×
It looks like you're using an obsolete version of internet explorer. Internet explorer is no longer supported by Microsoft since the end of 2015. We invite you to use a newer browser such as Firefox, Google Chrome or Microsoft Edge.
My Player placeholder

Become an Incathlab member and receive full access to its content!

You must be an Incathlab member to access videos without any restrictions. Register for free in one minute and access all services provided by Incathlab.You will also be able to log into Incathlab from your Facebook or twitter account by clicking on login on the top-right corner of Incathlab website.

Registration Login


Patient's Presentation

  • Gender: NC
  • Age: 66 years old

Prior clinical history

  • PCI Left Main/LAD 08/23
  • 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
Alexandre Avran
Valenciennes, France
Stéphane Rinfret
Atlanta, United States

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...

Share
9 comments
Join the Discussion
See previous comments (2)
  • george M. Very informative from one of the best!

    Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
    Your browser doesn't have Flash, Silverlight or HTML5 support.


  • Aymen B. Wow many struggles and complications nicely managed from 2 masters !

    Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
    Your browser doesn't have Flash, Silverlight or HTML5 support.


  • 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

    Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
    Your browser doesn't have Flash, Silverlight or HTML5 support.


  • 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 ????????????????

      Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
      Your browser doesn't have Flash, Silverlight or HTML5 support.


    • 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

        Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
        Your browser doesn't have Flash, Silverlight or HTML5 support.


      • 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 ?

          Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
          Your browser doesn't have Flash, Silverlight or HTML5 support.


        Suggestions

        Friday, March 28th 2025 from 08am to 10pm (GMT+1)
        Honolulu : Thursday, March 27th 2025 from 08pm to 10am (GMT+1)
        San Francisco : Thursday, March 27th 2025 from 10pm to 12pm (GMT+1)
        New York : Friday, March 28th 2025 from 01am to 03pm (GMT+1)
        Buenos Aires : Friday, March 28th 2025 from 03am to 05pm (GMT+1)
        London / Dublin : Friday, March 28th 2025 from 06am to 08pm (GMT+1)
        Paris / Berlin : Friday, March 28th 2025 from 07am to 09pm (GMT+1)
        Istanbul : Friday, March 28th 2025 from 08am to 10pm (GMT+1)
        Moscou / Dubaï : Friday, March 28th 2025 from 10am to 12am (GMT+1)
        Bangkok : Friday, March 28th 2025 from 01pm to 03am (GMT+1)
        Shanghai : Friday, March 28th 2025 from 02pm to 04am (GMT+1)
        Tokyo : Friday, March 28th 2025 from 03pm to 05am (GMT+1)
        Sydney : Friday, March 28th 2025 from 04pm to 06am (GMT+1)
        Wellington : Friday, March 28th 2025 from 06pm to 08am (GMT+1)

        Complex & High-Risk Indicated Procedures

        Discover the 6th edition - Day #1

        Share
        Monday, June 10th 2024 from 05pm to 06pm (GMT+2)
        Honolulu : Monday, June 10th 2024 from 05am to 06am (GMT+2)
        San Francisco : Monday, June 10th 2024 from 08am to 09am (GMT+2)
        New York : Monday, June 10th 2024 from 11am to 12pm (GMT+2)
        Buenos Aires : Monday, June 10th 2024 from 12pm to 01pm (GMT+2)
        Reykjavik : Monday, June 10th 2024 from 03pm to 04pm (GMT+2)
        London / Dublin : Monday, June 10th 2024 from 04pm to 05pm (GMT+2)
        Paris / Berlin : Monday, June 10th 2024 from 05pm to 06pm (GMT+2)
        Istanbul : Monday, June 10th 2024 from 06pm to 07pm (GMT+2)
        Moscou / Dubaï : Monday, June 10th 2024 from 07pm to 08pm (GMT+2)
        Bangkok : Monday, June 10th 2024 from 10pm to 11pm (GMT+2)
        Shanghai : Monday, June 10th 2024 from 11pm to 12am (GMT+2)
        Tokyo : Tuesday, June 11th 2024 from 12am to 01am (GMT+2)
        Sydney : Tuesday, June 11th 2024 from 02am to 03am (GMT+2)
        Wellington : Tuesday, June 11th 2024 from 04am to 05am (GMT+2)

        L’OCT dans la resténose et thrombose de stent – il est temps d’allumer la lumière !

