Twitter Cases in interventional cardiology

A step-by-step simultaneous double kissing crushing stenting for a LM-LCX-LAD & 1st Diagonal branch double bifurcation PCI.

From a clean puncture to a safe valvulotomy, a step by step video tour through performing distal radial MiniBAV – a novel technique.

A single coronary artery arising from the right sinus of Valsalva with absent left main stem is an extremely rare coronary artery anomaly. Herein, a case of percutaneous coronary intervention (PCI) to a high grade proximal left anterior descending (LAD) stenosis of an anomalous single coronary...

Coronary obstruction is a known procedural complication of aortic valve replacement. However, delayed presentation few months after surgical AVR is a relatively unusual phenomenon.  We describe a 75 year old woman with surgical AVR who presented with acute coronary syndrome and severe RV failure few months...

The origin of circumflex from the main RCA has a reported incidence of 0.37 %. Here are two very unusual cases of an anomalous origin of the left circumflex coronary artery from the proximal RCA, one of them with inferior STEMI and VT.

Consult this Twitter case from Ricardo Sanz: an 80-year-old man presenting with inferior STEMI, primary PCI being complicated by the presence of a giant coronary aneurysm in the RCA that hindered the advancement of wires and material towards a small and hidden entry point. Creative off-label...

Femoral artery pseudoaneurysm is a known complication following cardiac catheterization. Rarely, expansion of the pseudoaneurysm can occur and is often catastrophic. We describe a unique method employed by our centre to deal with such a complication.

Consult this Twitter case on the management of a persistent kinking of diagnostic catheter (JR4) after failure of usual techniques.

Radial artery spasm is inevitable when dealing with small caliber one, especially in calcified radial artery. We describe a case in which radial sheath broke due to severe radial spasm and successfully removed by vascular surgical extraction.

Rotablation is an essential tool for contemporary PCI in managing heavily calcified vessels, but complications can occur. We describe a planned rotablation case in which the burr fractured the rotawire and exited the vessel architecture.