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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, July 5th 2023 from 06pm to 07pm (GMT+2)
Honolulu : Wednesday, July 5th 2023 from 06am to 07am (GMT+2)
San Francisco : Wednesday, July 5th 2023 from 09am to 10am (GMT+2)
New York : Wednesday, July 5th 2023 from 12pm to 01pm (GMT+2)
Buenos Aires : Wednesday, July 5th 2023 from 01pm to 02pm (GMT+2)
Reykjavik : Wednesday, July 5th 2023 from 04pm to 05pm (GMT+2)
London / Dublin : Wednesday, July 5th 2023 from 05pm to 06pm (GMT+2)
Paris / Berlin : Wednesday, July 5th 2023 from 06pm to 07pm (GMT+2)
Istanbul : Wednesday, July 5th 2023 from 07pm to 08pm (GMT+2)
Moscou / Dubaï : Wednesday, July 5th 2023 from 08pm to 09pm (GMT+2)
Bangkok : Wednesday, July 5th 2023 from 11pm to 12am (GMT+2)
Shanghai : Thursday, July 6th 2023 from 12am to 01am (GMT+2)
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Reykjavik : Wednesday, July 5th 2023 from 04pm to 05pm (GMT+2)
London / Dublin : Wednesday, July 5th 2023 from 05pm to 06pm (GMT+2)
Paris / Berlin : Wednesday, July 5th 2023 from 06pm to 07pm (GMT+2)
Istanbul : Wednesday, July 5th 2023 from 07pm to 08pm (GMT+2)
Moscou / Dubaï : Wednesday, July 5th 2023 from 08pm to 09pm (GMT+2)
Bangkok : Wednesday, July 5th 2023 from 11pm to 12am (GMT+2)
Shanghai : Thursday, July 6th 2023 from 12am to 01am (GMT+2)
Tokyo : Thursday, July 6th 2023 from 01am to 02am (GMT+2)
Sydney : Thursday, July 6th 2023 from 03am to 04am (GMT+2)
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Left Main and Bifurcation treatment:
impact of clinical trials in daily practice
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Discover it now!
Retry of an ostial LAD CTO, previous antegrade failure with Gaia family
Alex & The Young Generation - Ep.11
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Everything you wanted to know about Recross without having to ask
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Thursday, October 9th 2025 from 12pm to 01pm (GMT+2)
Honolulu : Thursday, October 9th 2025 from 12am to 01am (GMT+2)
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Moscou / Dubaï : Thursday, October 9th 2025 from 02pm to 03pm (GMT+2)
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RMS Freesolve:
Continuing the Journey and Discovering the Potential of Scaffolds
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Tuesday, February 3rd 2026 from 06pm to 07pm (GMT+1)
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Istanbul : Tuesday, February 3rd 2026 from 06pm to 07pm (GMT+1)
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Wellington : Wednesday, February 4th 2026 from 04am to 05am (GMT+1)
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Bangkok : Tuesday, February 3rd 2026 from 11pm to 12am (GMT+1)
Shanghai : Wednesday, February 4th 2026 from 12am to 01am (GMT+1)
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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
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Friday, October 20th 2023 from 05pm to 07:15pm (GMT+2)
Honolulu : Friday, October 20th 2023 from 05am to 07:15am (GMT+2)
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Shanghai : Friday, October 20th 2023 from 11pm to 01:15am (GMT+2)
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Sydney : Saturday, October 21st 2023 from 02am to 04:15am (GMT+2)
Wellington : Saturday, October 21st 2023 from 04am to 06:15am (GMT+2)
Bifurcation PCI: an immersive experience
Live cases from the Visible Heart® Lab
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Wednesday, June 21st 2023 from 04pm to 05:30pm (GMT+2)
Honolulu : Wednesday, June 21st 2023 from 04am to 05:30am (GMT+2)
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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)
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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
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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 ?