418 results
Die Hard: high-risk PCI in calcified LM and severe LV dysfunction
14 Jun 2023
How would you treat an extremely calcified sub-occluded LM in a 72-year-old man presenting on "dependent stability and sliding on inotropes"(*), refused by surgery?
(*) INTERMACS III to II
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When it’s (really) tight
23 Jun 2023
A 71-year-old woman was referred for coronary angiography. She underwent SAVR for AS related to bicuspidia 6 months before, and subsequently suffered from angina and increasing dyspnea 4 months after the intervention...
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Multivessel disease PCI guided by physiology and intracoronary imaging - LIVE case
19 May 2023 – From EuroPCR 2023
A 68-year-old non-diabetic male patient presented with recent exertional chest pain and good LV function. Baseline angiography revealed severe stenosis of the proximal RCA, mid-stenosis of the proximal and mid-CX, and mid-stenosis of the proximal and mid-LAD.
Physiology revealed significant stenosis of proximal CX and proximal LAD.
IVUS...
Multivessel disease, which patients for PCI, CABG or medical treatment?
17 May 2023 – From EuroPCR 2023
Because multivessel disease raises many challenges, cardiac surgeon Lenard Conradi and interventional cardiologist Davide Capodanno discuss the biggest ones.
Is invasive coronary angiography really necessary? If revascularisation is required, which patient should be given a PCI rather than a CABG, and vice versa? What is state-of-the-art in surgery in...
Intracoronary imaging in left main - Part 2
18 May 2023 – From EuroPCR 2023
Delve into the intricacies of intracoronary imaging in left main interventions and explore the various scenarios encountered in this field: learn about the challenges and successes of left main bifurcation PCI using the DK crush technique, discover how multimodality imaging aids in guiding post-TAVR PCI procedures,...
Multivessel disease - Which patients for PCI, CABG or medical treatment?
18 May 2023 – From EuroPCR 2023
In this series of slides, uncover optimal treatments for multivessel disease: Evaluate revascularisation necessity, pinpoint when CABG excels, and identify prime scenarios for PCI.
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,...
Complex techniques for left main bifurcation
18 May 2023 – From EuroPCR 2023
Join us as we unravel the complexities and advancements in treating left main bifurcation lesions in this session: discover the innovative approaches of Snuggle T and protrusion technique in managing left main trifurcation lesions, delve into the advancements of robotic coronary stenting in critical left main stem...
Intracoronary imaging in left main - Part 1
18 May 2023 – From EuroPCR 2023
Explore the world of intracoronary imaging in left main interventions in this session: discover a fascinating case report on overcoming left main stent pop-up, delve into the application of OCT-guided nano crush technique for left main bifurcation lesions, uncover the management of stent failure involving the...
What is the role of intra-coronary physiology and imaging to guide left main bifurcation PCI?
17 May 2023 – From EuroPCR 2023
As Alejandro Travieso explains, physiology and imaging are complementary to achieve good assessment of left main PCI. Dejan Milasinovic adds that different imaging tools can be used in different patients, so practitioners may choose between OCT and IVUS, depending on their main target of interest.
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