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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85 results

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...

Author

Giovanni Valenti
When the medical history can guide the therapeutic choices: an uncommon case of STEMI

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.

Felice Gragnano

Author

Felice Gragnano
MOCA I study: microvascular obstruction measured using dMVR

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...

Juan Guzman Olea

Author

Juan Guzman Olea
Suárez Romero Suárez Romero

Author

Elizabeth Suárez Romero
Covid-19 barrier box in cardiac catheterization

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?