219 results
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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Undilatable calcific lesion even after rotational atherectomy
19 Dec 2019
View this very uncommon case in which balloons do not expand even after a rather aggressive rotational atherectomy: a 43-year-old male with hypertension, smoking and dyslipidemia presents with total occlusion of proximal left anterior descending artery with fresh thrombus...

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How should I treat with rotational atherectomy a TAVI candidate
18 Sep 2019
This is the case of an 84-year-old woman in good general condition, with severe AVS on medical management, chronic atrial fibrillation and admitted with heart failure and chest pain...

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Rotational atherectomy in anterior STEMI
20 Aug 2019
This is the case of an 83-year-old woman with arterial hypertension, hypercolesterolemia, onset of continuous chest pain at rest with anterior STEMI on ECG and medicated with ASA and Ticagrelor and transferred to the cathlab.

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Does metallic stent ablation by rotational atherectomy influence on the coronary microcirculation?
09 Jul 2019
An 80-year-old man underwent percutaneous coronary intervention with a bare-metal stent for severe stenosis at proximal left anterior descending coronary artery 13 years ago. In-stent restenosis was treated by a drug-eluting stent 1 year later...