×
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.

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

      Monday, September 19th 2022 from 06pm to 07pm (GMT+2)
      Honolulu : Monday, September 19th 2022 from 07am to 08am (GMT+2)
      San Francisco : Monday, September 19th 2022 from 10am to 11am (GMT+2)
      New York : Monday, September 19th 2022 from 01pm to 02pm (GMT+2)
      Buenos Aires : Monday, September 19th 2022 from 02pm to 03pm (GMT+2)
      Reykjavik : Monday, September 19th 2022 from 05pm to 06pm (GMT+2)
      London / Dublin : Monday, September 19th 2022 from 06pm to 07pm (GMT+2)
      Paris / Berlin : Monday, September 19th 2022 from 07pm to 08pm (GMT+2)
      Istanbul : Monday, September 19th 2022 from 08pm to 09pm (GMT+2)
      Moscou / Dubaï : Monday, September 19th 2022 from 09pm to 10pm (GMT+2)
      Bangkok : Tuesday, September 20th 2022 from 12am to 01am (GMT+2)
      Shanghai : Tuesday, September 20th 2022 from 01am to 02am (GMT+2)
      Tokyo : Tuesday, September 20th 2022 from 02am to 03am (GMT+2)
      Sydney : Tuesday, September 20th 2022 from 04am to 05am (GMT+2)
      Wellington : Tuesday, September 20th 2022 from 06am to 07am (GMT+2)

      Benefits of Mechanical Circulatory Support devices

      Swiss Case Club

      Share
      Thursday, January 19th 2023 from 05pm to 06pm (GMT+1)
      Honolulu : Thursday, January 19th 2023 from 06am to 07am (GMT+1)
      San Francisco : Thursday, January 19th 2023 from 08am to 09am (GMT+1)
      New York : Thursday, January 19th 2023 from 11am to 12pm (GMT+1)
      Buenos Aires : Thursday, January 19th 2023 from 01pm to 02pm (GMT+1)
      London / Dublin : Thursday, January 19th 2023 from 04pm to 05pm (GMT+1)
      Paris / Berlin : Thursday, January 19th 2023 from 05pm to 06pm (GMT+1)
      Istanbul : Thursday, January 19th 2023 from 06pm to 07pm (GMT+1)
      Moscou / Dubaï : Thursday, January 19th 2023 from 08pm to 09pm (GMT+1)
      Bangkok : Thursday, January 19th 2023 from 11pm to 12am (GMT+1)
      Shanghai : Friday, January 20th 2023 from 12am to 01am (GMT+1)
      Tokyo : Friday, January 20th 2023 from 01am to 02am (GMT+1)
      Sydney : Friday, January 20th 2023 from 02am to 03am (GMT+1)
      Wellington : Friday, January 20th 2023 from 04am to 05am (GMT+1)

      Left Main Bifurcation from data to clinical practice

      Share
      Friday, October 20th 2023 from 05pm to 07:15pm (GMT+2)
      Honolulu : Friday, October 20th 2023 from 06am to 08:15am (GMT+2)
      San Francisco : Friday, October 20th 2023 from 09am to 11:15am (GMT+2)
      New York : Friday, October 20th 2023 from 12pm to 02:15pm (GMT+2)
      Buenos Aires : Friday, October 20th 2023 from 01pm to 03:15pm (GMT+2)
      Reykjavik : Friday, October 20th 2023 from 04pm to 06:15pm (GMT+2)
      London / Dublin : Friday, October 20th 2023 from 05pm to 07:15pm (GMT+2)
      Paris / Berlin : Friday, October 20th 2023 from 06pm to 08:15pm (GMT+2)
      Istanbul : Friday, October 20th 2023 from 07pm to 09:15pm (GMT+2)
      Moscou / Dubaï : Friday, October 20th 2023 from 08pm to 10:15pm (GMT+2)
      Bangkok : Friday, October 20th 2023 from 11pm to 01:15am (GMT+2)
      Shanghai : Saturday, October 21st 2023 from 12am to 02:15am (GMT+2)
      Tokyo : Saturday, October 21st 2023 from 01am to 03:15am (GMT+2)
      Sydney : Saturday, October 21st 2023 from 03am to 05:15am (GMT+2)
      Wellington : Saturday, October 21st 2023 from 05am to 07:15am (GMT+2)

      Bifurcation PCI: an immersive experience

      Live cases from the Visible Heart® Lab

      Share
      Thursday, March 16th 2023 from 05pm to 07:30pm (GMT+1)
      Honolulu : Thursday, March 16th 2023 from 06am to 08:30am (GMT+1)
      San Francisco : Thursday, March 16th 2023 from 08am to 10:30am (GMT+1)
      New York : Thursday, March 16th 2023 from 11am to 01:30pm (GMT+1)
      Buenos Aires : Thursday, March 16th 2023 from 01pm to 03:30pm (GMT+1)
      London / Dublin : Thursday, March 16th 2023 from 04pm to 06:30pm (GMT+1)
      Paris / Berlin : Thursday, March 16th 2023 from 05pm to 07:30pm (GMT+1)
      Istanbul : Thursday, March 16th 2023 from 06pm to 08:30pm (GMT+1)
      Moscou / Dubaï : Thursday, March 16th 2023 from 08pm to 10:30pm (GMT+1)
      Bangkok : Thursday, March 16th 2023 from 11pm to 01:30am (GMT+1)
      Shanghai : Friday, March 17th 2023 from 12am to 02:30am (GMT+1)
      Tokyo : Friday, March 17th 2023 from 01am to 03:30am (GMT+1)
      Sydney : Friday, March 17th 2023 from 02am to 04:30am (GMT+1)
      Wellington : Friday, March 17th 2023 from 04am to 06:30am (GMT+1)

      Bifurcation PCI - Insights from the Visible Heart® Lab 

      Share
      Wednesday, June 21st 2023 from 04pm to 05:30pm (GMT+2)
      Honolulu : Wednesday, June 21st 2023 from 05am to 06:30am (GMT+2)
      San Francisco : Wednesday, June 21st 2023 from 08am to 09:30am (GMT+2)
      New York : Wednesday, June 21st 2023 from 11am to 12:30pm (GMT+2)
      Buenos Aires : Wednesday, June 21st 2023 from 12pm to 01:30pm (GMT+2)
      Reykjavik : Wednesday, June 21st 2023 from 03pm to 04:30pm (GMT+2)
      London / Dublin : Wednesday, June 21st 2023 from 04pm to 05:30pm (GMT+2)
      Paris / Berlin : Wednesday, June 21st 2023 from 05pm to 06:30pm (GMT+2)
      Istanbul : Wednesday, June 21st 2023 from 06pm to 07:30pm (GMT+2)
      Moscou / Dubaï : Wednesday, June 21st 2023 from 07pm to 08:30pm (GMT+2)
      Bangkok : Wednesday, June 21st 2023 from 10pm to 11:30pm (GMT+2)
      Shanghai : Wednesday, June 21st 2023 from 11pm to 12:30am (GMT+2)
      Tokyo : Thursday, June 22nd 2023 from 12am to 01:30am (GMT+2)
      Sydney : Thursday, June 22nd 2023 from 02am to 03:30am (GMT+2)
      Wellington : Thursday, June 22nd 2023 from 04am to 05:30am (GMT+2)

      Strategies and techniques to treat multivessel disease with complex lesions

      Share
      Scroll Up