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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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Upcoming, Wednesday 28th February
Where is my guidewire? Only IVUS knows - A story about an ambiguous RCA proximal cap
Alex & The Young Generation - Ep.10
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Monday, June 10th 2024 from 05pm to 06pm (GMT+2)
Honolulu : Monday, June 10th 2024 from 06am to 07am (GMT+2)
San Francisco : Monday, June 10th 2024 from 09am to 10am (GMT+2)
New York : Monday, June 10th 2024 from 12pm to 01pm (GMT+2)
Buenos Aires : Monday, June 10th 2024 from 01pm to 02pm (GMT+2)
Reykjavik : Monday, June 10th 2024 from 04pm to 05pm (GMT+2)
London / Dublin : Monday, June 10th 2024 from 05pm to 06pm (GMT+2)
Paris / Berlin : Monday, June 10th 2024 from 06pm to 07pm (GMT+2)
Istanbul : Monday, June 10th 2024 from 07pm to 08pm (GMT+2)
Moscou / Dubaï : Monday, June 10th 2024 from 08pm to 09pm (GMT+2)
Bangkok : Monday, June 10th 2024 from 11pm to 12am (GMT+2)
Shanghai : Tuesday, June 11th 2024 from 12am to 01am (GMT+2)
Tokyo : Tuesday, June 11th 2024 from 01am to 02am (GMT+2)
Sydney : Tuesday, June 11th 2024 from 03am to 04am (GMT+2)
Wellington : Tuesday, June 11th 2024 from 05am to 06am (GMT+2)
San Francisco : Monday, June 10th 2024 from 09am to 10am (GMT+2)
New York : Monday, June 10th 2024 from 12pm to 01pm (GMT+2)
Buenos Aires : Monday, June 10th 2024 from 01pm to 02pm (GMT+2)
Reykjavik : Monday, June 10th 2024 from 04pm to 05pm (GMT+2)
London / Dublin : Monday, June 10th 2024 from 05pm to 06pm (GMT+2)
Paris / Berlin : Monday, June 10th 2024 from 06pm to 07pm (GMT+2)
Istanbul : Monday, June 10th 2024 from 07pm to 08pm (GMT+2)
Moscou / Dubaï : Monday, June 10th 2024 from 08pm to 09pm (GMT+2)
Bangkok : Monday, June 10th 2024 from 11pm to 12am (GMT+2)
Shanghai : Tuesday, June 11th 2024 from 12am to 01am (GMT+2)
Tokyo : Tuesday, June 11th 2024 from 01am to 02am (GMT+2)
Sydney : Tuesday, June 11th 2024 from 03am to 04am (GMT+2)
Wellington : Tuesday, June 11th 2024 from 05am to 06am (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
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Thursday, October 6th 2022 from 12:30pm to 02pm (GMT+2)
Honolulu : Thursday, October 6th 2022 from 01:30am to 03am (GMT+2)
San Francisco : Thursday, October 6th 2022 from 04:30am to 06am (GMT+2)
New York : Thursday, October 6th 2022 from 07:30am to 09am (GMT+2)
Buenos Aires : Thursday, October 6th 2022 from 08:30am to 10am (GMT+2)
Reykjavik : Thursday, October 6th 2022 from 11:30am to 01pm (GMT+2)
London / Dublin : Thursday, October 6th 2022 from 12:30pm to 02pm (GMT+2)
Paris / Berlin : Thursday, October 6th 2022 from 01:30pm to 03pm (GMT+2)
Istanbul : Thursday, October 6th 2022 from 02:30pm to 04pm (GMT+2)
Moscou / Dubaï : Thursday, October 6th 2022 from 03:30pm to 05pm (GMT+2)
Bangkok : Thursday, October 6th 2022 from 06:30pm to 08pm (GMT+2)
Shanghai : Thursday, October 6th 2022 from 07:30pm to 09pm (GMT+2)
Tokyo : Thursday, October 6th 2022 from 08:30pm to 10pm (GMT+2)
Sydney : Thursday, October 6th 2022 from 10:30pm to 12am (GMT+2)
Wellington : Friday, October 7th 2022 from 12:30am to 02am (GMT+2)
San Francisco : Thursday, October 6th 2022 from 04:30am to 06am (GMT+2)
New York : Thursday, October 6th 2022 from 07:30am to 09am (GMT+2)
Buenos Aires : Thursday, October 6th 2022 from 08:30am to 10am (GMT+2)
Reykjavik : Thursday, October 6th 2022 from 11:30am to 01pm (GMT+2)
London / Dublin : Thursday, October 6th 2022 from 12:30pm to 02pm (GMT+2)
Paris / Berlin : Thursday, October 6th 2022 from 01:30pm to 03pm (GMT+2)
Istanbul : Thursday, October 6th 2022 from 02:30pm to 04pm (GMT+2)
Moscou / Dubaï : Thursday, October 6th 2022 from 03:30pm to 05pm (GMT+2)
Bangkok : Thursday, October 6th 2022 from 06:30pm to 08pm (GMT+2)
Shanghai : Thursday, October 6th 2022 from 07:30pm to 09pm (GMT+2)
Tokyo : Thursday, October 6th 2022 from 08:30pm to 10pm (GMT+2)
Sydney : Thursday, October 6th 2022 from 10:30pm to 12am (GMT+2)
Wellington : Friday, October 7th 2022 from 12:30am to 02am (GMT+2)
Ballon actif ou stent actif
Quand le passé rencontre le futur
