120 results
Stepwise OCT for treatment optimization in provisional approach of bifurcated coronary lesions
10 Jan 2025
OCT provides information of the accuracy of every maneuver performed during the treatment of bifurcation lesions. We can clearly see if the POT achieves proximal stent apposition, if the side branch wire crosses through the correct cell, and the impact of final kissing-balloon inflation on stent geometry.

Author
Left main bifurcation instent restenosis - LIVE case
18 Dec 2024 – From GulfPCR-GIM 2024
A 76-year-old male with a history of LM PCI (2-stent strategy), RCA PCI, reduced LV function (25%), diabetes, and CKD presented with worsening angina. Angiography revealed in-stent restenosis at the ostium of the LAD and CX, along with RCA occlusion.
The procedure was performed with axillary Impella...
Optical coherence tomography predictors of clinical outcomes after stent implantation: the ILUMIEN IV trial
04 Nov 2024
The aim of this pre-specified analysis of the ILUMIEN IV trial was to assess the relationship between post-PCI OCT parameters of suboptimal stent implantation and clinical outcomes.

Reviewer

Reviewer
Artificial intelligence-based fully automated quantitative coronary angiography versus optical coherence tomography guidance for coronary stent implantation: a multicenter, randomised controlled non-inferiority trial (FLASH)
07 Nov 2024
Panos Xaplanteris provides his take on the FLASH trial presented by Jung-Min Ahn at TCT 2024 in Washington.

Author
A large-scale, randomized trial of orbital atherectomy vs. conventional balloon angioplasty in severely calcified coronary arteries prior to DES implantation (ECLIPSE)
30 Oct 2024
Nicola Ryan provides her take on the ECLIPSE trial presented by Ajay J. Kirtane at TCT 2024 in Washington.

Author
Contrast-induced acute kidney injury in patients undergoing PCI
08 Oct 2024
Coronary angiography and percutaneous coronary intervention (PCI) utilising intravascular iodinated contrast agents (ICA) are being widely performed in a growing number of elderly patients with multiple comorbidities.
Authors :
Hybrid procedure: Stent and DCB for a long diffuse lesion - LIVE case
05 Oct 2024 – From AICT-AsiaPCR 2024
A 40-year-old male with no comorbidities presented an NSTEMI. The angiography showed a focus lesion on the mid-CX and a diffuse lesion on the mid and distal LAD. The LAD FFR are 0.49 with a diffuse pullback gradient.
After Stent in mid-CX guided by OCT, the operators...
Complex left main bifurcation PCI - LIVE case
05 Oct 2024 – From AICT-AsiaPCR 2024
Follow this case of a 65-year-old male with hypertension, a smoker with increasing angina. The coronary angiography found ostial calcified LAD and Circonflex confirmed by IVUS, with a preserved LV function.
The operators decided to perform a PCI of the distal left main with the DK-Crush technique...
Image-guided PCI of distal left main disease
05 Oct 2024 – From AICT-AsiaPCR 2024
Exploring a recorded case of image-guided PCI of distal left main disease, as well as a new paradigm in AI-driven imaging, and learn how coronary imaging aids in decision-making, optimises final outcomes, and enhances stent clarity to guide results in complex PCI procedures. Watch now to deepen...
Complex calcified left main bifurcation - LIVE case
05 Oct 2024 – From AICT-AsiaPCR 2024
An 82-year-old woman with diabetes, hypertension, a history of Micra and RCA PCI 2 years later, was admitted for NSTEMI. The coronary angiography showed a very calcified distal left main stenosis, a significant and calcified ostial LAD stenosis (medina: 1 1 0), confirmed by IVUS. She...