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Patient's Presentation
- Gender: NC
- Age: 66 years old
Prior clinical history
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PCI Left Main/LAD 08/23
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Risk factors: HTA, Dyslepidemia, Diabetis, ex smoker
Clinical Presentation
- Scintigraphia: inferior & lateral ischemia
- Echocardiography: EF 55%
Angiography
Shooting date : 2023-11-29
Last update : 2025-06-26
Last update : 2025-06-26
Alex & Friends
Discover a NEW CTO Live Cases series This series will bring together members of the CTO community to chat and share their experiences. Every month Alexandre Avran will invite a close frien...
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Wednesday, October 16th 2024 from 06pm to 06:45pm (GMT+2)
Honolulu : Wednesday, October 16th 2024 from 07am to 07:45am (GMT+2)
San Francisco : Wednesday, October 16th 2024 from 10am to 10:45am (GMT+2)
New York : Wednesday, October 16th 2024 from 01pm to 01:45pm (GMT+2)
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Reykjavik : Wednesday, October 16th 2024 from 05pm to 05:45pm (GMT+2)
London / Dublin : Wednesday, October 16th 2024 from 06pm to 06:45pm (GMT+2)
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Istanbul : Wednesday, October 16th 2024 from 08pm to 08:45pm (GMT+2)
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Wellington : Thursday, October 17th 2024 from 06am to 06:45am (GMT+2)
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New York : Wednesday, October 16th 2024 from 01pm to 01:45pm (GMT+2)
Buenos Aires : Wednesday, October 16th 2024 from 02pm to 02:45pm (GMT+2)
Reykjavik : Wednesday, October 16th 2024 from 05pm to 05:45pm (GMT+2)
London / Dublin : Wednesday, October 16th 2024 from 06pm to 06:45pm (GMT+2)
Paris / Berlin : Wednesday, October 16th 2024 from 07pm to 07:45pm (GMT+2)
Istanbul : Wednesday, October 16th 2024 from 08pm to 08:45pm (GMT+2)
Moscou / Dubaï : Wednesday, October 16th 2024 from 09pm to 09:45pm (GMT+2)
Bangkok : Thursday, October 17th 2024 from 12am to 12:45am (GMT+2)
Shanghai : Thursday, October 17th 2024 from 01am to 01:45am (GMT+2)
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Guides de 1ère intention :
les trucs et les astuces qui aident en pratique
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Wednesday, September 18th 2024 from 12pm to 01pm (GMT+2)
Honolulu : Wednesday, September 18th 2024 from 01am to 02am (GMT+2)
San Francisco : Wednesday, September 18th 2024 from 04am to 05am (GMT+2)
New York : Wednesday, September 18th 2024 from 07am to 08am (GMT+2)
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Sydney : Wednesday, September 18th 2024 from 10pm to 11pm (GMT+2)
Wellington : Thursday, September 19th 2024 from 12am to 01am (GMT+2)
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New York : Wednesday, September 18th 2024 from 07am to 08am (GMT+2)
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Reykjavik : Wednesday, September 18th 2024 from 11am to 12pm (GMT+2)
London / Dublin : Wednesday, September 18th 2024 from 12pm to 01pm (GMT+2)
Paris / Berlin : Wednesday, September 18th 2024 from 01pm to 02pm (GMT+2)
Istanbul : Wednesday, September 18th 2024 from 02pm to 03pm (GMT+2)
Moscou / Dubaï : Wednesday, September 18th 2024 from 03pm to 04pm (GMT+2)
Bangkok : Wednesday, September 18th 2024 from 06pm to 07pm (GMT+2)
Shanghai : Wednesday, September 18th 2024 from 07pm to 08pm (GMT+2)
Tokyo : Wednesday, September 18th 2024 from 08pm to 09pm (GMT+2)
Sydney : Wednesday, September 18th 2024 from 10pm to 11pm (GMT+2)
Wellington : Thursday, September 19th 2024 from 12am to 01am (GMT+2)
Can PCI outcomes get any better?
