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Case summary

Patient Demographics
Age: 66 years old
Gender: male
 
Medical History
NIDDM; Hypertension; Dyslipidaemia
Previous smoking history
Previous femoral PTCA
Known IHD: 
1998: Anterior STEMI - Thrombolysis + PCI of proximal LAD (BMS)
2002: CTO of RCA: medical management
2016: ICD (EF 35% + NSVT)
 
Clinical Presentation
Stable angina (CCS III)
Nuclear perfusion imaging: inducible ischaemia of infero-lateral wall
 
Coronary angio
Normal LM
LAD:
moderate ISR (FFR 0.79) 
severe stenosis mid-LAD 
PCI with two overlapping DESs 
M1: severe stenosis
RCA: CTO of proximal segment with septal collaterals from LAD

Strategy

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

APPROACHES
Retrograde approach through septal collaterals (Turnpike LP and Sion)
Retrogade true-to-true
Retrograde dissection and re-entry
Antegrade dissection reentry
Antegrade approach with guidewire escalation

Protocol: OptiRAY (Ioversol)

Concentration: 350 mgl/mL
Volume: 220 mL

 

 


 

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

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Tuesday, April 23rd 2024 from 05pm to 06:15pm (GMT+2)
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Sydney : Wednesday, April 24th 2024 from 02am to 03:15am (GMT+2)
Wellington : Wednesday, April 24th 2024 from 04am to 05:15am (GMT+2)

From Access to Closure through Treatment:

How to Maximize Outcomes while Minimizing Impact

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Monday, June 10th 2024 from 05pm to 06pm (GMT+2)
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L’OCT dans la resténose et thrombose de stent – il est temps d’allumer la lumière !

L’imagerie : un outil indispensable pour gérer les complications post-angioplastie

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MCS-Support in der biventrikulären Herzinsuffizienz -

vergessen wir den rechten Ventrikel ?!

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Friday, February 17th 2023 from 12:30pm to 02pm (GMT+1)
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Bangkok : Friday, February 17th 2023 from 05:30pm to 07pm (GMT+1)
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Coronary sinus reducer

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Buenos Aires : Thursday, March 16th 2023 from 12pm to 02:30pm (GMT+1)
London / Dublin : Thursday, March 16th 2023 from 03pm to 05:30pm (GMT+1)
Paris / Berlin : Thursday, March 16th 2023 from 04pm to 06:30pm (GMT+1)
Istanbul : Thursday, March 16th 2023 from 05pm to 07:30pm (GMT+1)
Moscou / Dubaï : Thursday, March 16th 2023 from 07pm to 09:30pm (GMT+1)
Bangkok : Thursday, March 16th 2023 from 10pm to 12:30am (GMT+1)
Shanghai : Thursday, March 16th 2023 from 11pm to 01:30am (GMT+1)
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Bifurcation PCI - Insights from the Visible Heart® Lab 

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The safe use of DCB in PCI:

from young to old patients

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