×
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 : 2023-11-29
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 ...

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

        Wednesday, October 4th 2023 from 06pm to 06:45pm (GMT+2)
        Honolulu : Wednesday, October 4th 2023 from 07am to 07:45am (GMT+2)
        San Francisco : Wednesday, October 4th 2023 from 10am to 10:45am (GMT+2)
        New York : Wednesday, October 4th 2023 from 01pm to 01:45pm (GMT+2)
        Buenos Aires : Wednesday, October 4th 2023 from 02pm to 02:45pm (GMT+2)
        Reykjavik : Wednesday, October 4th 2023 from 05pm to 05:45pm (GMT+2)
        London / Dublin : Wednesday, October 4th 2023 from 06pm to 06:45pm (GMT+2)
        Paris / Berlin : Wednesday, October 4th 2023 from 07pm to 07:45pm (GMT+2)
        Istanbul : Wednesday, October 4th 2023 from 08pm to 08:45pm (GMT+2)
        Moscou / Dubaï : Wednesday, October 4th 2023 from 09pm to 09:45pm (GMT+2)
        Bangkok : Thursday, October 5th 2023 from 12am to 12:45am (GMT+2)
        Shanghai : Thursday, October 5th 2023 from 01am to 01:45am (GMT+2)
        Tokyo : Thursday, October 5th 2023 from 02am to 02:45am (GMT+2)
        Sydney : Thursday, October 5th 2023 from 04am to 04:45am (GMT+2)
        Wellington : Thursday, October 5th 2023 from 06am to 06:45am (GMT+2)

        Guides de 1ère intention :

        algorithme décisionnel de la lésion simple à la lésion complexe

        Share
        Tuesday, May 31st 2022 from 06pm to 07pm (GMT+2)
        Honolulu : Tuesday, May 31st 2022 from 07am to 08am (GMT+2)
        San Francisco : Tuesday, May 31st 2022 from 10am to 11am (GMT+2)
        New York : Tuesday, May 31st 2022 from 01pm to 02pm (GMT+2)
        Buenos Aires : Tuesday, May 31st 2022 from 02pm to 03pm (GMT+2)
        Reykjavik : Tuesday, May 31st 2022 from 05pm to 06pm (GMT+2)
        London / Dublin : Tuesday, May 31st 2022 from 06pm to 07pm (GMT+2)
        Paris / Berlin : Tuesday, May 31st 2022 from 07pm to 08pm (GMT+2)
        Istanbul : Tuesday, May 31st 2022 from 08pm to 09pm (GMT+2)
        Moscou / Dubaï : Tuesday, May 31st 2022 from 09pm to 10pm (GMT+2)
        Bangkok : Wednesday, June 1st 2022 from 12am to 01am (GMT+2)
        Shanghai : Wednesday, June 1st 2022 from 01am to 02am (GMT+2)
        Tokyo : Wednesday, June 1st 2022 from 02am to 03am (GMT+2)
        Sydney : Wednesday, June 1st 2022 from 04am to 05am (GMT+2)
        Wellington : Wednesday, June 1st 2022 from 06am to 07am (GMT+2)

        The Role of Mechanical Circulatory Support in High-Risk PCI

        Impella Case Club

        Share
        Tuesday, June 21st 2022 from 06pm to 07pm (GMT+2)
        Honolulu : Tuesday, June 21st 2022 from 07am to 08am (GMT+2)
        San Francisco : Tuesday, June 21st 2022 from 10am to 11am (GMT+2)
        New York : Tuesday, June 21st 2022 from 01pm to 02pm (GMT+2)
        Buenos Aires : Tuesday, June 21st 2022 from 02pm to 03pm (GMT+2)
        Reykjavik : Tuesday, June 21st 2022 from 05pm to 06pm (GMT+2)
        London / Dublin : Tuesday, June 21st 2022 from 06pm to 07pm (GMT+2)
        Paris / Berlin : Tuesday, June 21st 2022 from 07pm to 08pm (GMT+2)
        Istanbul : Tuesday, June 21st 2022 from 08pm to 09pm (GMT+2)
        Moscou / Dubaï : Tuesday, June 21st 2022 from 09pm to 10pm (GMT+2)
        Bangkok : Wednesday, June 22nd 2022 from 12am to 01am (GMT+2)
        Shanghai : Wednesday, June 22nd 2022 from 01am to 02am (GMT+2)
        Tokyo : Wednesday, June 22nd 2022 from 02am to 03am (GMT+2)
        Sydney : Wednesday, June 22nd 2022 from 04am to 05am (GMT+2)
        Wellington : Wednesday, June 22nd 2022 from 06am to 07am (GMT+2)

