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A Medina 1-1-1 unprotected LM bifurcation in a transplanted heart

10 Aug 2021

Find out more about the case of a 70-year-old male with previous heart transplantation at 48 yo due to IHD, claudication of the right leg, and PTA of iliac arteries...

M. Pighi

Author

Michele Pighi

Author

Flavio Luciano Ribichini
Medina 1-1-1 unprotected LM bifurcation in a transplanted heart

Transcatheter tricuspid valve replacement - LIVE case

15 May 2024 – From EuroPCR 2024

An 82-year-old male with a history of STEMI in 2013, stroke in 2018, cancer, and permanent AF, presented with acute heart failure with predominant right-side failure. Severe tricuspid regurgitation was identified.
The operators implanted an Evoque valve percutaneously under TEE guidance and general anaesthesia via the venous...

Transcatheter tricuspid valve replacement

Advanced mitral TEER - LIVE case

24 Nov 2024 – From PCR London Valves 2024

Join us for a LIVE case followed by a recorded case highlighting advanced treatments for severe secondary mitral regurgitation:

  • A 75-year-old man with permanent AF, a history of CABG, and symptomatic severe secondary MR (atrial and ischemic causes) with low LV function (45%) underwent mitral repair with...
Advanced mitral TEER - LIVE case

Imaging-guided left main PCI - LIVE case

17 May 2024 – From EuroPCR 2024

A 53-year-old male with a history of advanced malignancy (lung adenoma) and mid LAD PCI last year, along with multiple risk factors (hypertension, dyslipidemia, diabetes, and smoking), presented with angina and a positive stress test and CT. The angiography and CT showed significant left main stenosis...

Imaging-guided left main PCI

Transcatheter options for degenerated surgical aortic valves - LIVE case

08 Feb 2025 – From PCR Tokyo Valves 2025

A 77-year-old male with a history of SAVR in 2011 (Magna Ease 23) and moderate chronic kidney disease, with preservedLV function, presented with symptomatic severe aortic regurgitation and stenosis, associated with severe MR.

A Sapien 3 Ultra Resilia 23 valve was implanted under local anesthesia, with hemodynamic...

Transcatheter options for degenerated surgical aortic valves - LIVE case

Transcatheter management of failed THV - LIVE case

09 Feb 2025 – From PCR Tokyo Valves 2025

An 84-year-old woman with diabetes mellitus, frailty (5/6), preserved LV function, and aortic stenosis previously treated with CoreValve 26 mm in 2016, presented with symptomatic degenerative stenosis of the valve.
A Sapien 3 (23 mm) was implanted without predilatation but with post-dilatation under general anaesthesia, using cerebral...

Transcatheter management of failed THV - LIVE case

How should I treat this mini-crush stenting complication?

19 Sep 2019

Discover this case of a 62-year-old male admitted with an acute non-ST-elevation myocardial infarction. Coronary angiography revealed a severe left anterior descending-first diagonal bifurcation lesion, Medina type 1,1,1.

Authors :

C. Homorodean; M. C. Ober; A. C. Iancu; M. Olinic; D. Tataru; M. Spinu; D. M. Olinic; F. Burzotta; C. Trani; A. Erglis
How should I treat this mini-crush stenting complication?

Cool AMI EU pivotal trial- final results after trial discontinuation following ad interim analysis

18 May 2021

Results of the interim analyses performed after 12 months in the first 111 patients enrolled in phase II Cool AMI trial evaluating safety and effectiveness of systemic therapeutic hypothermia as an adjunctive therapy in anterior STEMI undergoing PCI as compared to PCI only. Analyses showed significant...

Cool AMI EU pivotal trial- final results after trial discontinuation following ad interim analysis

Calcified left main bifurcation PCI: how to evaluate and how best to treat - LIVE case

04 Mar 2023 – From AfricaPCR 2023

A 62-year-old male with hormonal treatment (metastatic prostate carcinoma) presents an exertion angina due to an MVD: severe calcified stenoses of distal left main (medina 1-1-1), mid LAD and prox CX.
Watch how the operators prepare LAD and CX lesions with Rotablator (Burrs: 1.25 + 1.75) then...

