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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

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

A stepwise physiological escalation strategy for the optimal management of chronic coronary syndrome in 2023

16 May 2023 – From EuroPCR 2023

In this session focused on epicardial and microcirculatory dysfunction, discuss how to treat both a 72-year-old smoker man with HTN, diabetes, hyperlipidemia, who presented with angina and dyspnea with moderate exertion over the last months, and a 69-year-old ex-smoker man with HTN and untreated LDL 125...

A stepwise physiological

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

Calcified bifurcation lesion - LIVE case

22 Sep 2023 – From AICT-AsiaPCR 2023

A 59-year-old female patient with type 2 DM, dyslipidaemia, hypothyroidism and impaired LV function (39%) presented with multivessel disease. RCA PCI was performed 3 days ago. 

The prox and mid LAD showed a severe calcified lesion including the diagonal. The lesion was prepared using a 1.25 Rotaglide™ ('single-person'...

Calcified bifurcation lesion - LIVE case

PCI for complex calcific coronary artery disease - LIVE Case

22 May 2025 – From EuroPCR 2025

An 87-year-old female patient, at high bleeding risk and with preserved LV function, presented 2 months ago with an inferior STEMI and multivessel disease. She initially underwent RCA PCI followed by staged LCx PCI. She was now referred for PCI of a long, heavily calcified lesion...

PCI for complex calcific coronary artery disease - LIVE Case

A stuck Rota burr in a "flintstone" coronary artery

18 Dec 2023

Step by Step video on how to deal with a stuck Rota burr with the same arterial access. Nice example of Kokeshi phenomenon.

Jorge Andres Chavarria Viquez

Author

Jorge Andres Chavarria Viquez
Adrián Lostalo

Author

Adrián Lostalo
A stuck Rota burr in a 'flintstone' coronary artery

How to solve rotational atherectomy burr entrapment with a guide extension catheter in 4 steps

21 Jun 2021

In this article, the authors describe (with video illustration) the step-by-step technique for resolution of an entrapped RA burr using a guide-catheter extension...

Rodrigo Vugman Wainstein

Author

Rodrigo Vugman Wainstein
Luiz Carlos Bergoli

Author

Luiz Carlos Bergoli
Sandro Cadaval Gonçalves

Author

Sandro Cadaval Gonçalves
Prof. Marco V. Wainstein

Author

Marco Wainstein
How to solve rotational atherectomy burr entrapment with a guide extension catheter in 4 steps

Taming of the Hydra – percutaneous coronary intervention of a single coronary artery arising from the right sinus of Valsalva

20 Sep 2021

A single coronary artery arising from the right sinus of Valsalva with absent left main stem is an extremely rare coronary artery anomaly. Herein, a case of percutaneous coronary intervention (PCI) to a high grade proximal left anterior descending (LAD) stenosis of an anomalous single coronary...

O'Sullivan Crochan

Author

Crochan O'Sullivan
Taming of the Hydra – percutaneous coronary intervention of a single coronary artery arising from the right sinus of Valsalva

A large-scale, randomized trial of orbital atherectomy vs. conventional balloon angioplasty in severely calcified coronary arteries prior to DES implantation (ECLIPSE)

30 Oct 2024

Nicola Ryan provides her take on the ECLIPSE trial presented by Ajay J. Kirtane at TCT 2024 in Washington.

Nicola Ryan

Author

Nicola Ryan
A large-scale, randomized trial of orbital atherectomy vs. conventional balloon angioplasty in severely calcified coronary arteries prior to DES implantation (ECLIPSE)

Residual Leaks Post Left Atrial Appendage Occlusion

03 Apr 2022

Michele Pighi provides his take on the National Cardiovascular LAAO Registry that analyzed data from 51,333 patients who underwent LAAO procedures with the WATCHMAN device between 2016-2019, as part of the College's NCDR registries.

M. Pighi

Author

Michele Pighi
Residual Leaks Post Left Atrial Appendage Occlusion

One-year results from the FUTURE-II trial

18 May 2021

A decade already passed from the first use of bioresorbable vascular scaffold in percutaneous coronary interventions. The first studies - by using surrogate endpoints - showed some superiority of BRS vs. metallic drug-eluting stent in terms of the so-called vascular restoration therapy with recovery of vasomotion...

One-year results from the FUTURE-II trial

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...

Embolization of a rotational atherectomy burr

How to use a Rotablator as single operator

24 Mar 2020

A single operator technique simplifies the procedure and removes the dependence on having a trained assistant. Discover the tips and solutions proposed by Joshua Loh.

Dr. Joshua Loh

Author

Joshua Loh
My toolkit: How to use a Rotablator as single operator

The PRE18FFIR trial: Coronary Plaque Activity to Predict Recurrent Events

01 Sep 2022

Alex Sticchi provides his take on the PRE18FFIR trial: Prediction of recurrent events with 18F-Sodium Fluoride to identify ruptured and high-risk coronary artery plaques in patients with myocardial infarction.

Alessandro Sticchi

Author

Alessandro Sticchi
The PRE18FFIR trial: Coronary Plaque Activity to Predict Recurrent Events

MedAlliance to be acquired by Cordis

18 Oct 2022

Interventional closure of LVOT to LA shunt after aortic valve replacement

30 Jun 2023

Watch the case of a 79-year-old male patient admitted to hospital with progressive dyspnea in NYHA functional class III-IV and signs of fluid overload, who presented a subannular perforation of LVOT in the region of fibrous aortomitral continuity, and find out how he was treated.

Interventional closure of LVOT to LA shunt after aortic valve replacement
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