        Distal & Conventional: what will be the future of radial access?

        Share
        Friday, September 23rd 2022 from 08:30am to 04:10pm (GMT+2)
        Honolulu : Thursday, September 22nd 2022 from 09:30pm to 05:10am (GMT+2)
        San Francisco : Friday, September 23rd 2022 from 12:30am to 08:10am (GMT+2)
        New York : Friday, September 23rd 2022 from 03:30am to 11:10am (GMT+2)
        Buenos Aires : Friday, September 23rd 2022 from 04:30am to 12:10pm (GMT+2)
        Reykjavik : Friday, September 23rd 2022 from 07:30am to 03:10pm (GMT+2)
        London / Dublin : Friday, September 23rd 2022 from 08:30am to 04:10pm (GMT+2)
        Paris / Berlin : Friday, September 23rd 2022 from 09:30am to 05:10pm (GMT+2)
        Istanbul : Friday, September 23rd 2022 from 10:30am to 06:10pm (GMT+2)
        Moscou / Dubaï : Friday, September 23rd 2022 from 11:30am to 07:10pm (GMT+2)
        Bangkok : Friday, September 23rd 2022 from 02:30pm to 10:10pm (GMT+2)
        Shanghai : Friday, September 23rd 2022 from 03:30pm to 11:10pm (GMT+2)
        Tokyo : Friday, September 23rd 2022 from 04:30pm to 12:10am (GMT+2)
        Sydney : Friday, September 23rd 2022 from 06:30pm to 02:10am (GMT+2)
        Wellington : Friday, September 23rd 2022 from 08:30pm to 04:10am (GMT+2)

        Luzern Complex and Calcified PCI Workshop

        miniLUCCA

        Share
        Wednesday, April 26th 2023 from 01pm to 02:30pm (GMT+2)
        Honolulu : Wednesday, April 26th 2023 from 02am to 03:30am (GMT+2)
        San Francisco : Wednesday, April 26th 2023 from 05am to 06:30am (GMT+2)
        New York : Wednesday, April 26th 2023 from 08am to 09:30am (GMT+2)
        Buenos Aires : Wednesday, April 26th 2023 from 09am to 10:30am (GMT+2)
        Reykjavik : Wednesday, April 26th 2023 from 12pm to 01:30pm (GMT+2)
        London / Dublin : Wednesday, April 26th 2023 from 01pm to 02:30pm (GMT+2)
        Paris / Berlin : Wednesday, April 26th 2023 from 02pm to 03:30pm (GMT+2)
        Istanbul : Wednesday, April 26th 2023 from 03pm to 04:30pm (GMT+2)
        Moscou / Dubaï : Wednesday, April 26th 2023 from 04pm to 05:30pm (GMT+2)
        Bangkok : Wednesday, April 26th 2023 from 07pm to 08:30pm (GMT+2)
        Shanghai : Wednesday, April 26th 2023 from 08pm to 09:30pm (GMT+2)
        Tokyo : Wednesday, April 26th 2023 from 09pm to 10:30pm (GMT+2)
        Sydney : Wednesday, April 26th 2023 from 11pm to 12:30am (GMT+2)
        Wellington : Thursday, April 27th 2023 from 01am to 02:30am (GMT+2)

        CAMP LIVE CASE

        European Session from Luzerner Kantonsspital

        Share
        Scroll Up