952 results
Calcium is not a rocket science
07 May 2025
We present the case of an 83-year-old man admitted with chronic coronary syndrome.
Coronary angiography revealed critical long calcified LAD stenosis. Complex PCI with different plaque modification techniques and intravascular imaging guiding was necessary to reach the success.

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Complex PCI for severely calcified, uncrossable RCA lesion
07 Apr 2025
A 72-year-old male patient with stable coronary artery disease was admitted for recurrence of angina (CCS II/III). Coronary angiography revealed significant stenosis in the mid-portion of RCA. Ad hoc PCI of RCA was unsuccessful due to an uncrossable lesion...

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How to deal with a difficult angle
20 Mar 2025
In this case, the authors offer their perspective on treating a highly calcified circumflex coronary artery while dealing with a very unfavourable angle in a patient with extensive and known coronary disease.

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Impact of intravascular imaging guidance on percutaneous coronary intervention of severely calcified lesions: The ECLIPSE trial
29 Mar 2025
Aaysha Cader provides her take on the ECLIPSE trial presented by Gregg W. Stone at ACC.25 in Chicago.

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The main results of the phase 3 Reverse-it trial
02 Apr 2025
Luis Ortega-Paz interviews Deepak L. Bhatt about the results of the Phase 3 Reverse-it trial which he presented during the ACC.25 in Chicago.

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Treating an “uncrossable” lesion
20 Feb 2025
A 76-year-old man with multiple cardiovascular risk factors presents with unstable angina, despite optimal medical therapy. Facing a complex, tight, and calcified lesion, the decision between PCI and CABG is critical. Join us as we discuss his diagnosis, risk assessment, and approach to treatment, and see...

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Computed tomography versus near-infrared spectroscopy for the assessment of coronary atherosclerosis
17 Feb 2025
NIRS-IVUS offers precise assessment of coronary artery pathology but is invasive and limited in scope, while CCTA is emerging as a non-invasive alternative for comprehensive plaque evaluation.
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Coronary revascularisation deferral based on quantitative flow ratio or fractional flow reserve: a post-hoc analysis of the FAVOR III Europe trial
08 Jan 2025
The post-hoc analysis found that quantitative flow ratio (QFR)-based deferral of coronary artery revascularisation resulted in a higher incidence of 1-year major adverse cardiac events (MACE) as compared with fractional flow reserve (FFR)-based deferral.

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Undilatable calcified lesion - LIVE case
19 Dec 2024 – From GulfPCR-GIM 2024
A 52-year-old male presenting with angina (CCS II) and normal LV function. Angiography revealed a long, severely calcified lesion in the proximal and mid-LAD, which was undilatable during a previous PCI.
The lesion was prepared using Rotablator (1.5 Burr), cutting balloon, Shockwave, and NC balloon, guided by...
The invasive assessment and management of the invisible component of the coronary circulation
19 Dec 2024 – From GulfPCR-GIM 2024
Explore the invisible component of the coronary circulation in this insightful session. Gain a deep understanding of the principles of microvascular invasive assessment, learn how to interpret the data, and discover tailored management strategies for microvascular dysfunction. Through case presentations on vasospastic angina and microvascular dysfunction,...