203 results
EAPCI-PCR Fellows Course 2021 - Coronary track: Interventions for calcified coronary lesions
14 Apr 2021 – From EuroPCR 2021
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....
Coronary atherectomy via guide extension catheter for bending calcified lesions
25 Mar 2021
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...

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Intercostal embolization of a stuck rotational atherectomy burr
02 Mar 2021
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...
How should I treat underexpanded coronary stents due to severe coronary calcification?
11 Feb 2021
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...
How to treat ostial lesions with Szabo’s technique?
28 May 2020
Szabo’s technique, also known as “tail-wire” technique, is one of the few specific ostial intervention techniques that can be helpful to achieve precise coverage of the ostium without excessive protrusion into the aorta or the respective main vessel... Discover the tips and solutions proposed by Felix...

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Rotational atherectomy and trans-apical TAVI in severe calcified CAD and PAD
14 May 2020
An 83-year-old male admitted for heart failure and chest pain, needs to undergo TA-TAVI because of severe PAD and has concomitant CAD with critical calcified lesion of the ULM-LAD...

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Rotational atherectomy supported-PCI of a sub-occlusive calcified ostial RCA lesion through an Evolut R aortic valve
15 Apr 2020
View this case of an 81-year-old man with severely calcified critical stenosis at ostial-prox RCA...

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Management of multi-vessel calcified coronary artery disease in acute myocardial infarction complicated by cardiogenic shock
17 Mar 2020
View this case of a 79-year-old woman complaining of atypical chest pain for 3 months, with diabetes and end-stage chronic kidney disease. Coronary CT revealed diffuse calcifications BUT critical coronary artery stenosis was excluded...

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When all roads are closed, open one…
10 Feb 2020
View this case of a 57-year-old woman, with a negative cardiovascular history, but who is a heavy smoker (40xday >20 years) and hypertensive, and who suffered typical chest pain at rest. She arrived at the Emergency Room of a peripheral hospital without a cathlab facility. Her...

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About a complex clinical decision...
14 Nov 2019
View this case of a 79-year-old male with a diagnosis of hepatocarcinoma and severe AVS, mild mitral regurgitation and AF under oral anticoagulation who was admitted for TAVI…

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