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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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Thursday, May 30th 2024 from 07:30am to 10:30pm (GMT+2)
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Tuesday, February 3rd 2026 from 06pm to 07pm (GMT+1)
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Reykjavik : Wednesday, June 10th 2026 from 07pm to 08pm (GMT+2)
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Istanbul : Wednesday, June 10th 2026 from 10pm to 11pm (GMT+2)
Moscou / Dubaï : Wednesday, June 10th 2026 from 11pm to 12am (GMT+2)
Bangkok : Thursday, June 11th 2026 from 02am to 03am (GMT+2)
Shanghai : Thursday, June 11th 2026 from 03am to 04am (GMT+2)
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Sydney : Thursday, June 11th 2026 from 06am to 07am (GMT+2)
Wellington : Thursday, June 11th 2026 from 08am to 09am (GMT+2)
SELUTION EVOLUTION
Theorie trifft Praxis
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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 ?