252 results
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.
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...
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.
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...
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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The why and how of performing plaque modification in calcified lesions
15 Dec 2022 – From GulfPCR-GIM 2022
Consult this session to learn more about the different kinds of lesions we face during coronary angiography and the different tools and techniques available to treat calcified lesions, as well as to discover how to prepare for each procedure to treat calcified lesion and how to manage complications.
Another frontier crossed!
15 Dec 2022 – From GulfPCR-GIM 2022
Watch this session to find out more about the optimal approach to complex patients, to learn about optimal plaque modification techniques, including atherectomy, to discuss the approach to severely calcified lesions, and to know more about the added value of intravascular imaging.
Challenging and complication cases
14 Dec 2022 – From GulfPCR-GIM 2022
Among the 5 cases presented in this GulfPCR-GIM 2022 session, learn more about post aortic valve replacement complications, complex bicuspid TAVI, or primary PCI for re-implanted left main trunk post aortic root replacement, among others!
Cracking calcium: intravascular lithotripsy’s unique mode of action in treating calcified lesions – What's the evidence?
14 Dec 2022 – From GulfPCR-GIM 2022
Watch this GulfPCR-GIM 2022 session to understand the unique mechanism of action of IVL, the use of intravascular imaging in calcium identification, the gender gap, disrupted CAD trials, and the evolution of treatment of calcified lesions together with the role of IVL.
Optimal PCI in patient with long calcified lesion
14 Dec 2022 – From GulfPCR-GIM 2022
In this session, follow a LIVE case from the Chest Diseases Hospital in Kuwait and learn what the best strategy is to treat patients who present with a very long calcified coronary artery lesion, as well as how to select the best device and which different...
IVUS post-rotablator: the older the calcium, the newer the treatment
31 Jan 2023
How would you treat a 90-year-old female patient with HTN, dyslipidaemia, paroxysmal AF, CCS and CKD, whose stable angina CCS II has been worsening for a few months and whose angio reveals severe calcified stenosis of the proximal and middle LAD?
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