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

About a complex clinical decision...

14 Nov 2019

View this case of a 79-year-old male with a diagnosis of hepatocarcinoma and severe AVS, mild mitral regurgitation and AF under oral anticoagulation who was admitted for TAVI…

Author

Flavio Luciano Ribichini
About a complex clinical decision..

Undilatable calcific lesion even after rotational atherectomy

19 Dec 2019

View this very uncommon case in which balloons do not expand even after a rather aggressive rotational atherectomy: a 43-year-old male with hypertension, smoking and dyslipidemia presents with total occlusion of proximal left anterior descending artery with fresh thrombus...

Author

Flavio Luciano Ribichini
Concetta Mammone

Author

Concetta Mammone
Undilatable calcific lesion even after rotational atherectomy

An NSTEMI case due to a severe LM calcific sub-occlusive stenosis

22 Oct 2019

View this case of an 85-year-old woman, hypertensive under medical therapy with no previous medical or surgical history, who called the emergency services about chest pain and shortness of breath...

Author

Flavio Luciano Ribichini
NSTEMI case due to a severe LM calcific sub-occlusive stenosis

How should I treat with rotational atherectomy a TAVI candidate

18 Sep 2019

This is the case of an 84-year-old woman in good general condition, with severe AVS on medical management, chronic atrial fibrillation and admitted with heart failure and chest pain...

Author

Flavio Luciano Ribichini
RA after TAVI

Rotational atherectomy in anterior STEMI

20 Aug 2019

This is the case of an 83-year-old woman with arterial hypertension, hypercolesterolemia, onset of continuous chest pain at rest with anterior STEMI on ECG and medicated with ASA and Ticagrelor and transferred to the cathlab.

Author

Flavio Luciano Ribichini
Rotational atherectomy in anterior STEMI

Defining together a treatment strategy for calcified CAD in a patient with multivessel disease

20 Jun 2019

This is the case of a 68 year old female patient, autonomous and physically robust. She has been diabetic for 10 years, but without cardio-vascular antecedents. She was admitted for chest pain at rest, lasting around 70 minutes with signs of STEMI in the inferior leads...

Author

Flavio Luciano Ribichini
Strategy for calcified CAD in a patient with MVD

Step-by-step decision planning on how to deal with a «simple surgical case», but a potentially troublesome PCI lesion

25 Jul 2019

This is the case of an 84 year old man, widower, with initial cognitive decay, living with his sons and daugthers - non autonomous but physically robust. He was admitted for chest pain at rest after weeks of worsening angina, and underwent coronary angiography within 48h...

Author

Flavio Luciano Ribichini
Step-by-step decision planning on how to deal with a «simple surgical case», but a potentially troublesome PCI lesion