268 results
First results of randomised trials on advanced plaque modification techniques and intracoronary imaging
16 May 2024 – From EuroPCR 2024
This session presents the first results of randomized trials investigating the use of advanced plaque modification techniques, such as rotational atherectomy, lithotripsy, and laser atherectomy, as well as the role of intracoronary imaging (OCT and IVUS) in guiding percutaneous coronary intervention (PCI). The session aims to...
Essentials in the management of calcified coronary stenosis
16 May 2024 – From EuroPCR 2024
This session focuses on the essentials of managing calcified coronary stenosis, including diagnostic pitfalls, selection strategies for appropriate plaque modification devices, and the safe and effective adoption of specific tools and techniques. Through interactive case discussions, attendees will learn how to effectively evaluate and treat calcified...
Undilatable calcified lesion with balloon - LIVE case
15 May 2024 – From EuroPCR 2024
A 66-year-old male with a history of PAD, COPD, diabetes, and an LV function of 44% presented with unstable angina. Coronary angiography revealed a severe and heavily calcified RCA lesion undilatable with a balloon. The patient was referred to a centre specializing in calcified lesion treatment.
Using...
Calcified coronary lesions: procedural techniques
15 May 2024 – From EuroPCR 2024
This session, comprising selected EuroPCR 2024 Clinical Case submissions, focuses on procedural techniques for the management of calcified coronary lesions. It will feature various complex cases, including in-stent shave and debulk, damned coronary nodules, rotatripsy burring before the shock, protected high-risk PCI of a heavily calcified...
Different treatment options for PCI in calcified lesions
15 May 2024 – From EuroPCR 2024
This session showcases various treatment options for percutaneous coronary intervention (PCI) in calcified lesions. Attendees will learn about the use of excimer laser atherectomy, intravascular lithotripsy, and other techniques to effectively manage challenging calcified coronary lesions. The session features case presentations and discussions, providing insights into...
Different procedural techniques for the treatment of heavily calcified coronary lesions
15 May 2024 – From EuroPCR 2024
This session features selected EuroPCR 2024 Clinical Case submissions focused on the management of heavily calcified coronary lesions. Experts will present and discuss various techniques, including the use of artificial intelligence-generated coronary CT angiography for PCI guidance, advanced calcium mapping with coronary CT, orbital atherectomy, and...
A new horizon in IVUS-guided PCI of calcified stenoses with artificial intelligence
15 May 2024 – From EuroPCR 2024
In this session, observe the enhanced user-friendliness of IVUS-guided complex PCI with improved AI algorithms, recognize the importance of combining experience with advanced knowledge of tools and techniques for optimal PCI outcomes in heavily calcified stenoses, and understand how tailoring drug-eluting devices for calcified lesions can...
Cracking the calcium code - Novelty and utility of Hertz Contact intravascular lithotripsy
15 May 2024 – From EuroPCR 2024
Follow this session to learn about the novel HC-IVL system, its application for moderate to severe calcified lesions, and procedural tips. The LithiX Hertz Contact IVL addresses unmet needs in coronary artery calcification by offering a simplified workflow with fewer devices and effective treatment for difficult...
Management complications during PCI of calcified coronary lesions
14 May 2024 – From EuroPCR 2024
This session features selected clinical case submissions showcasing the management of complications that can arise during PCI (Percutaneous Coronary Intervention) of calcified coronary lesions. Participants will learn about various challenging scenarios, such as impacted diamond crown, stuck IVUS catheter post-stenting, and ruptured/fractured cutting balloon. The session...
Calcified coronary lesions: procedural techniques - Part 1
14 May 2024 – From EuroPCR 2024
This session will feature a series of selected clinical case submissions from EuroPCR 2024, focusing on procedural techniques for the management of calcified coronary lesions. Attendees will have the opportunity to explore various strategies, including the use of angio-based FFR, OCT, rotational atherectomy, and drug-coated balloons,...
Treatment strategies of calcified lesions
14 May 2024 – From EuroPCR 2024
This session, comprising selected EuroPCR 2024 Abstract submissions, explores various treatment strategies for calcified coronary lesions. It includes presentations and discussions on the invasive evaluation of coronary artery compliance modification after intracoronary lithotripsy, a retrospective comparison of rotational atherectomy in NSTE-ACS and stable angina patients, the...
Management of patient with complex left main stenosis - LIVE case
14 May 2024 – From EuroPCR 2024
A 52-year-old male, with a history of STEMI treated by PPCI on RCA one month ago, presents with angina CCS 2 and severe, calcified stenosis in the LAD, CX, and distal left main. The treatment involved implanting 2 stents in the LAD after Rota preparation, followed...
How should we manage calcific coronary disease according to the European Consensus document?
15 May 2024 – From EuroPCR 2024
Follow this exchange between James Spratt and Flavio Ribichini for insights into how the European Consensus document offers practical guidance for approaching calcified lesions, the significance of angiography findings, the critical role of intravascular imaging (IVUS or OCT), and device selection based on lesion type. Training...
Double trouble: uncrossable calcified lesion complicated with iatrogenic ostial dissection
11 Apr 2024
How should this 74-year-old woman with HTN, DM, LVEF 45 %, inferior hypokinesia, and no valvular disorders be managed after presenting with a subacute inferior STEMI of less than 24 hours? Before uncovering the authors' approach, provide your analysis!
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How to choose a snare and how to create a snare in complex PCI scenarios
19 Dec 2023
Complex percutaneous coronary intervention (PCI) procedures are dramatically increasing in daily practice. Calcified coronary artery lesions and hostile cardiac anatomy may increase the risk of device dislodgment and/or malposition. In such situations, the use of a snare catheter is pivotal to retrieve and/or reposition the device.
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Cracking new horizons across all calcium morphologies
07 Dec 2023 – From GulfPCR-GIM 2023
Watch this session to learn all about the intravascular lithotripsy (IVL) mechanism for treating calcified lesions. Discover practical advice and techniques for implementing IVL in challenging calcified lesions and the safe utilization of IVL in left main bifurcations.
OCT-guided PCI for a patient with calcified lesion
07 Dec 2023 – From GulfPCR-GIM 2023
Consult this session to gain insights into the significance of actionable intracoronary imaging in the patient treatment journey and acquire knowledge on adopting procedural strategies. Learn about the effective utilisation of orbital atherectomy for plaque modification and the impact of DES platforms in the management of...
A new angiographic tool to evaluate stent expansion besides intracoronary imaging
24 Nov 2023
A 57-year-old man with hypertension and dyslipidemia as cardiovascular risk factors was admitted for stable angina for months. His symptoms were not controlled despite maximal medical treatment (beta-blockers, nitrates, aspirin, statins). Angios revealed multivessel disease. How would you manage this case?
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Severe symptomatic aortic stenosis in a "no access for TAVI" patient and an "unexpected" toll for balloon valvotomy
18 Oct 2023
An 88-year-old lady was admitted with resistant pulmonary oedema, a massively calcified aortic valve, renal failure and no transfemoral access option. How would you treat this patient?
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Calcified bifurcation lesion - LIVE case
22 Sep 2023 – From AICT-AsiaPCR 2023
A 59-year-old female patient with type 2 DM, dyslipidaemia, hypothyroidism and impaired LV function (39%) presented with multivessel disease. RCA PCI was performed 3 days ago.
The prox and mid LAD showed a severe calcified lesion including the diagonal. The lesion was prepared using a 1.25 Rotaglide™ ('single-person'...