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Tuesday, October 25th 2022 from 06pm to 07:15pm (GMT+2)
Honolulu : Tuesday, October 25th 2022 from 07am to 08:15am (GMT+2)
San Francisco : Tuesday, October 25th 2022 from 10am to 11:15am (GMT+2)
New York : Tuesday, October 25th 2022 from 01pm to 02:15pm (GMT+2)
Buenos Aires : Tuesday, October 25th 2022 from 02pm to 03:15pm (GMT+2)
Reykjavik : Tuesday, October 25th 2022 from 05pm to 06:15pm (GMT+2)
London / Dublin : Tuesday, October 25th 2022 from 06pm to 07:15pm (GMT+2)
Paris / Berlin : Tuesday, October 25th 2022 from 07pm to 08:15pm (GMT+2)
Istanbul : Tuesday, October 25th 2022 from 08pm to 09:15pm (GMT+2)
Moscou / Dubaï : Tuesday, October 25th 2022 from 09pm to 10:15pm (GMT+2)
Bangkok : Wednesday, October 26th 2022 from 12am to 01:15am (GMT+2)
Shanghai : Wednesday, October 26th 2022 from 01am to 02:15am (GMT+2)
Tokyo : Wednesday, October 26th 2022 from 02am to 03:15am (GMT+2)
Sydney : Wednesday, October 26th 2022 from 04am to 05:15am (GMT+2)
Wellington : Wednesday, October 26th 2022 from 06am to 07:15am (GMT+2)
San Francisco : Tuesday, October 25th 2022 from 10am to 11:15am (GMT+2)
New York : Tuesday, October 25th 2022 from 01pm to 02:15pm (GMT+2)
Buenos Aires : Tuesday, October 25th 2022 from 02pm to 03:15pm (GMT+2)
Reykjavik : Tuesday, October 25th 2022 from 05pm to 06:15pm (GMT+2)
London / Dublin : Tuesday, October 25th 2022 from 06pm to 07:15pm (GMT+2)
Paris / Berlin : Tuesday, October 25th 2022 from 07pm to 08:15pm (GMT+2)
Istanbul : Tuesday, October 25th 2022 from 08pm to 09:15pm (GMT+2)
Moscou / Dubaï : Tuesday, October 25th 2022 from 09pm to 10:15pm (GMT+2)
Bangkok : Wednesday, October 26th 2022 from 12am to 01:15am (GMT+2)
Shanghai : Wednesday, October 26th 2022 from 01am to 02:15am (GMT+2)
Tokyo : Wednesday, October 26th 2022 from 02am to 03:15am (GMT+2)
Sydney : Wednesday, October 26th 2022 from 04am to 05:15am (GMT+2)
Wellington : Wednesday, October 26th 2022 from 06am to 07:15am (GMT+2)
The role of hemodynamic support in cardiogenic shock:
When to escalate and when to de-escalate
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Wednesday, November 23rd 2022 from 05pm to 06pm (GMT+1)
Honolulu : Wednesday, November 23rd 2022 from 06am to 07am (GMT+1)
San Francisco : Wednesday, November 23rd 2022 from 08am to 09am (GMT+1)
New York : Wednesday, November 23rd 2022 from 11am to 12pm (GMT+1)
Buenos Aires : Wednesday, November 23rd 2022 from 01pm to 02pm (GMT+1)
London / Dublin : Wednesday, November 23rd 2022 from 04pm to 05pm (GMT+1)
Paris / Berlin : Wednesday, November 23rd 2022 from 05pm to 06pm (GMT+1)
Istanbul : Wednesday, November 23rd 2022 from 06pm to 07pm (GMT+1)
Moscou / Dubaï : Wednesday, November 23rd 2022 from 08pm to 09pm (GMT+1)
Bangkok : Wednesday, November 23rd 2022 from 11pm to 12am (GMT+1)
Shanghai : Thursday, November 24th 2022 from 12am to 01am (GMT+1)
Tokyo : Thursday, November 24th 2022 from 01am to 02am (GMT+1)
Sydney : Thursday, November 24th 2022 from 02am to 03am (GMT+1)
Wellington : Thursday, November 24th 2022 from 04am to 05am (GMT+1)
San Francisco : Wednesday, November 23rd 2022 from 08am to 09am (GMT+1)
New York : Wednesday, November 23rd 2022 from 11am to 12pm (GMT+1)
Buenos Aires : Wednesday, November 23rd 2022 from 01pm to 02pm (GMT+1)
London / Dublin : Wednesday, November 23rd 2022 from 04pm to 05pm (GMT+1)
Paris / Berlin : Wednesday, November 23rd 2022 from 05pm to 06pm (GMT+1)
Istanbul : Wednesday, November 23rd 2022 from 06pm to 07pm (GMT+1)
Moscou / Dubaï : Wednesday, November 23rd 2022 from 08pm to 09pm (GMT+1)
Bangkok : Wednesday, November 23rd 2022 from 11pm to 12am (GMT+1)
Shanghai : Thursday, November 24th 2022 from 12am to 01am (GMT+1)
Tokyo : Thursday, November 24th 2022 from 01am to 02am (GMT+1)
Sydney : Thursday, November 24th 2022 from 02am to 03am (GMT+1)
Wellington : Thursday, November 24th 2022 from 04am to 05am (GMT+1)
UNCAGE coronaries - Episode 3 : UNCAGE chronic total occlusions
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With Roberto Garbo
Ostial LAD Occlusion with left main/Cx megatron stent
Alex & Friends - Ep.2
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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 ?