37 results
IMPELLA protected PCI and intravascular lithotripsy in a calcified degenerated saphenous vein graft
27 Jan 2022
Find out more about a 77-year-old male patient with hypertension without good BP control, dyslipidaemia, Type II-DM, ex-smoker, who had triple CABG in 2006, EF 60% in 2017, and presented with dyspnea.

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How to manage uncrossable lesions in ACS
15 Nov 2021
Find out more about how the authors managed a 79-year-old male presenting with ACS and lateral ischemia with a calcified and tortuous left circumflex that could not be crossed with balloons... and a 61-year-old male with inferior STEMI presenting with an “undilatable” lesion of the right coronary artery...
Reviewers:
Michele Pighi, Pierre Deharo and Flavio Luciano Ribichini

CABG or PCI?
05 Oct 2021
Find out more about the case of a 72-year-old male, very active, previous smoker with hypertension, who underwent a stress echo for dyspnea on exertion...
Reviewers:
Michele Pighi et Flavio Luciano Ribichini

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A Medina 1-1-1 unprotected LM bifurcation in a transplanted heart
10 Aug 2021
Find out more about the case of a 70-year-old male with previous heart transplantation at 48 yo due to IHD, claudication of the right leg, and PTA of iliac arteries...

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A step-by-step protected high-risk PCI with the Impella CP
06 Jul 2021
Find out more about the case of an 85-year-old male with dyslipidemia, former smoker with previous cardiovascular events, symptomatic for worsening epigastric pain and shortness of breath...

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A “perfect” case for rotational atherectomy…
11 May 2021
A 74-year-old, obese, smoker, hypertensive male patient with significant COPD is seen for worsening symptoms of stable angina CCS II. As this is a high-risk profile, and given the typical symptoms observed, a coronary angiogram is recommended as the first-line examination.

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Rotational atherectomy and trans-apical TAVI in severe calcified CAD and PAD
14 May 2020
An 83-year-old male admitted for heart failure and chest pain, needs to undergo TA-TAVI because of severe PAD and has concomitant CAD with critical calcified lesion of the ULM-LAD...

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Rotational atherectomy supported-PCI of a sub-occlusive calcified ostial RCA lesion through an Evolut R aortic valve
15 Apr 2020
View this case of an 81-year-old man with severely calcified critical stenosis at ostial-prox RCA...

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Management of multi-vessel calcified coronary artery disease in acute myocardial infarction complicated by cardiogenic shock
17 Mar 2020
View this case of a 79-year-old woman complaining of atypical chest pain for 3 months, with diabetes and end-stage chronic kidney disease. Coronary CT revealed diffuse calcifications BUT critical coronary artery stenosis was excluded...

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When all roads are closed, open one…
10 Feb 2020
View this case of a 57-year-old woman, with a negative cardiovascular history, but who is a heavy smoker (40xday >20 years) and hypertensive, and who suffered typical chest pain at rest. She arrived at the Emergency Room of a peripheral hospital without a cathlab facility. Her...

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