Advancing the standard of care with bioadaptor
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Tuesday, February 3rd 2026 from 06pm to 07pm (GMT+1)
Honolulu : Tuesday, February 3rd 2026 from 07am to 08am (GMT+1)
San Francisco : Tuesday, February 3rd 2026 from 09am to 10am (GMT+1)
New York : Tuesday, February 3rd 2026 from 12pm to 01pm (GMT+1)
Buenos Aires : Tuesday, February 3rd 2026 from 02pm to 03pm (GMT+1)
London / Dublin : Tuesday, February 3rd 2026 from 05pm to 06pm (GMT+1)
Paris / Berlin : Tuesday, February 3rd 2026 from 06pm to 07pm (GMT+1)
Istanbul : Tuesday, February 3rd 2026 from 07pm to 08pm (GMT+1)
Moscou / Dubaï : Tuesday, February 3rd 2026 from 09pm to 10pm (GMT+1)
Bangkok : Wednesday, February 4th 2026 from 12am to 01am (GMT+1)
Shanghai : Wednesday, February 4th 2026 from 01am to 02am (GMT+1)
Tokyo : Wednesday, February 4th 2026 from 02am to 03am (GMT+1)
Sydney : Wednesday, February 4th 2026 from 03am to 04am (GMT+1)
Wellington : Wednesday, February 4th 2026 from 05am to 06am (GMT+1)
San Francisco : Tuesday, February 3rd 2026 from 09am to 10am (GMT+1)
New York : Tuesday, February 3rd 2026 from 12pm to 01pm (GMT+1)
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Istanbul : Tuesday, February 3rd 2026 from 07pm to 08pm (GMT+1)
Moscou / Dubaï : Tuesday, February 3rd 2026 from 09pm to 10pm (GMT+1)
Bangkok : Wednesday, February 4th 2026 from 12am to 01am (GMT+1)
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Tokyo : Wednesday, February 4th 2026 from 02am to 03am (GMT+1)
Sydney : Wednesday, February 4th 2026 from 03am to 04am (GMT+1)
Wellington : Wednesday, February 4th 2026 from 05am to 06am (GMT+1)
Novel HC-IVL technique to maximize calcium fractures to improve vessels compliance
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Friday, May 29th 2026 from 05:30pm to 06:15pm (GMT+2)
Honolulu : Friday, May 29th 2026 from 06:30am to 07:15am (GMT+2)
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Istanbul : Friday, May 29th 2026 from 07:30pm to 08:15pm (GMT+2)
Moscou / Dubaï : Friday, May 29th 2026 from 08:30pm to 09:15pm (GMT+2)
Bangkok : Friday, May 29th 2026 from 11:30pm to 12:15am (GMT+2)
Shanghai : Saturday, May 30th 2026 from 12:30am to 01:15am (GMT+2)
Tokyo : Saturday, May 30th 2026 from 01:30am to 02:15am (GMT+2)
Sydney : Saturday, May 30th 2026 from 03:30am to 04:15am (GMT+2)
Wellington : Saturday, May 30th 2026 from 05:30am to 06:15am (GMT+2)
Déremboursement en France : évolutions médico‑économiques
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Proximal RCA occlusion with ipsi and controlateral collateral
Alex & Friends - Ep.7
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george M. Very informative from one of the best!
Alexandre A. thanks George
Aymen B. Wow many struggles and complications nicely managed from 2 masters !
Alexandre A. Thanks Aymen
Marin V. Vauuu... Full house of very nice managed extreme coronary intervention complication! Very useful tips, thank you. Was there any room or need for perinterventional cardiac echo?
Alexandre A. Yes we did Echo after the case, no effusion,
Thanks for following us
Ahmed E. Awesome work by two master operators. A live demo of the various challenges faced during CTO PCI beyond wire crossing. Loved the rota tips. Had the same experience with OPN balloons in a similar scenario where a spike of calcium kept rupturing every other balloon ????????????????
ahmed B. A very tough case & elegant performance. Also very unusual mishap regarding the wasted ballons, and the damaged Burr.
Finally the CX lookks amazing at the end
Very happy to see both of you scrubbed on a case
It really has to be undoubtly tough since you both there.
Yours
A fond fan of you
Mohamed R. Very informative case with lots of well managed complications, some questions if I may, retrospectively was using IVL before rota or even after stenting of LCx ostium a good option, then how is LAD flow restored despite using a covered stent from LM to LCx ?