        L’imagerie : un outil indispensable pour gérer les complications post-angioplastie

        Share
        Wednesday, September 18th 2024 from 12pm to 01pm (GMT+2)
        Honolulu : Wednesday, September 18th 2024 from 12am to 01am (GMT+2)
        San Francisco : Wednesday, September 18th 2024 from 03am to 04am (GMT+2)
        New York : Wednesday, September 18th 2024 from 06am to 07am (GMT+2)
        Buenos Aires : Wednesday, September 18th 2024 from 07am to 08am (GMT+2)
        Reykjavik : Wednesday, September 18th 2024 from 10am to 11am (GMT+2)
        London / Dublin : Wednesday, September 18th 2024 from 11am to 12pm (GMT+2)
        Paris / Berlin : Wednesday, September 18th 2024 from 12pm to 01pm (GMT+2)
        Istanbul : Wednesday, September 18th 2024 from 01pm to 02pm (GMT+2)
        Moscou / Dubaï : Wednesday, September 18th 2024 from 02pm to 03pm (GMT+2)
        Bangkok : Wednesday, September 18th 2024 from 05pm to 06pm (GMT+2)
        Shanghai : Wednesday, September 18th 2024 from 06pm to 07pm (GMT+2)
        Tokyo : Wednesday, September 18th 2024 from 07pm to 08pm (GMT+2)
        Sydney : Wednesday, September 18th 2024 from 09pm to 10pm (GMT+2)
        Wellington : Wednesday, September 18th 2024 from 11pm to 12am (GMT+2)

        Can PCI outcomes get any better?

        Advancing the standard of care with bioadaptor

        Share
        Saturday, November 8th 2025 from 01:30pm to 02:15pm (GMT+1)
        Honolulu : Saturday, November 8th 2025 from 01:30am to 02:15am (GMT+1)
        San Francisco : Saturday, November 8th 2025 from 03:30am to 04:15am (GMT+1)
        New York : Saturday, November 8th 2025 from 06:30am to 07:15am (GMT+1)
        Buenos Aires : Saturday, November 8th 2025 from 08:30am to 09:15am (GMT+1)
        London / Dublin : Saturday, November 8th 2025 from 11:30am to 12:15pm (GMT+1)
        Paris / Berlin : Saturday, November 8th 2025 from 12:30pm to 01:15pm (GMT+1)
        Istanbul : Saturday, November 8th 2025 from 01:30pm to 02:15pm (GMT+1)
        Moscou / Dubaï : Saturday, November 8th 2025 from 03:30pm to 04:15pm (GMT+1)
        Bangkok : Saturday, November 8th 2025 from 06:30pm to 07:15pm (GMT+1)
        Shanghai : Saturday, November 8th 2025 from 07:30pm to 08:15pm (GMT+1)
        Tokyo : Saturday, November 8th 2025 from 08:30pm to 09:15pm (GMT+1)
        Sydney : Saturday, November 8th 2025 from 09:30pm to 10:15pm (GMT+1)
        Wellington : Saturday, November 8th 2025 from 11:30pm to 12:15am (GMT+1)

        SELUTION DeNovo 1-year data – New data = New perspectives?

        What do the SELUTION DeNovo 1-year results mean for clinical practice in Germany?

