A 56-year-old man was re-admitted with chest pain. He had been hospitalized 2 weeks before because of MI, was suffering from metastatic carcinoma with recurrent PTE, and was on long-term subcutaneous heparin...

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...

Calcified, retroflexed subtotal long occlusion of left circumflex into OM1 successfully intervened after lithotripsy via left distal radial (anatomical) snuffbox approach

Transcatheter structural procedures are dramatically increasing in daily practice. Approaching hostile cardiac anatomy may increase the risk of device dislodgment and/or malposition. In such situations, the use of a snare catheter is pivotal to enhance device trackability.

This toolbox provides interesting information on which expandable sheath fits which prosthesis.

My PCR is your personal space: manage your Course attendance, subscriptions preferences, update your profession, place of work, topics of interest and more…

Observe this TAVI case featuring pulseless electrical activity due to an unforeseen acute occlusion of the right coronary artery, and discover the strategies employed to address and resolve this critical complication.

Nailing the ostium of LAD, although technically challenging, can be precisely done with mandatory intracoronary imaging. It is essential to rule out disease extension into left main artery as, otherwise, cross over LM-LAD stenting strategy would be preferable. CTCA can help the interventionist plan the PCI,...

Mitral transcatheter edge-to-edge repair (M-TEER) has reshaped the prognosis for heart failure patients with secondary mitral regurgitation, but recurrence remains a real challenge when surgical options are off the table.

This case highlights an innovative use of an atrial flow regulator (AFR) to manage elevated left atrial...

A. Sticchi and J. Curio provide you with a summary of the studies that highlighted 2021 in the field of transcatheter tricuspid intervention: TRILUMINATE, CLASP TR EFS, EVOQUE TTVR, TRI-REPAIR, and more.

The authors present a case of PCI for left main trunk bifurcation divided by a flap-like structure in a 67-year-old man suffering from effort angina, in which they successfully used a novel tracking technique by modifying the reverse controlled antegrade and retrograde tracking (CART), which they called...

Complex percutaneous coronary intervention (PCI) procedures are dramatically increasing in daily practice. Calcified coronary artery lesions and hostile cardiac anatomy may increase the risk of device dislodgment and/or malposition. In such situations, the use of a snare catheter is pivotal to retrieve and/or reposition the device.

The origin of circumflex from the main RCA has a reported incidence of 0.37 %. Here are two very unusual cases of an anomalous origin of the left circumflex coronary artery from the proximal RCA, one of them with inferior STEMI and VT.

In challenging anatomies, the Prostyle may get stuck due to calcification, leading to urgent vascular surgery and increasing the operative risk for the patients. This tutorial shows a step-by-step bailout procedure to mitigate risks and ensure patient safety.

Did you know that neoatherosclerosis (in the context of in-stent restenosis (ISR)) can suffer dissection, just like any native coronary artery, when balloon dilatation is performed?

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...

See the case of a 76-year-old female patient with mitral valve repair 10 years prior found to have incomplete surgically ligated left atrial appendage, who was referred for closure.

The coronary arteries arise from the aortic sinuses. Read more...

This manuscript examines Impella single access technique, which provides a case example of the central role social media can play in the introduction of a new interventional approach.