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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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Comments(3)
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        Friday, November 17th 2017 from 12:30pm to 02pm (GMT+2)
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        Le réflexe FFR au coeur du Cathlab !

        Simple, optimal et standardisé

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        Tuesday, September 11th 2018 from 12:30pm to 02pm (GMT+2)
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        Differences between South African and European cardiac patients’ care

        Experts Discussion around Complex Cases

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        Tuesday, November 27th 2018 from 02pm to 04:41pm (GMT+2)
        Honolulu : Tuesday, November 27th 2018 from 02am to 04:41am (GMT-10)
        San Francisco : Tuesday, November 27th 2018 from 04am to 06:41am (GMT-8)
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        A long mid calcified RCA CTO with ambiguous proximal cap

        Live case performed by Dr Avran & Dr Carlino

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