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This case describes the treatment of a CTO to LAD.
Protocol
- Procedure time: 75 min
- Exposure time: 25 min
- Exposure: 802,20 mGy
- Contrast volume: 110 ml visipaque 350
Objectives: to learn
- how to use ultra thin struts stent
- how to antegradely approach a CTO lesion
- how to use a trapper
-IVUS use in CTO
Shooting date : 2019-04-10
Last update : 2020-03-04
Last update : 2020-03-04
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Le choix des armes contre les lésions calcifiées
Nouveaux outils pour la prise en charge de calcifications coronaires
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Designed for challenging cases - the role of ultrathin DES
Live from UZ Leuven, Belgium
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Severe tortuous RCA and calcified LAD
Dr Johan Bennett, Dr. Ariel Roguin & Dr Eugenio La Scala
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Complex PCI made easy by physiology
Dr Johan Bennett, Dr. Ariel Roguin, Dr Eugenio La Scala & Dr Keir McCutcheon
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Multivessel PCI (calcified prox RCA and prox LAD lesions)
Dr Johan Bennett & Dr Eugenio La Scala
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Functional guided percutaneous revascularization (Lcx and LAD)
Dr Johan Bennett & Dr Ariel Roguin
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A. congratulations. the flow of LAD is quite good but there is serious stenosis at the ostium of the Diagonal branch. It is an important branch. therefore it is not appropriate to leave the patient in this way in terms of complete revascularization of the patient. I would open the side branch.
Hassaan A. I think there is data that supports that if there is TIMI 3 flow in the Diagonal branch its best to leave it alone
Tekten T.