48 results
PCI of aged saphenous vein bypass grafts: easy as 1-2-3
11 Oct 2023
High-risk PCI of aged saphenous vein bypass grafts can be made safer by combining the techniques of prophylactic intracoronary vasodilators, distal protection devices, and direct stenting.

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Percutaneous pericardiotomy for recurrent malignant pericardial effusion
03 Jul 2023
This is a step-by-step description of safely performing a percutaneous pericardiotomy.

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When it’s (really) tight
23 Jun 2023
A 71-year-old woman was referred for coronary angiography. She underwent SAVR for AS related to bicuspidia 6 months before, and subsequently suffered from angina and increasing dyspnea 4 months after the intervention...
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Severely retroflexed calcified circumflex artery – Tackled with left distal radial approach!
30 May 2023
Calcified, retroflexed subtotal long occlusion of left circumflex into OM1 successfully intervened after lithotripsy via left distal radial (anatomical) snuffbox approach

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First half of DK-Crush technique for bailout stenting of a true 0,0,1 bifurcation
09 Dec 2022
Stent implantation is largely debated in true 0,0,1 bifurcation lesion. This case shows bailout IVUS-guided stenting of a large diagonal branch after DEB-induced dissection, performed by employing the first half of the DK-Crush technique, thus avoiding stenting in the disease-free left anterior descending artery.

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Impella utilization in high-risk percutaneous coronary intervention (last remaining vessel)
01 Dec 2022
From a clean puncture to a safe utilization of Impella in high-risk PCI.

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A leaking left main or a leaking stent shaft !?
23 Nov 2022
Contrast staining during coronary angioplasty is an ominous sign, usually indicating deep artery wedging by the guide catheter, or vessel dissection / perforation. The author presents an unusual cause of LMCA staining during primary LAD PCI.

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A lethal combination. simultaneous inferior and anterior STEMI with aborted sudden cardiac death and cardiogenic shock
11 Aug 2022
View this case of a 60-year-old male with hypertension as a modifiable cardiovascular risk factor. A history of thoracic surgery for a gunshot wound 40 years ago and no cardiovascular history.
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A novel approach to left atrial appendage occlusion (when Watchman/Amulet won’t fit!)
06 Apr 2022
See the case of a 76-year-old female patient with mitral valve repair 10 years prior found to have incomplete surgically ligated left atrial appendage, who was referred for closure.

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OCT conundrum during PCI
18 Mar 2022
How did one coronary lesion become three lesions by OCT?

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