82 results
Unusual case of STEMI - To stent or not to stent or any other alternative?
07 Mar 2022
A 70-year-old gentleman with background of hypertension and smoking presented with STEMI. Coronary angiogram showed ectasia in the mid and distal segment with heavy thrombus burden.

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How should I treat? - An innovative approach to treat diffuse disease
23 Feb 2022
An 81-year-old gentleman with a history of dyslipidemia, hypertension, presenting a new onset of angina and dyspnea in the last 2 years underwent exertional test which resulted positive for ischemia.

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How should I treat? - TAVI in small anatomy with significant LVOT calcification
20 Jan 2022
An 89-year-old man was referred for treatment of severe symptomatic aortic stenosis. This case describes the decision-making in performing TAVI in a patient with twin challenges of small annulus and significant LVOT calcification.

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CT-guided Robotic-assisted revascularisation in multi-vessel coronary artery disease
23 Sep 2021
A 67-year-old female with a history of recurrent episodes of chest pain presented at the outpatient clinic. She also had a history of hyperlipidaemia, arterial hypertension, peripheral artery disease, diabetes mellitus type 2 and she was an active smoker.

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How should I treat a fractured microcatheter?
16 Sep 2021
A 80-year old man presented to hospital with an anterior non-ST segment elevation myocardial infarction and acute pulmonary edema... This case describes a fractured microcatheters in calcific coronary arteries/chronic total occlusions.

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Unusual, late presentation of coronary pseudoaneurysm due to stent fracture
21 Jul 2021
View the case of an 85-year-old frail woman with end-stage renal disease, renal replacement therapy, and paroxysmal atrial fibrillation...
Foreign body case: tell us what you see!
21 Jun 2021
Let's try to guess which foreign body was found in a 23-year-old male patient with a diagnosis of lymphocyte-predominant Hodgkin's lymphoma under treatment with chemotherapy, and how it was safely removed.

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Coronary atherectomy via guide extension catheter for bending calcified lesions
25 Mar 2021
It is challenging to treat bending calcified coronary lesions with CA. Using a guide extension catheter-supported back-up force to advance a bulky atherectomy device and a guidewire bias to the calcified lesion enabled imaging observation and sufficient dilation using a scoring balloon, which led to stent-less...

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How should I treat residual large right coronary thrombus in a recent-healed COVID-19 patient with ST-Segment Elevation myocardial infarction (STEMI)?
28 Apr 2021
A 44-year-old man, smoker, overweight, recently declared healed from COVID-19, was admitted to our institution for acute myocardial infarction with inferior ST-Segment elevation...
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How should I treat underexpanded coronary stents due to severe coronary calcification?
11 Feb 2021
An 81-year-old male underwent PCI of an extensively calcified LAD coronary artery. Lesion preparation was done using cutting and scoring balloons, followed by drug-eluting stent implantation. Despite serial dilations, including the use of a very High-Pressure NC balloon, stent expansion could not be achieved...