Euro4C Cases - the management of complex patients with calcified CAD

Euro4C stands for the Cardiac Care of Calcified and Complex patients in response to a growing problem within the aging population. Its mission is to work on improving the clinical outcomes of complex patients with advanced, diffuse and calcified atherosclerotic CAD, often presenting in critical conditions and left ventricular dysfunction.

In this section you will find a selection of cases on the subject of the management of complex patients with calcified CAD, submitted by members of the Euro4C Group. Find out more about the members of the Euro4C Editorial Team.

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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. 

Author

Flavio Luciano Ribichini
Gabriele Pesarini

Author

Gabriele Pesarini
IMPELLA protected PCI and intravascular lithotripsy in a calcified degenerated saphenous vein graft

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

How to manage uncrossable lesions in ACS

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

Prof. Thomas Cuisset

Author

Thomas Cuisset
Pierre Deharo

Author

Pierre Deharo

Author

Jérôme Ferrara
CABG or PCI? Heart team and patient decision

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...

M. Pighi

Author

Michele Pighi

Author

Flavio Luciano Ribichini
Medina 1-1-1 unprotected LM bifurcation in a transplanted heart

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...

Gabriele Pesarini

Author

Gabriele Pesarini

Author

Flavio Luciano Ribichini
A step-by-step protected high-risk PCI with the Impella CP

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.

Author

Flavio Luciano Ribichini
A “perfect” case for rotational atherectomy…

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...

Gabriele Pesarini

Author

Gabriele Pesarini
Simone Fezzi

Author

Simone Fezzi
Rotational atherectomy and trans-apical TAVI in severe calcified CAD and PAD

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...

Gabriele Pesarini

Author

Gabriele Pesarini
Mattia Lunardi

Author

Mattia Lunardi
Rotational atherectomy supported-PCI of a sub-occlusive calcified ostial RCA lesion through an Evolut R aortic valve

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...

Author

Flavio Luciano Ribichini
Gabriele Pesarini

Author

Gabriele Pesarini
Management of multi-vessel calcified CAD in AMI complicated by cardiogenic shock

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...

Author

Flavio Luciano Ribichini
Juan Gustavo Del Angel Soto

Author

Juan Gustavo Del Angel Soto
When all roads are closed, open one…