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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
Last update : 2021-06-09
Suggestions
Wednesday, July 5th 2023 from 06pm to 07pm (GMT+2)
Honolulu : Wednesday, July 5th 2023 from 06am to 07am (GMT-10)
San Francisco : Wednesday, July 5th 2023 from 09am to 10am (GMT-7)
New York : Wednesday, July 5th 2023 from 12pm to 01pm (GMT-4)
Buenos Aires : Wednesday, July 5th 2023 from 01pm to 02pm (GMT-3)
Reykjavik : Wednesday, July 5th 2023 from 04pm to 05pm (GMT)
London / Dublin : Wednesday, July 5th 2023 from 05pm to 06pm (GMT+1)
Paris / Berlin : Wednesday, July 5th 2023 from 06pm to 07pm (GMT+2)
Istanbul : Wednesday, July 5th 2023 from 07pm to 08pm (GMT+3)
Moscou / Dubaï : Wednesday, July 5th 2023 from 08pm to 09pm (GMT+4)
Bangkok : Wednesday, July 5th 2023 from 11pm to 12am (GMT+7)
Shanghai : Thursday, July 6th 2023 from 12am to 01am (GMT+8)
Tokyo : Thursday, July 6th 2023 from 01am to 02am (GMT+9)
Sydney : Thursday, July 6th 2023 from 03am to 04am (GMT+11)
Wellington : Thursday, July 6th 2023 from 05am to 06am (GMT+13)
San Francisco : Wednesday, July 5th 2023 from 09am to 10am (GMT-7)
New York : Wednesday, July 5th 2023 from 12pm to 01pm (GMT-4)
Buenos Aires : Wednesday, July 5th 2023 from 01pm to 02pm (GMT-3)
Reykjavik : Wednesday, July 5th 2023 from 04pm to 05pm (GMT)
London / Dublin : Wednesday, July 5th 2023 from 05pm to 06pm (GMT+1)
Paris / Berlin : Wednesday, July 5th 2023 from 06pm to 07pm (GMT+2)
Istanbul : Wednesday, July 5th 2023 from 07pm to 08pm (GMT+3)
Moscou / Dubaï : Wednesday, July 5th 2023 from 08pm to 09pm (GMT+4)
Bangkok : Wednesday, July 5th 2023 from 11pm to 12am (GMT+7)
Shanghai : Thursday, July 6th 2023 from 12am to 01am (GMT+8)
Tokyo : Thursday, July 6th 2023 from 01am to 02am (GMT+9)
Sydney : Thursday, July 6th 2023 from 03am to 04am (GMT+11)
Wellington : Thursday, July 6th 2023 from 05am to 06am (GMT+13)
Left Main and Bifurcation treatment:
impact of clinical trials in daily practice
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Thursday, August 25th 2022 from 06pm to 07:06pm (GMT+2)
Honolulu : Thursday, August 25th 2022 from 06am to 07:06am (GMT-10)
San Francisco : Thursday, August 25th 2022 from 09am to 10:06am (GMT-7)
New York : Thursday, August 25th 2022 from 12pm to 01:06pm (GMT-4)
Buenos Aires : Thursday, August 25th 2022 from 01pm to 02:06pm (GMT-3)
Reykjavik : Thursday, August 25th 2022 from 04pm to 05:06pm (GMT)
London / Dublin : Thursday, August 25th 2022 from 05pm to 06:06pm (GMT+1)
Paris / Berlin : Thursday, August 25th 2022 from 06pm to 07:06pm (GMT+2)
Istanbul : Thursday, August 25th 2022 from 07pm to 08:06pm (GMT+3)
Moscou / Dubaï : Thursday, August 25th 2022 from 08pm to 09:06pm (GMT+4)
Bangkok : Thursday, August 25th 2022 from 11pm to 12:06am (GMT+7)
Shanghai : Friday, August 26th 2022 from 12am to 01:06am (GMT+8)
Tokyo : Friday, August 26th 2022 from 01am to 02:06am (GMT+9)
Sydney : Friday, August 26th 2022 from 03am to 04:06am (GMT+11)
Wellington : Friday, August 26th 2022 from 05am to 06:06am (GMT+13)
San Francisco : Thursday, August 25th 2022 from 09am to 10:06am (GMT-7)
New York : Thursday, August 25th 2022 from 12pm to 01:06pm (GMT-4)
Buenos Aires : Thursday, August 25th 2022 from 01pm to 02:06pm (GMT-3)
Reykjavik : Thursday, August 25th 2022 from 04pm to 05:06pm (GMT)
London / Dublin : Thursday, August 25th 2022 from 05pm to 06:06pm (GMT+1)
Paris / Berlin : Thursday, August 25th 2022 from 06pm to 07:06pm (GMT+2)
Istanbul : Thursday, August 25th 2022 from 07pm to 08:06pm (GMT+3)
Moscou / Dubaï : Thursday, August 25th 2022 from 08pm to 09:06pm (GMT+4)
Bangkok : Thursday, August 25th 2022 from 11pm to 12:06am (GMT+7)
Shanghai : Friday, August 26th 2022 from 12am to 01:06am (GMT+8)
Tokyo : Friday, August 26th 2022 from 01am to 02:06am (GMT+9)
Sydney : Friday, August 26th 2022 from 03am to 04:06am (GMT+11)
Wellington : Friday, August 26th 2022 from 05am to 06:06am (GMT+13)
SmartAssist and Connect Function – Improved Patient Outcome
Impella Case Club
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May 2017
Honolulu : Tuesday, May 16th 2017 from 10:30pm to 11:30pm (GMT-10)
San Francisco : Wednesday, May 17th 2017 from 01:30am to 02:30am (GMT-7)
