215 results
How to efficiently and safely manage calcified left main disease?
21 May 2025 – From EuroPCR 2025
Nicola Ryan and Flavio Ribichini explore the complexities of calcified left main stem disease, emphasizing the critical role of intracoronary imaging in improving patient outcomes. They discuss the practical use of mechanical circulatory support and debate stenting strategies, offering expert insights on when single or dual...
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.
Author
Author
Author
Author
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.
Author
Author
Author
Author
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...
Author
Author
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...
Interventional pot pourri #1
19 Dec 2024 – From GulfPCR-GIM 2024
Dive into this 'Interventional potpourri' session for a diverse array of captivating case studies and innovative techniques in interventional cardiology. Explore an anomalous right coronary artery origin, tackle a complex and poorly understood lesion, discover the integration of artificial intelligence in stentless PCI, and master the...
When complications storm through the cathlab #2
19 Dec 2024 – From GulfPCR-GIM 2024
Brace yourself as we delve into a captivating session showcasing a series of complex and challenging complications that can arise in the catheterization laboratory. From a coiling gone awry to a stuck burr in an elderly patient, this session offers invaluable insights and strategies for navigating...
Interventional pot pourri #2
19 Dec 2024 – From GulfPCR-GIM 2024
This interventional potpourri session covers a diverse range of challenging cases in interventional cardiology. From a case of failed balloon angioplasty in a non-dilatable calcified lesion to an innovative approach for treating isolated side branch osteal lesions, this session offers valuable insights and practical solutions. Discover...
Caught between a calcified rock and a hard place
19 Dec 2024 – From GulfPCR-GIM 2024
This session delves into the challenges of managing heavily calcified coronary lesions, particularly in complex scenarios like left main bifurcation angioplasty and in elderly patients with unstable angina. Explore innovative techniques to tackle abrupt vessel closure, situations where rotablation may fall short, and state-of-the-art approaches for...
Left main bifurcation instent restenosis - LIVE case
18 Dec 2024 – From GulfPCR-GIM 2024
A 76-year-old male with a history of LM PCI (2-stent strategy), RCA PCI, reduced LV function (25%), diabetes, and CKD presented with worsening angina. Angiography revealed in-stent restenosis at the ostium of the LAD and CX, along with RCA occlusion.
The procedure was performed with axillary Impella...
