×
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

      Discover it now!

      Nothing is simple

      Alex & The Young Generation - Ep.9

      Share
      Wednesday, May 22nd 2024 from 03pm to 04pm (GMT+2)
      Honolulu : Wednesday, May 22nd 2024 from 05am to 06am (GMT+2)
      San Francisco : Wednesday, May 22nd 2024 from 08am to 09am (GMT+2)
      New York : Wednesday, May 22nd 2024 from 11am to 12pm (GMT+2)
      Buenos Aires : Wednesday, May 22nd 2024 from 12pm to 01pm (GMT+2)
      Reykjavik : Wednesday, May 22nd 2024 from 03pm to 04pm (GMT+2)
      London / Dublin : Wednesday, May 22nd 2024 from 04pm to 05pm (GMT+2)
      Paris / Berlin : Wednesday, May 22nd 2024 from 05pm to 06pm (GMT+2)
      Istanbul : Wednesday, May 22nd 2024 from 06pm to 07pm (GMT+2)
      Moscou / Dubaï : Wednesday, May 22nd 2024 from 07pm to 08pm (GMT+2)
      Bangkok : Wednesday, May 22nd 2024 from 10pm to 11pm (GMT+2)
      Shanghai : Wednesday, May 22nd 2024 from 11pm to 12am (GMT+2)
      Tokyo : Thursday, May 23rd 2024 from 12am to 01am (GMT+2)
      Sydney : Thursday, May 23rd 2024 from 02am to 03am (GMT+2)
      Wellington : Thursday, May 23rd 2024 from 04am to 05am (GMT+2)

      DanGER shock trial results and the significance to reduce adverse events

      Share
      Wednesday, October 16th 2024 from 06pm to 06:45pm (GMT+2)
      Honolulu : Wednesday, October 16th 2024 from 08am to 08:45am (GMT+2)
      San Francisco : Wednesday, October 16th 2024 from 11am to 11:45am (GMT+2)
      New York : Wednesday, October 16th 2024 from 02pm to 02:45pm (GMT+2)
      Buenos Aires : Wednesday, October 16th 2024 from 03pm to 03:45pm (GMT+2)
      Reykjavik : Wednesday, October 16th 2024 from 06pm to 06:45pm (GMT+2)
      London / Dublin : Wednesday, October 16th 2024 from 07pm to 07:45pm (GMT+2)
      Paris / Berlin : Wednesday, October 16th 2024 from 08pm to 08:45pm (GMT+2)
      Istanbul : Wednesday, October 16th 2024 from 09pm to 09:45pm (GMT+2)
      Moscou / Dubaï : Wednesday, October 16th 2024 from 10pm to 10:45pm (GMT+2)
      Bangkok : Thursday, October 17th 2024 from 01am to 01:45am (GMT+2)
      Shanghai : Thursday, October 17th 2024 from 02am to 02:45am (GMT+2)
      Tokyo : Thursday, October 17th 2024 from 03am to 03:45am (GMT+2)
      Sydney : Thursday, October 17th 2024 from 05am to 05:45am (GMT+2)
      Wellington : Thursday, October 17th 2024 from 07am to 07:45am (GMT+2)

      Guides de 1ère intention :

      les trucs et les astuces qui aident en pratique

      Share
      Friday, May 29th 2026 from 05:30pm to 06:15pm (GMT+2)
      Honolulu : Friday, May 29th 2026 from 07:30am to 08:15am (GMT+2)
      San Francisco : Friday, May 29th 2026 from 10:30am to 11:15am (GMT+2)
      New York : Friday, May 29th 2026 from 01:30pm to 02:15pm (GMT+2)
      Buenos Aires : Friday, May 29th 2026 from 02:30pm to 03:15pm (GMT+2)
      Reykjavik : Friday, May 29th 2026 from 05:30pm to 06:15pm (GMT+2)
      London / Dublin : Friday, May 29th 2026 from 06:30pm to 07:15pm (GMT+2)
      Paris / Berlin : Friday, May 29th 2026 from 07:30pm to 08:15pm (GMT+2)
      Istanbul : Friday, May 29th 2026 from 08:30pm to 09:15pm (GMT+2)
      Moscou / Dubaï : Friday, May 29th 2026 from 09:30pm to 10:15pm (GMT+2)
      Bangkok : Saturday, May 30th 2026 from 12:30am to 01:15am (GMT+2)
      Shanghai : Saturday, May 30th 2026 from 01:30am to 02:15am (GMT+2)
      Tokyo : Saturday, May 30th 2026 from 02:30am to 03:15am (GMT+2)
      Sydney : Saturday, May 30th 2026 from 04:30am to 05:15am (GMT+2)
      Wellington : Saturday, May 30th 2026 from 06:30am to 07:15am (GMT+2)

      Déremboursement en France : évolutions médico‑économiques

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

      Bifurcation PCI: an immersive experience

      Live cases from the Visible Heart® Lab

      Share
      Saturday, November 11th 2023 from 02:30am to 05am (GMT+1)
      Honolulu : Friday, November 10th 2023 from 04:30pm to 07pm (GMT+1)
      San Francisco : Friday, November 10th 2023 from 06:30pm to 09pm (GMT+1)
      New York : Friday, November 10th 2023 from 09:30pm to 12am (GMT+1)
      Buenos Aires : Friday, November 10th 2023 from 11:30pm to 02am (GMT+1)
      London / Dublin : Saturday, November 11th 2023 from 02:30am to 05am (GMT+1)
      Paris / Berlin : Saturday, November 11th 2023 from 03:30am to 06am (GMT+1)
      Istanbul : Saturday, November 11th 2023 from 04:30am to 07am (GMT+1)
      Moscou / Dubaï : Saturday, November 11th 2023 from 06:30am to 09am (GMT+1)
      Bangkok : Saturday, November 11th 2023 from 09:30am to 12pm (GMT+1)
      Shanghai : Saturday, November 11th 2023 from 10:30am to 01pm (GMT+1)
      Tokyo : Saturday, November 11th 2023 from 11:30am to 02pm (GMT+1)
      Sydney : Saturday, November 11th 2023 from 12:30pm to 03pm (GMT+1)
      Wellington : Saturday, November 11th 2023 from 02:30pm to 05pm (GMT+1)

      Bifurcation PCI

      Insights from the Visible Heart® Lab

      Share
      Scroll Up
      // //