Cases in Interventional Cardiovascular Medicine: Read & Share cases

This section provides a selection of Read and Share clinical cases provided by experts in interventional cardiology. Your comments are welcome! Use this section to share YOUR experience and/or questions with your peers. Please log into your free My PCR account to read or make any comments or contributions.

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80 results

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.

Author

Dan Blackman
Cunnington Michael

Author

Cunnington Michael
Chris Malkin

Author

Christopher Malkin
How should I treat? - TAVI in small anatomy with significant LVOT calcification

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.

Eric Wyffels

Author

Eric Wyffels
Konstantinos Bermpeis

Author

Konstantinos Bermpeis

Author

Niya Mileva

Author

Dario Bertolone
Emanuele Gallinoro

Author

Emanuele Gallinoro

Author

Giuseppe Esposito
Jeroen Sonck

Author

Jeroen Sonck
Carlos Collet

Author

Carlos Collet
CT-guided Robotic-assisted revascularisation in multi-vessel coronary artery disease

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.

Vinayak Nagaraja, Interventional Cardiologist

Author

Vinayak Nagaraja
Dr Jaikirshan J. Khatri

Author

Jaikirshan J. Khatri
How should I treat a fractured microcatheter?

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...

Unusual, late presentation of coronary pseudoaneurysm due to stent fracture

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.

Juan Guzman Olea

Author

Juan Guzman Olea

Author

Gonzalo Tolosa Dzul

Author

Gabriel Guzmán Olea
Suárez Romero Suárez Romero

Author

Elizabeth Suárez Romero

Author

Miguel Ángel Gómez Pluma
Foreign body case: tell us what you see!

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...

Yoshinobu Murasato

Author

Yoshinobu Murasato

Author

Kyohei Meno

Author

Takahiro Mori

Author

Shoko Fukuda

Author

Soichiro Omura

Author

Katsuhiko Takenaka
Coronary atherectomy via guide extension catheter for bending calcified lesions

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...

Author

Matteo Conte

Author

Carolina Moretti

Author

Marco Balducelli

Author

Matteo Aquilina

Author

Elisabetta Moscarella

Author

Paolo Calabrò

Author

Andrea Rubboli
How should I treat residual large right coronary thrombus in a recent-healed COVID-19 patient with STEMI?

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...

How should I Treat underexpanded coronary stents due to severe coronary calcification?

How should I treat aortic stenosis in a patient with low left main stem take-off?

17 Feb 2021

A 74-year-old female with a history of peripheral artery disease, atrial fibrillation and type 2 diabetes presented to our outpatient clinic with atypical angina and shortness of breath on exertion...

Author

Maarten Van Wiechen

Author

Joost Daemen
N. Van Mieghem

Author

Nicolas Van Mieghem
How should I treat aortic stenosis in a patient with low left main stem take-off?

How to treat a distal coronary perforation?

05 Jan 2021

View this case of a 60-year-old female patient who was scheduled for PCI of the LAD, during which perforation occurred. What would be your treatment options?

Pham Quoc Bang

Author

Pham Quoc Bang
To treat distal coronary perforation