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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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

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Yoshinobu Murasato

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Kyohei Meno

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Takahiro Mori

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Shoko Fukuda

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Soichiro Omura

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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

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Carolina Moretti

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Marco Balducelli

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Matteo Aquilina

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Elisabetta Moscarella

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Paolo Calabrò

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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

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Joost Daemen
N. Van Mieghem

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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

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.

Author

Thijmen Hokken
N. Van Mieghem

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Nicolas Van Mieghem
TAVI in a challenging anatomy

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.

Dr. Marko Noc

Author

Marko Noc
STEMI and COVID-19: when two potential killers join up

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.

Abdelhakim Allali

Author

Abdelhakim Allali
Challenging PCI after Valve in Valve: 1 coronary, 3 obstacles!

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...

Author

Sourabh Agstam
CISPLATIN induced coronary artery thrombosis presented as ACS

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. 

Hacer Ceren Tokgöz

Author

Hacer Ceren Tokgöz
AngioVac thrombectomy in a large and mobile right atrial thrombus