242 results
Complex Calcified Lesions: Keep it simple and stay Safe
26 Jun 2023
Watch the replay of this webinar with F. Ribichini, C. Cosgrove and C. Ungureanu and learn about diagnostic tools and appropriate planning of modern PCI in calcified lesions and much more!
Contemporary calcium modification strategies for complex calcification, which tools and when?
20 May 2023 – From EuroPCR 2023
Nieves Gonzalo and Jeroen Sonck reflect on the management of calcific disease, one of the hot and trending topics at EuroPCR 2023. They discuss how to prepare before treating, the modalities to evaluate the calcium and how to anticipate the need for more dedicated devices.
Diagnosis and procedural strategies for severely calcified lesions
18 May 2023 – From EuroPCR 2023
Dealing with severely calcified lesions? Explore the insights from two cases showcased in this session, and leverage Flavio Ribichini's algorithm for angiographic calcified lesions, as well as Yoshinobu Onuma's algorithm for calcified lesions with adjunctive imaging modalities, to enhance your management strategies!
TAVI in heavily calcified aortic disease - How to choose the proper treatment strategy?
18 May 2023 – From EuroPCR 2023
Consult this session if you want to outline how the heart team should individualise treatment for patients with complex calcified aortic stenosis, to review steps for TAVI in complex calcified aortic stenosis, and to learn about device selection and implantation techniques in calcified anatomies.
Calcified distal left main stenosis - LIVE case
18 May 2023 – From EuroPCR 2023
Watch the case of a 62-year-old non-diabetic male patient with history of stroke and peripheral artery disease, normal ECG and left ventricular function, referred for CT scan and angiography. He presented with calcified distal LM stenosis and calcified proximal LAD stenosis.
Provisional left main stenting was performed,...
Breaking the calcium ceiling in bifurcation stenoses with contemporary PCI
18 May 2023 – From EuroPCR 2023
Watch the case of a 73-year-old man, active smoker, with HTN, dyslipidaemia and a history of severe polyvascular disease, who presented with CCS III angina in the last two months, and find out in this session how he was treated LIVE.
Intravascular lithotripsy in the real world: the revolution continues
18 May 2023 – From EuroPCR 2023
In this session, review the evolution in the use of IVL over the last few years, with a widening of the indications, observe that OCT can underestimate the number and depth of calcium fractured induced by IVL, or see that the technique is safe and effective...
Complications in the treatment of calcified lesions
18 May 2023 – From EuroPCR 2023
Explore the complexities encountered in the treatment of calcified lesions.
Witness the retrieval of an orbital atherectomy crown using the twisting wire technique, uncover the challenges posed by device entrapment following the use of intravascular lithotripsy, encounter the issue of a stuck OCT catheter and the strategies...
Complex bifurcation PCI - LIVE case
17 May 2023 – From EuroPCR 2023
Study the case of this 69-year-old male patient with recent PCI on LAD presenting chronic coronary syndrome. Angiography showed calcified stenosis on bifurcation of proximal CX and large obtuse marginal 1, Medina 0-1-1.
The PCI strategy was an OCT-guided TAP technique:
7F guiding catheter, predilatation with semi-compliant and non-compliant...
More pulses to take you further across all calcium morphologies
17 May 2023 – From EuroPCR 2023
Discover the latest insights on intravascular lithotripsy (IVL) for treating calcified lesions: explore its mechanism of action, technological advancements, and practical tips for challenging cases, including diffuse lesions, left main bifurcations, and eccentric/calcified nodules. Enhance your expertise in IVL with this concise and informative session!
Orbital atherectomy, a versatile tool in managing complex scenarios of vessel calcification
17 May 2023 – From EuroPCR 2023
The aim of this session is to address the question of how to optimise outcomes for high-risk patients by analyzing two real-life cases for discussion: a distal calcified left main trifurcation and a high-risk PCI with orbital atherectomy.
Bifurcation with provisional stent strategy - LIVE case
17 May 2023 – From EuroPCR 2023
Learn more about a 65-year-old diabetic male patient with BMI 31, NYHA III shortness of breath, and a mid-calcified lesion on proximal and mid-part of LAD. QFR and µFR were significant for the 2 LAD lesions (0.73 and 0.74). The proximal lesion was a bifurcation Medina 1-0-1...
New developments in intravascular lithotripsy after 5 years of clinical practice
17 May 2023 – From EuroPCR 2023
Angela McInerney and James Spratt look back at 5 years of intravascular lithotripsy and how it has evolved from its beginnings to the present day.
Calcium has always been a very complex issue especially in older patients, but the tools to treat it were somewhat limited....
Our patient with a highly calcified vessel
15 May 2023 – From EAPCI-PCR Fellows course 2023
Consult these slides to define a step-by-step strategy to deal with calcified lesions, discover how OCT can support your decision making and to learn how to learn how to use ROTABLATOR for an effective and safe plaque debulking.
How should I treat? – TAVI with a self-expanding aortic valve in bicuspid aortic valve stenosis
09 Mar 2023
A 73-year-old male patient was referred for treatment of severe symptomatic aortic valve stenosis. This case describes the decision-making in performing TAVI with a self-expanding aortic valve in a patient with bicuspid aortic valve stenosis and peripheral arterial disease.
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Successful rotablation of a calcium spike blocking the motion of a mechanical prosthetic leaflet
27 Mar 2023
Thanks to this EIJ image, consider the case of a 46-year-old female patient who underwent a first aortic valve replacement at the age of 25, a second one 10 years later, together with a mitral valve replacement, and who presented with a displaced calcium spike from...
Calcified left main bifurcation PCI: how to evaluate and how best to treat - LIVE case
04 Mar 2023 – From AfricaPCR 2023
A 62-year-old male with hormonal treatment (metastatic prostate carcinoma) presents an exertion angina due to an MVD: severe calcified stenoses of distal left main (medina 1-1-1), mid LAD and prox CX.
Watch how the operators prepare LAD and CX lesions with Rotablator (Burrs: 1.25 + 1.75) then...
How should I treat a calcified lesion - A patient's journey
03 Mar 2023 – From AfricaPCR 2023
In this session, follow the discussion about a 76-year-old male patient with HTN, type 2 DM, dyslipidaemia and progressive angina who presented with a preserved LVEF without RWMA and a positive treadmill exercise test...
TAVI in a patient with heavily calcified valve anatomy - LIVE case
18 Feb 2023 – From PCR Tokyo Valves 2023
An 80-year-old male with chronic kidney disease and interstitial pneumonia treated under steroids presented a symptomatic severe aortic stenosis with massive calcifications on the valves and only on the valves (not the LVOT).
Watch the operators implant a Sapien 3 23 mm (-1cc) with a predilatation (Balloon...
High-speed rotational atherectomy versus modified balloons for plaque preparation of severely calcified coronary lesions: two-year outcomes of the randomised PREPARE-CALC trial
17 Jan 2023
The PREPARE-CALC trial was the first trial that compared lesion preparation using rotational atherectomy (RA) prior to sirolimus-eluting stent (SES) implantation with modified balloons (MB; cutting or scoring) in patients presenting with chronic coronary syndromes.
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