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Case summary

Age: 59 year old
Gender: male
Type II DM treated with oral drugs
Hypertension; Dyslipidemia
Morbidity obese (BMI 35)
Previous smoking habit
2009: CABG with LITA on LAD, SVG on D1, SVG on MO1, SVG on PDA
Stable angina (CCS III)
Nuclear perfusion imaging: severe ischemia on inferior and anterior wall
Occluded LITA; occluded all SVG
LAD: proximal occlusion
MO1: ostial occlusion
RCA: mid occlusion
SYNTAX score: 25 (RCA CTO 10pts)
JCTO score 2: calcium and >20 mm

Strategy

ACCESSES:
Radial XB 3.5 6Fr 90 cm
Femoral AL1 7Fr 100 cm; long sheath

APPROACHES:
Antegrade approach with guidewire escalation (starting with GAIA 3rd); Turnpike Gold microcatheter
Antegrade dissection reentry
Retrograde approach

Protocol

OptiRAY® (ioversol)
Concentration : 350 mgI/mL
Volume : 420mL

 

Shooting date : 2017-01-26
Last update : 2021-06-09

Suggestions

May 2017
Honolulu : Tuesday, May 16th 2017 from 11:30pm to 12:30am (GMT-10)
San Francisco : Wednesday, May 17th 2017 from 02:30am to 03:30am (GMT-7)
New York : Wednesday, May 17th 2017 from 05:30am to 06:30am (GMT-4)
Buenos Aires : Wednesday, May 17th 2017 from 06:30am to 07:30am (GMT-3)
Reykjavik : Wednesday, May 17th 2017 from 09:30am to 10:30am (GMT)
London / Dublin : Wednesday, May 17th 2017 from 10:30am to 11:30am (GMT+1)
Paris / Berlin : Wednesday, May 17th 2017 from 11:30am to 12:30pm (GMT+2)
Istanbul : Wednesday, May 17th 2017 from 12:30pm to 01:30pm (GMT+3)
Moscou / Dubaï : Wednesday, May 17th 2017 from 01:30pm to 02:30pm (GMT+4)
Bangkok : Wednesday, May 17th 2017 from 04:30pm to 05:30pm (GMT+7)
Shanghai : Wednesday, May 17th 2017 from 05:30pm to 06:30pm (GMT+8)
Tokyo : Wednesday, May 17th 2017 from 06:30pm to 07:30pm (GMT+9)
Sydney : Wednesday, May 17th 2017 from 08:30pm to 09:30pm (GMT+11)
Wellington : Wednesday, May 17th 2017 from 10:30pm to 11:30pm (GMT+13)

Discussion around complex PCI

How to deal with complications?

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Friday, February 17th 2023 from 12:30pm to 02pm (GMT+1)
Honolulu : Friday, February 17th 2023 from 01:30am to 03am (GMT-10)
San Francisco : Friday, February 17th 2023 from 03:30am to 05am (GMT-8)
New York : Friday, February 17th 2023 from 06:30am to 08am (GMT-5)
Buenos Aires : Friday, February 17th 2023 from 08:30am to 10am (GMT-3)
London / Dublin : Friday, February 17th 2023 from 11:30am to 01pm (GMT)
Paris / Berlin : Friday, February 17th 2023 from 12:30pm to 02pm (GMT+1)
Istanbul : Friday, February 17th 2023 from 01:30pm to 03pm (GMT+2)
Moscou / Dubaï : Friday, February 17th 2023 from 03:30pm to 05pm (GMT+4)
Bangkok : Friday, February 17th 2023 from 06:30pm to 08pm (GMT+7)
Shanghai : Friday, February 17th 2023 from 07:30pm to 09pm (GMT+8)
Tokyo : Friday, February 17th 2023 from 08:30pm to 10pm (GMT+9)
Sydney : Friday, February 17th 2023 from 09:30pm to 11pm (GMT+10)
Wellington : Friday, February 17th 2023 from 11:30pm to 01am (GMT+12)

Coronary sinus reducer

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Wednesday, January 19th 2022 from 12:30pm to 01:30pm (GMT+1)
Honolulu : Wednesday, January 19th 2022 from 01:30am to 02:30am (GMT-10)
San Francisco : Wednesday, January 19th 2022 from 03:30am to 04:30am (GMT-8)
New York : Wednesday, January 19th 2022 from 06:30am to 07:30am (GMT-5)
Buenos Aires : Wednesday, January 19th 2022 from 08:30am to 09:30am (GMT-3)
London / Dublin : Wednesday, January 19th 2022 from 11:30am to 12:30pm (GMT)
Paris / Berlin : Wednesday, January 19th 2022 from 12:30pm to 01:30pm (GMT+1)
Istanbul : Wednesday, January 19th 2022 from 01:30pm to 02:30pm (GMT+2)
Moscou / Dubaï : Wednesday, January 19th 2022 from 03:30pm to 04:30pm (GMT+4)
Bangkok : Wednesday, January 19th 2022 from 06:30pm to 07:30pm (GMT+7)
Shanghai : Wednesday, January 19th 2022 from 07:30pm to 08:30pm (GMT+8)
Tokyo : Wednesday, January 19th 2022 from 08:30pm to 09:30pm (GMT+9)
Sydney : Wednesday, January 19th 2022 from 09:30pm to 10:30pm (GMT+10)
Wellington : Wednesday, January 19th 2022 from 11:30pm to 12:30am (GMT+12)

Scaffolds back on stage!

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