85 results
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...
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...
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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?

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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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