Calcified left main bifurcation PCI

Non left main bifurcation - LIVE case

17 May 2024 – From EuroPCR 2024

A 53-year-old male presented with a late STEMI one month ago. Coronary angiography revealed three-vessel disease: CX occlusion (culprit lesion), RCA bifurcation stenosis, and severe mid LAD-D1 (1-1-1) stenosis. The operators performed RCA PCI during the STEMI hospitalization.
In this live case, they performed the LAD-D1 bifurcation...

Non left main bifurcation - LIVE case

Complex multivessel disease - LIVE Case

21 May 2025 – From EuroPCR 2025

An 89-year-old male patient presented with stable angina, preserved LV function and some risk factors such as hypertension and diabetes. CT scan and angiography revealed occlusion of proximal RCA and bifurcation lesions on LAD and circumflex (medina 1,1,1). Operators treated the bifurcation lesions with provisional stenting.
Regarding...

Complex multivessel disease - LIVE Case

Hybrid step-by-step approach to perform a Robotic DK Crush PCI

28 Jan 2022

View the case of this 65-year-old male patient who was staged for R-PCI of a Medina 1,1,1 distal left main lesion, and discover how the authors used a hybrid robotic and manual approach to perform a DK crush procedure using the second-generation R-PCI device.

Hybrid step-by-step approach to perform a Robotic DK Crush PCI

PCI in unusual anatomies

12 May 2021 – From EuroPCR 2021

View this session to discuss the case of a patient with ACS and anomalous LAD, to see a rare presentation of NSTEMI, to try to guess what the black hole in the cathlab is, and even more!

EuroPCR 2021 PCI in unusual anatomies

Tips & tricks in bifurcation stenting - Part 1

12 May 2021 – From EuroPCR 2021

Watch this session to get acquainted with a novel bifurcation stenting technique in an unusual situation, to learn how to prepare a calcific bifurcating lesion, to study a novel technique for coronary bifurcation lesions, and more!

EuroPCR 2021 Tips & tricks in bifurcation stenting - Part 1

Essential role of imaging in left main PCI

23 May 2025 – From EuroPCR 2025

Discover the essential role of intravascular imaging, particularly IVUS, in guiding left main PCI. Case studies highlight real-time guidance, management of complex bifurcation lesions, and strategies for stent failure, emphasizing imaging's impact on procedural outcomes.

Essential role of imaging in left main PCI

How to tackle complex bifurcation lesions

19 May 2022 – From EuroPCR 2022

Learn how to manage complex bifurcation lesions by viewing cases dealing with a multitude of solutions, techniques and devices, including the DK crush technique, the novel SPAS device and many more. 

How to tackle complex bifurcation lesions

Think differently! Adapted bifurcation techniques for unusual situations

21 May 2019 – From EuroPCR 2019

Consult this session to discover innovative bifurcation techniques for unusual situations, and discover how to manage distal left main trifurcation lesion, TAP-stenting diffuse in stent restenosis, and more!

Think differently! Adapted bifurcation techniques for unusual situations

Stepwise OCT for treatment optimization in provisional approach of bifurcated coronary lesions

10 Jan 2025

OCT provides information of the accuracy of every maneuver performed during the treatment of bifurcation lesions. We can clearly see if the POT achieves proximal stent apposition, if the side branch wire crosses through the correct cell, and the impact of final kissing-balloon inflation on stent geometry.

Javier Suarez de Lezo

Author

Javier Suarez de Lezo
Stepwise OCT for treatment optimization in provisional approach of bifurcated coronary lesions

A percutaneous solution to transcatheter aortic valve thrombosis refractory to anticoagulation: valve-in-valve implantation of a supra-annular self-expanding transcatheter aortic valve

03 Aug 2020

A 56-year-old man with severe aortic stenosis underwent transapical TAVR in 2012. In 2017, the patient was referred for exertion dyspnea and transesophageal echocardiogram showed severe stenosis of the bioprosthesis...

Supra-annular valve-in-valve strategy for a transcatheter aortic valve thrombosis

Comparison of noncompliant balloon with drug-coating balloon angioplasties for side branch after provisional stenting for patients with true coronary bifurcation lesions: The prospective, multicenter, randomized DCB-BIF Trial

03 Nov 2024

Aaysha Cader provides her take on the DCB-BIF Trial presented by Shao-Liang Chen at TCT 2024 in Washington.

Author

Aaysha Cader
DCB-BIF Trial Aaysha Cader TCT 2024
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