Other coronary interventions

A 74-year-old, obese, smoker, hypertensive male patient with significant COPD is seen for worsening symptoms of stable angina CCS II. As this is a high-risk profile, and given the typical symptoms observed, a coronary angiogram is recommended as the first-line examination.

The role of imaging for procedural planning and the best indications for specific plaque modification techniques!

The EAPCI-PCR Fellows Course is a project supported by the New Initiatives For Young Interventionalists Committee (NIFYI) and PCR NextGen, and is intended for practitioners at the beginning of their careers....

It is challenging to treat bending calcified coronary lesions with CA. Using a guide extension catheter-supported back-up force to advance a bulky atherectomy device and a guidewire bias to the calcified lesion enabled imaging observation and sufficient dilation using a scoring balloon, which led to stent-less...

An elective right coronary artery PCI was scheduled in an 83-year-old gentleman. Due to the presence of severely diffuse and calcified disease, rotational atherectomy was decided, but the burr got entrapped in the severely calcified and tortuous proximal segment of the artery...

An 81-year-old male underwent PCI of an extensively calcified LAD coronary artery. Lesion preparation was done using cutting and scoring balloons, followed by drug-eluting stent implantation. Despite serial dilations, including the use of a very High-Pressure NC balloon, stent expansion could not be achieved...

Watch this session to see the optimised outcome of the orbital atherectomy system for severely calcified coronary lesions and to understand how orbital atherectomy can fit into the daily practice within calcified coronary lesions.

This session was originally presented during GulfPCR-GIM 2020.

Rotablation is an essential tool for contemporary PCI in managing heavily calcified vessels, but complications can occur. We describe a planned rotablation case in which the burr fractured the rotawire and exited the vessel architecture.

At TCT Connect 2020, Dean Kereiakes presented the results of the Disrupt CAD III trial. Giuseppe Di Gioia and Dejan Milasinovic provide a summary of the key messages.

The goal of the present post hoc analysis of the CLIMA registry was to establish the relationship between calcified nodules (CNs) with (CND) or without (CNWD) disruption of the superficial intimal fibrous layer and one-year occurrence of target lesion myocardial infarction (MI) and/or cardiac death.

Despite the use of rotational atherectomy (RA) in interventional cardiology for over three decades, data regarding factors affecting the clinical outcomes of the RA procedure remain scarce. The aim of the present study was to describe the contemporary use and outcomes of RA in Europe..