        Share
        Tuesday, February 3rd 2026 from 06pm to 07pm (GMT+1)
        Honolulu : Tuesday, February 3rd 2026 from 06am to 07am (GMT+1)
        San Francisco : Tuesday, February 3rd 2026 from 08am to 09am (GMT+1)
        New York : Tuesday, February 3rd 2026 from 11am to 12pm (GMT+1)
        Buenos Aires : Tuesday, February 3rd 2026 from 01pm to 02pm (GMT+1)
        London / Dublin : Tuesday, February 3rd 2026 from 04pm to 05pm (GMT+1)
        Paris / Berlin : Tuesday, February 3rd 2026 from 05pm to 06pm (GMT+1)
        Istanbul : Tuesday, February 3rd 2026 from 06pm to 07pm (GMT+1)
        Moscou / Dubaï : Tuesday, February 3rd 2026 from 08pm to 09pm (GMT+1)
        Bangkok : Tuesday, February 3rd 2026 from 11pm to 12am (GMT+1)
        Shanghai : Wednesday, February 4th 2026 from 12am to 01am (GMT+1)
        Tokyo : Wednesday, February 4th 2026 from 01am to 02am (GMT+1)
        Sydney : Wednesday, February 4th 2026 from 02am to 03am (GMT+1)
        Wellington : Wednesday, February 4th 2026 from 04am to 05am (GMT+1)

        Novel HC-IVL technique to maximize calcium fractures to improve vessels compliance

        Share
        Monday, October 30th 2023 from 05pm to 06pm (GMT+1)
        Honolulu : Monday, October 30th 2023 from 05am to 06am (GMT+1)
        San Francisco : Monday, October 30th 2023 from 07am to 08am (GMT+1)
        New York : Monday, October 30th 2023 from 10am to 11am (GMT+1)
        Buenos Aires : Monday, October 30th 2023 from 12pm to 01pm (GMT+1)
        London / Dublin : Monday, October 30th 2023 from 03pm to 04pm (GMT+1)
        Paris / Berlin : Monday, October 30th 2023 from 04pm to 05pm (GMT+1)
        Istanbul : Monday, October 30th 2023 from 05pm to 06pm (GMT+1)
        Moscou / Dubaï : Monday, October 30th 2023 from 07pm to 08pm (GMT+1)
        Bangkok : Monday, October 30th 2023 from 10pm to 11pm (GMT+1)
        Shanghai : Monday, October 30th 2023 from 11pm to 12am (GMT+1)
        Tokyo : Tuesday, October 31st 2023 from 12am to 01am (GMT+1)
        Sydney : Tuesday, October 31st 2023 from 01am to 02am (GMT+1)
        Wellington : Tuesday, October 31st 2023 from 03am to 04am (GMT+1)

        How do the new antithrombotic recommendations affect your HBR patients?

        Gain insights from a patient case analysis

        Share
        Wednesday, June 21st 2023 from 04pm to 05:30pm (GMT+2)
        Honolulu : Wednesday, June 21st 2023 from 04am to 05:30am (GMT+2)
        San Francisco : Wednesday, June 21st 2023 from 07am to 08:30am (GMT+2)
        New York : Wednesday, June 21st 2023 from 10am to 11:30am (GMT+2)
        Buenos Aires : Wednesday, June 21st 2023 from 11am to 12:30pm (GMT+2)
        Reykjavik : Wednesday, June 21st 2023 from 02pm to 03:30pm (GMT+2)
        London / Dublin : Wednesday, June 21st 2023 from 03pm to 04:30pm (GMT+2)
        Paris / Berlin : Wednesday, June 21st 2023 from 04pm to 05:30pm (GMT+2)
        Istanbul : Wednesday, June 21st 2023 from 05pm to 06:30pm (GMT+2)
        Moscou / Dubaï : Wednesday, June 21st 2023 from 06pm to 07:30pm (GMT+2)
        Bangkok : Wednesday, June 21st 2023 from 09pm to 10:30pm (GMT+2)
        Shanghai : Wednesday, June 21st 2023 from 10pm to 11:30pm (GMT+2)
        Tokyo : Wednesday, June 21st 2023 from 11pm to 12:30am (GMT+2)
        Sydney : Thursday, June 22nd 2023 from 01am to 02:30am (GMT+2)
        Wellington : Thursday, June 22nd 2023 from 03am to 04:30am (GMT+2)

        Strategies and techniques to treat multivessel disease with complex lesions

        Share
        Scroll Up