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Description
Shooting date : 2017-11-16
Last update : 2018-02-04
Language(s) : English
  • ​58 years old patient.
  • CV risk factors :
    HBP.
    Type 2 diabetes mellitus.  
    dyslipidemia.
    Ex-s...
  • ​58 years old patient.
  • CV risk factors :
    HBP.
    Type 2 diabetes mellitus.  
    dyslipidemia.
    Ex-smoker.
  • HISTORY:
    Dilated cardiomyopathy with no significant coronary lesions in 2013 .
    LVEF = 42%, permanent AF
    end-stage renal disease.
    chronic ethylism,axono-myelinic-polyneuropathy,tubulo-villous adenoma,hypothyroidism, diabetic retinopathy.
  • Preoperative coronary angiography (AVF)

Learning points

  • Step-by-Step optimal preparation of the FFR system to avoid drift.
  • Step-by-Step optimal FFR recording.
  • Optimal lesion preparation with rotational atherectomy.

Procedure description

  • Flushing the FFR system with saline and wait for at least 30 to 60 seconds.
  • Putting the system in horizontal position to avoid drift.
  • Connecting the FFR system.
  • Getting epicardial vasodilatation with nitro.
  • Pressure equalization in guiding catheter.
  • Baseline FFR recording.
  • FFR recording with  maximal hyperemia (100µg ) for RCA.
  • Predilatation with NC balloons.
  • Rotational atherectomy.
  • Stent implantation Xience Alpine

Protocol

  • Exposure time: 22min.
  • Radiation dose: 1.66 Gy.
  • Contrast volume: 175ml (Iomeron).
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      Friday, November 17th 2017 from 12:30pm to 02pm (GMT+2)
      Honolulu : Friday, November 17th 2017 from 12:30am to 02am (GMT-10)
      San Francisco : Friday, November 17th 2017 from 02:30am to 04am (GMT-8)
      New York : Friday, November 17th 2017 from 05:30am to 07am (GMT-5)
      Buenos Aires : Friday, November 17th 2017 from 07:30am to 09am (GMT-3)
      London / Dublin : Friday, November 17th 2017 from 10:30am to 12pm (GMT)
      Paris / Berlin : Friday, November 17th 2017 from 11:30am to 01pm (GMT+1)
      Istanbul : Friday, November 17th 2017 from 12:30pm to 02pm (GMT+2)
      Moscou / Dubaï : Friday, November 17th 2017 from 02:30pm to 04pm (GMT+4)
      Bangkok : Friday, November 17th 2017 from 05:30pm to 07pm (GMT+7)
      Shanghai : Friday, November 17th 2017 from 06:30pm to 08pm (GMT+8)
      Tokyo : Friday, November 17th 2017 from 07:30pm to 09pm (GMT+9)
      Sydney : Friday, November 17th 2017 from 08:30pm to 10pm (GMT+10)
      Wellington : Friday, November 17th 2017 from 10:30pm to 12am (GMT+12)

      Le réflexe FFR au coeur du Cathlab !

      Simple, optimal et standardisé

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      March 2017
      Honolulu : Wednesday, March 15th 2017 from 12:30am to 02am (GMT-10)
      San Francisco : Wednesday, March 15th 2017 from 02:30am to 04am (GMT-8)
      New York : Wednesday, March 15th 2017 from 05:30am to 07am (GMT-5)
      Buenos Aires : Wednesday, March 15th 2017 from 07:30am to 09am (GMT-3)
      London / Dublin : Wednesday, March 15th 2017 from 10:30am to 12pm (GMT)
      Paris / Berlin : Wednesday, March 15th 2017 from 11:30am to 01pm (GMT+1)
      Istanbul : Wednesday, March 15th 2017 from 12:30pm to 02pm (GMT+2)
      Moscou / Dubaï : Wednesday, March 15th 2017 from 02:30pm to 04pm (GMT+4)
      Bangkok : Wednesday, March 15th 2017 from 05:30pm to 07pm (GMT+7)
      Shanghai : Wednesday, March 15th 2017 from 06:30pm to 08pm (GMT+8)
      Tokyo : Wednesday, March 15th 2017 from 07:30pm to 09pm (GMT+9)
      Sydney : Wednesday, March 15th 2017 from 08:30pm to 10pm (GMT+10)
      Wellington : Wednesday, March 15th 2017 from 10:30pm to 12am (GMT+12)

      LAD-Diagonal Bifurcation lesion

      New Drug-Eluting Technologies

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