New York : Wednesday, May 17th 2017 from 04:30am to 05:30am (GMT-4)
Buenos Aires : Wednesday, May 17th 2017 from 05:30am to 06:30am (GMT-3)
Reykjavik : Wednesday, May 17th 2017 from 08:30am to 09:30am (GMT)
London / Dublin : Wednesday, May 17th 2017 from 09:30am to 10:30am (GMT+1)
Paris / Berlin : Wednesday, May 17th 2017 from 10:30am to 11:30am (GMT+2)
Istanbul : Wednesday, May 17th 2017 from 11:30am to 12:30pm (GMT+3)
Moscou / Dubaï : Wednesday, May 17th 2017 from 12:30pm to 01:30pm (GMT+4)
Bangkok : Wednesday, May 17th 2017 from 03:30pm to 04:30pm (GMT+7)
Shanghai : Wednesday, May 17th 2017 from 04:30pm to 05:30pm (GMT+8)
Tokyo : Wednesday, May 17th 2017 from 05:30pm to 06:30pm (GMT+9)
Sydney : Wednesday, May 17th 2017 from 07:30pm to 08:30pm (GMT+11)
Wellington : Wednesday, May 17th 2017 from 09:30pm to 10:30pm (GMT+13)
San Francisco : Wednesday, May 17th 2017 from 01:30am to 02:30am (GMT-7)
New York : Wednesday, May 17th 2017 from 04:30am to 05:30am (GMT-4)
Buenos Aires : Wednesday, May 17th 2017 from 05:30am to 06:30am (GMT-3)
Reykjavik : Wednesday, May 17th 2017 from 08:30am to 09:30am (GMT)
London / Dublin : Wednesday, May 17th 2017 from 09:30am to 10:30am (GMT+1)
Paris / Berlin : Wednesday, May 17th 2017 from 10:30am to 11:30am (GMT+2)
Istanbul : Wednesday, May 17th 2017 from 11:30am to 12:30pm (GMT+3)
Moscou / Dubaï : Wednesday, May 17th 2017 from 12:30pm to 01:30pm (GMT+4)
Bangkok : Wednesday, May 17th 2017 from 03:30pm to 04:30pm (GMT+7)
Shanghai : Wednesday, May 17th 2017 from 04:30pm to 05:30pm (GMT+8)
Tokyo : Wednesday, May 17th 2017 from 05:30pm to 06:30pm (GMT+9)
Sydney : Wednesday, May 17th 2017 from 07:30pm to 08:30pm (GMT+11)
Wellington : Wednesday, May 17th 2017 from 09:30pm to 10:30pm (GMT+13)
Discussion around complex PCI
How to deal with complications?
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Wednesday, November 24th 2021 from 12:30pm to 01:30pm (GMT+2)
Honolulu : Wednesday, November 24th 2021 from 12:30am to 01:30am (GMT-10)
San Francisco : Wednesday, November 24th 2021 from 02:30am to 03:30am (GMT-8)
New York : Wednesday, November 24th 2021 from 05:30am to 06:30am (GMT-5)
Buenos Aires : Wednesday, November 24th 2021 from 07:30am to 08:30am (GMT-3)
London / Dublin : Wednesday, November 24th 2021 from 10:30am to 11:30am (GMT)
Paris / Berlin : Wednesday, November 24th 2021 from 11:30am to 12:30pm (GMT+1)
Istanbul : Wednesday, November 24th 2021 from 12:30pm to 01:30pm (GMT+2)
Moscou / Dubaï : Wednesday, November 24th 2021 from 02:30pm to 03:30pm (GMT+4)
Bangkok : Wednesday, November 24th 2021 from 05:30pm to 06:30pm (GMT+7)
Shanghai : Wednesday, November 24th 2021 from 06:30pm to 07:30pm (GMT+8)
Tokyo : Wednesday, November 24th 2021 from 07:30pm to 08:30pm (GMT+9)
Sydney : Wednesday, November 24th 2021 from 08:30pm to 09:30pm (GMT+10)
Wellington : Wednesday, November 24th 2021 from 10:30pm to 11:30pm (GMT+12)
San Francisco : Wednesday, November 24th 2021 from 02:30am to 03:30am (GMT-8)
New York : Wednesday, November 24th 2021 from 05:30am to 06:30am (GMT-5)
Buenos Aires : Wednesday, November 24th 2021 from 07:30am to 08:30am (GMT-3)
London / Dublin : Wednesday, November 24th 2021 from 10:30am to 11:30am (GMT)
Paris / Berlin : Wednesday, November 24th 2021 from 11:30am to 12:30pm (GMT+1)
Istanbul : Wednesday, November 24th 2021 from 12:30pm to 01:30pm (GMT+2)
Moscou / Dubaï : Wednesday, November 24th 2021 from 02:30pm to 03:30pm (GMT+4)
Bangkok : Wednesday, November 24th 2021 from 05:30pm to 06:30pm (GMT+7)
Shanghai : Wednesday, November 24th 2021 from 06:30pm to 07:30pm (GMT+8)
Tokyo : Wednesday, November 24th 2021 from 07:30pm to 08:30pm (GMT+9)
Sydney : Wednesday, November 24th 2021 from 08:30pm to 09:30pm (GMT+10)
Wellington : Wednesday, November 24th 2021 from 10:30pm to 11:30pm (GMT+12)
The Fabulous Complex PCI Tournament
A search for rare, challenging and complicated PCI Cases
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Coming soon
Ostial LCX occlusion through left main LAD struts - beware of complication
Alex & Friends - Ep.8
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Trois ports de sortie en première intention ?
Focus sur le microcathéter multifonction en antérograde
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