80 results
How should I treat a challenging anatomy for TAVI procedure?
02 Dec 2020
A 79-year old female patient was referred to hospital for treatment of a symptomatic severe aortic stenosis... This case describes the challenges and decision-making process related to TAVI in a patient with BAV and a horizontal aorta.
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STEMI and COVID-19: when two potential killers join up
11 Nov 2020
Is COVID responsible for myocardial injury (including STEMI) or is it an innocent bystander? View this case of a male patient, 70+ years with clear COVID symptoms for several days, presenting with chest pain starting about 3h before admission. Past history: permanent Afib on Eliquis.

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Challenging PCI after Valve in Valve: 1 coronary, 3 obstacles!
21 Sep 2020
In this case of an 86-year-old woman, multiple factors make this a complex high-risk PCI. The interventional cardiologist encountered 3 obstacles to engage the coronary! Watch how he overcame this challenge.

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Cisplatin-induced coronary artery thrombosis presented as acute coronary syndrome
16 Sep 2020
Consult this case of a 38-year-old male who presented in the ER with acute chest pain after he had received first cycle of chemotherapy with cisplatin, bleomycin and etoposide for gestational cell tumour with mesenteric mass. The angiogram showed grade IV thrombus in proximal LAD...
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AngioVac thrombectomy in a large and mobile right atrial thrombus
08 Sep 2020
In this case of a 26-year-old female with a history of sinus venosus Atrial Septal Defect and abnormal pulmonary venous return, the heart team conducted a successful aspiration of a large mobile right atrial thrombus using the AngioVac System.

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When medical history can guide therapeutic choices: an uncommon case of STEMI
26 Aug 2020
In this unusual STEMI case of a 75 year old hypertensive woman, find out how medical history can guide the therapeutic choices and how the interventional cardiologist can resist stent implantation...
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MOCA I study: microvascular obstruction measured using dMVR
23 Jul 2020
STEMI patients treated with primary PCI have a high risk of cardiovascular events. However, the diagnosis of Microvascular obstruction (MVO) in cathlabs immediately after PCI remains difficult due to the lack of validated algorithm.

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COVID-19 barrier box in cardiac catheterization
02 Jun 2020
The COVID-19 barrier box is a modified aerosol box for intubation for continuous use in the Cathlab. View an illustrated example of how it can be used in this case of a 70-year-old woman with ACS and inferior AMI STEMI with fibrinolysis and transferred for angiography...

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How should I treat a chronic total occlusion of the LAD when the conventional hybrid approach fails?
18 Dec 2019
A 54-year-old male was admitted with an inferior ST-segment elevation myocardial infarction. Coronary angiography (CAG) showed a thrombotic occlusion of the RCA and a total chronic occlusion (CTO) of the LAD and PCI on the RCA was performed.
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How should I treat STEMI involving giant coronary aneurysm?
01 Aug 2019
A young male patient presents with STEMI. Coronary angiogram revealed a giant coronary aneurysm with large thrombus burden in right coronary artery branch: what would you do? Share your opinion!

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