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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82 results

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.

Author

Lars Jakobsen

Author

Evald Christiansen
How should I treat a CTO of the LAD when the conventional hybrid approach fails?

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!

Dr Julien Adjedj

Author

Julien Adjedj

Author

Christan Roguelov
Prof. Eric Eeckhout

Author

Eric Eeckhout
Olivier Muller

Author

Olivier Muller
How should I treat STEMI involving giant coronary aneurysm?

How should I treat a myocardial infarction with nonobstructive coronary arteries (MINOCA) in a young patient?

01 Jul 2019

A 20-year-old male with no history of previous illness presented to the emergency department because of chest pain that had started around three hours after physical exercise (soccer match)...

A young patient with spontaneous proximal LAD thrombosis

A novel technique to seal distal coronary perforations

23 Apr 2019

Consult this case of a 43-year-old male, smoker, who presented with acute inferior myocardial infarction (severe retrosternal chest pain of 2-hour duration, associated with ST elevation in the inferior leads) for PPCI...

Author

Basem Elsaid Enany

Author

Ahmed Khashaba
A novel technique to seal distal coronary perforations

Right coronary intramural hematoma

17 Apr 2019

A 52-year-old lady with no prior cardiac history or risk factors was admitted due to NSTEACS... 

Author

Eduardo Arroyo Ucar
Right coronary intramural hematoma

Imaging and physiology-guided PCI without contrast administration in advanced renal failure

11 Apr 2019

In patients with advanced chronic kidney disease who require revascularization, PCI may safely be performed without contrast using imaging and physiological guidance with high procedural success and without complications. Find out more.

Author

Hussein Rahim

Author

Sanjum Sethi

Author

Dimitrios Karampaliotis

Author

Ziad Ali
Imaging and physiology-guided PCI without contrast administration in advanced renal failure

Stent disruption and knotted wire - how to resolve?

04 Apr 2019

Consult this case with complications of knotted wire and severely disrupted stent during LAD PCI on a 51-year-old male.

Dr Wishnu Aditya Widodo

Author

Wishnu Aditya Widodo
Stent disruption and knotted wire - how to resolve?

Unplanned sequelae of a kiss

03 Apr 2019

Discover this case with complications of a 38 year-old-male presenting with proximal LAD/D bifurcation lesion and treated with kissing balloon technique.

Author

Mohamed Abdelzaher
Unplanned sequelae of a kiss

How should I treat an iatrogenic left main dissection?

01 Apr 2019

A 72-year-old gentleman with previous history of primary percutaneous coronary intervention to the right coronary artery in December 2017 and moderate left ventricular dysfunction presented with stable angina in November 2018...

How should I treat an iatrogenic left main dissection?

How should I treat an inflated trapped intra-coronary balloon?

04 Apr 2018

A 73-year-old male presented with acute chest pain and ST segment elevation in the inferior leads. Angiography revealed an occlusion of the mid right coronary artery. A drug-eluting stent was deployed and post-dilated throughout with a non-compliant balloon. However, the deflated balloon could not be retracted...

HSIT an inflated trapped intra coronary balloon part II