Novel HC-IVL technique to maximize calcium fractures to improve vessels compliance

      Share
      Monday, October 30th 2023 from 05pm to 06pm (GMT+1)
      Honolulu : Monday, October 30th 2023 from 05am to 06am (GMT+1)
      San Francisco : Monday, October 30th 2023 from 07am to 08am (GMT+1)
      New York : Monday, October 30th 2023 from 10am to 11am (GMT+1)
      Buenos Aires : Monday, October 30th 2023 from 12pm to 01pm (GMT+1)
      London / Dublin : Monday, October 30th 2023 from 03pm to 04pm (GMT+1)
      Paris / Berlin : Monday, October 30th 2023 from 04pm to 05pm (GMT+1)
      Istanbul : Monday, October 30th 2023 from 05pm to 06pm (GMT+1)
      Moscou / Dubaï : Monday, October 30th 2023 from 07pm to 08pm (GMT+1)
      Bangkok : Monday, October 30th 2023 from 10pm to 11pm (GMT+1)
      Shanghai : Monday, October 30th 2023 from 11pm to 12am (GMT+1)
      Tokyo : Tuesday, October 31st 2023 from 12am to 01am (GMT+1)
      Sydney : Tuesday, October 31st 2023 from 01am to 02am (GMT+1)
      Wellington : Tuesday, October 31st 2023 from 03am to 04am (GMT+1)

      How do the new antithrombotic recommendations affect your HBR patients?

      Gain insights from a patient case analysis

      Share
      Scroll Up