237 results
Intercostal embolization of a stuck rotational atherectomy burr
02 Mar 2021
An elective right coronary artery PCI was scheduled in an 83-year-old gentleman. Due to the presence of severely diffuse and calcified disease, rotational atherectomy was decided, but the burr got entrapped in the severely calcified and tortuous proximal segment of the artery...
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...
Rotational atherectomy and trans-apical TAVI in severe calcified CAD and PAD
14 May 2020
An 83-year-old male admitted for heart failure and chest pain, needs to undergo TA-TAVI because of severe PAD and has concomitant CAD with critical calcified lesion of the ULM-LAD...

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Rotational atherectomy supported-PCI of a sub-occlusive calcified ostial RCA lesion through an Evolut R aortic valve
15 Apr 2020
View this case of an 81-year-old man with severely calcified critical stenosis at ostial-prox RCA...

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How to use a Rotablator as single operator
24 Mar 2020
A single operator technique simplifies the procedure and removes the dependence on having a trained assistant. Discover the tips and solutions proposed by Joshua Loh.

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Management of multi-vessel calcified coronary artery disease in acute myocardial infarction complicated by cardiogenic shock
17 Mar 2020
View this case of a 79-year-old woman complaining of atypical chest pain for 3 months, with diabetes and end-stage chronic kidney disease. Coronary CT revealed diffuse calcifications BUT critical coronary artery stenosis was excluded...

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When all roads are closed, open one…
10 Feb 2020
View this case of a 57-year-old woman, with a negative cardiovascular history, but who is a heavy smoker (40xday >20 years) and hypertensive, and who suffered typical chest pain at rest. She arrived at the Emergency Room of a peripheral hospital without a cathlab facility. Her...

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About a complex clinical decision...
14 Nov 2019
View this case of a 79-year-old male with a diagnosis of hepatocarcinoma and severe AVS, mild mitral regurgitation and AF under oral anticoagulation who was admitted for TAVI…

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Undilatable calcific lesion even after rotational atherectomy
19 Dec 2019
View this very uncommon case in which balloons do not expand even after a rather aggressive rotational atherectomy: a 43-year-old male with hypertension, smoking and dyslipidemia presents with total occlusion of proximal left anterior descending artery with fresh thrombus...

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An NSTEMI case due to a severe LM calcific sub-occlusive stenosis
22 Oct 2019
View this case of an 85-year-old woman, hypertensive under medical therapy with no previous medical or surgical history, who called the emergency services about chest pain and shortness of breath...

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How should I treat with rotational atherectomy a TAVI candidate
18 Sep 2019
This is the case of an 84-year-old woman in good general condition, with severe AVS on medical management, chronic atrial fibrillation and admitted with heart failure and chest pain...

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Rotational atherectomy in anterior STEMI
20 Aug 2019
This is the case of an 83-year-old woman with arterial hypertension, hypercolesterolemia, onset of continuous chest pain at rest with anterior STEMI on ECG and medicated with ASA and Ticagrelor and transferred to the cathlab.

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Calcified lesions
05 Jul 2019 – From AICT-AsiaPCR 2019
Watch this LIVE demonstration from National University Heart Centre (Singapore) to discover how they managed the case of a 69 years-old male with diabetes, hypertension and hyperlipidemia suffering from a calcified triple vessel disease.
Calcified left main lesion PCI
05 Jul 2019 – From AICT-AsiaPCR 2019
Consult this session to discover the key clinical data and angiographic reference of a patient presenting with calcified left main lesion PCI.
Complex distal left main bifurcation lesion
04 Jul 2019 – From AICT-AsiaPCR 2019
A 75-year-old male with multiple risk factors and a history of NSTEMI is admitted for staged PCI to his left main bifurcation. His vessels are diffusely calcified…
Defining together a treatment strategy for calcified CAD in a patient with multivessel disease
20 Jun 2019
This is the case of a 68 year old female patient, autonomous and physically robust. She has been diabetic for 10 years, but without cardio-vascular antecedents. She was admitted for chest pain at rest, lasting around 70 minutes with signs of STEMI in the inferior leads...

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Step-by-step decision planning on how to deal with a «simple surgical case», but a potentially troublesome PCI lesion
25 Jul 2019
This is the case of an 84 year old man, widower, with initial cognitive decay, living with his sons and daugthers - non autonomous but physically robust. He was admitted for chest pain at rest after weeks of worsening angina, and underwent coronary angiography within 48h...

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