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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

Suggestions

Wednesday, July 5th 2023 from 06pm to 07pm (GMT+2)
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Bangkok : Wednesday, July 5th 2023 from 11pm to 12am (GMT+2)
Shanghai : Thursday, July 6th 2023 from 12am to 01am (GMT+2)
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Sydney : Thursday, July 6th 2023 from 03am to 04am (GMT+2)
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Left Main and Bifurcation treatment:

impact of clinical trials in daily practice

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Wednesday, October 4th 2023 from 06pm to 06:45pm (GMT+2)
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New York : Wednesday, October 4th 2023 from 12pm to 12:45pm (GMT+2)
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Reykjavik : Wednesday, October 4th 2023 from 04pm to 04:45pm (GMT+2)
London / Dublin : Wednesday, October 4th 2023 from 05pm to 05:45pm (GMT+2)
Paris / Berlin : Wednesday, October 4th 2023 from 06pm to 06:45pm (GMT+2)
Istanbul : Wednesday, October 4th 2023 from 07pm to 07:45pm (GMT+2)
Moscou / Dubaï : Wednesday, October 4th 2023 from 08pm to 08:45pm (GMT+2)
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Shanghai : Thursday, October 5th 2023 from 12am to 12:45am (GMT+2)
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Sydney : Thursday, October 5th 2023 from 03am to 03:45am (GMT+2)
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Guides de 1ère intention :

algorithme décisionnel de la lésion simple à la lésion complexe

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Wednesday, September 18th 2024 from 12pm to 01pm (GMT+2)
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New York : Wednesday, September 18th 2024 from 06am to 07am (GMT+2)
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Reykjavik : Wednesday, September 18th 2024 from 10am to 11am (GMT+2)
London / Dublin : Wednesday, September 18th 2024 from 11am to 12pm (GMT+2)
Paris / Berlin : Wednesday, September 18th 2024 from 12pm to 01pm (GMT+2)
Istanbul : Wednesday, September 18th 2024 from 01pm to 02pm (GMT+2)
Moscou / Dubaï : Wednesday, September 18th 2024 from 02pm to 03pm (GMT+2)
Bangkok : Wednesday, September 18th 2024 from 05pm to 06pm (GMT+2)
Shanghai : Wednesday, September 18th 2024 from 06pm to 07pm (GMT+2)
Tokyo : Wednesday, September 18th 2024 from 07pm to 08pm (GMT+2)
Sydney : Wednesday, September 18th 2024 from 09pm to 10pm (GMT+2)
Wellington : Wednesday, September 18th 2024 from 11pm to 12am (GMT+2)

Can PCI outcomes get any better?

Advancing the standard of care with bioadaptor

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