×
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


  • ​58 years old patient.
  • CV risk factors :
    HBP.
    Type 2 diabetes mellitus.  
    dyslipidemia.
    Ex-smoker.
  • HISTORY:
    Dilated cardiomyopathy with no significant coronary lesions in 2013 .
    LVEF = 42%, permanent AF
    end-stage renal disease.
    chronic ethylism,axono-myelinic-polyneuropathy,tubulo-villous adenoma,hypothyroidism, diabetic retinopathy.
  • Preoperative coronary angiography (AVF)

Learning points

  • Step-by-Step optimal preparation of the FFR system to avoid drift.
  • Step-by-Step optimal FFR recording.
  • Optimal lesion preparation with rotational atherectomy.

Procedure description

  • Flushing the FFR system with saline and wait for at least 30 to 60 seconds.
  • Putting the system in horizontal position to avoid drift.
  • Connecting the FFR system.
  • Getting epicardial vasodilatation with nitro.
  • Pressure equalization in guiding catheter.
  • Baseline FFR recording.
  • FFR recording with  maximal hyperemia (100µg ) for RCA.
  • Predilatation with NC balloons.
  • Rotational atherectomy.
  • Stent implantation Xience Alpine

Protocol

  • Exposure time: 22min.
  • Radiation dose: 1.66 Gy.
  • Contrast volume: 175ml (Iomeron).
Shooting date : 2017-11-16
Last update : 2018-02-04
Julien Adjedj
Saint-Laurent-du-Var, France
3 comments
Join the Discussion
  • Mayou A. .

      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.


    • Shady H. Thank 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.


      • salim M. Ok

          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, November 17th 2017 from 12:30pm to 02pm (GMT+1)
        Honolulu : Friday, November 17th 2017 from 01:30am to 03am (GMT+1)
        San Francisco : Friday, November 17th 2017 from 03:30am to 05am (GMT+1)
        New York : Friday, November 17th 2017 from 06:30am to 08am (GMT+1)
        Buenos Aires : Friday, November 17th 2017 from 08:30am to 10am (GMT+1)
        London / Dublin : Friday, November 17th 2017 from 11:30am to 01pm (GMT+1)
        Paris / Berlin : Friday, November 17th 2017 from 12:30pm to 02pm (GMT+1)
        Istanbul : Friday, November 17th 2017 from 01:30pm to 03pm (GMT+1)
        Moscou / Dubaï : Friday, November 17th 2017 from 03:30pm to 05pm (GMT+1)
        Bangkok : Friday, November 17th 2017 from 06:30pm to 08pm (GMT+1)
        Shanghai : Friday, November 17th 2017 from 07:30pm to 09pm (GMT+1)
        Tokyo : Friday, November 17th 2017 from 08:30pm to 10pm (GMT+1)
        Sydney : Friday, November 17th 2017 from 09:30pm to 11pm (GMT+1)
        Wellington : Friday, November 17th 2017 from 11:30pm to 01am (GMT+1)

        Le réflexe FFR au coeur du Cathlab !

        Simple, optimal et standardisé

        Share
        Wednesday, July 6th 2022 from 06pm to 07pm (GMT+2)
        Honolulu : Wednesday, July 6th 2022 from 07am to 08am (GMT+2)
        San Francisco : Wednesday, July 6th 2022 from 10am to 11am (GMT+2)
        New York : Wednesday, July 6th 2022 from 01pm to 02pm (GMT+2)
        Buenos Aires : Wednesday, July 6th 2022 from 02pm to 03pm (GMT+2)
        Reykjavik : Wednesday, July 6th 2022 from 05pm to 06pm (GMT+2)
        London / Dublin : Wednesday, July 6th 2022 from 06pm to 07pm (GMT+2)
        Paris / Berlin : Wednesday, July 6th 2022 from 07pm to 08pm (GMT+2)
        Istanbul : Wednesday, July 6th 2022 from 08pm to 09pm (GMT+2)
        Moscou / Dubaï : Wednesday, July 6th 2022 from 09pm to 10pm (GMT+2)
        Bangkok : Thursday, July 7th 2022 from 12am to 01am (GMT+2)
        Shanghai : Thursday, July 7th 2022 from 01am to 02am (GMT+2)
        Tokyo : Thursday, July 7th 2022 from 02am to 03am (GMT+2)
        Sydney : Thursday, July 7th 2022 from 04am to 05am (GMT+2)
        Wellington : Thursday, July 7th 2022 from 06am to 07am (GMT+2)

        Uncage coronaries - Episode 2 : uncage bifurcations, make the complex simple

        A case based discussion

        Share
        Wednesday, September 14th 2022 from 06pm to 07pm (GMT+2)
        Honolulu : Wednesday, September 14th 2022 from 07am to 08am (GMT+2)
        San Francisco : Wednesday, September 14th 2022 from 10am to 11am (GMT+2)
        New York : Wednesday, September 14th 2022 from 01pm to 02pm (GMT+2)
        Buenos Aires : Wednesday, September 14th 2022 from 02pm to 03pm (GMT+2)
        Reykjavik : Wednesday, September 14th 2022 from 05pm to 06pm (GMT+2)
        London / Dublin : Wednesday, September 14th 2022 from 06pm to 07pm (GMT+2)
        Paris / Berlin : Wednesday, September 14th 2022 from 07pm to 08pm (GMT+2)
        Istanbul : Wednesday, September 14th 2022 from 08pm to 09pm (GMT+2)
        Moscou / Dubaï : Wednesday, September 14th 2022 from 09pm to 10pm (GMT+2)
        Bangkok : Thursday, September 15th 2022 from 12am to 01am (GMT+2)
        Shanghai : Thursday, September 15th 2022 from 01am to 02am (GMT+2)
        Tokyo : Thursday, September 15th 2022 from 02am to 03am (GMT+2)
        Sydney : Thursday, September 15th 2022 from 04am to 05am (GMT+2)
        Wellington : Thursday, September 15th 2022 from 06am to 07am (GMT+2)

        Protected PCI: Clinical Evidence and Best Practices Improvement

        Impella Case Club

        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
        Saturday, November 11th 2023 from 02:30am to 05am (GMT+1)
        Honolulu : Friday, November 10th 2023 from 03:30pm to 06pm (GMT+1)
        San Francisco : Friday, November 10th 2023 from 05:30pm to 08pm (GMT+1)
        New York : Friday, November 10th 2023 from 08:30pm to 11pm (GMT+1)
        Buenos Aires : Friday, November 10th 2023 from 10:30pm to 01am (GMT+1)
        London / Dublin : Saturday, November 11th 2023 from 01:30am to 04am (GMT+1)
        Paris / Berlin : Saturday, November 11th 2023 from 02:30am to 05am (GMT+1)
        Istanbul : Saturday, November 11th 2023 from 03:30am to 06am (GMT+1)
        Moscou / Dubaï : Saturday, November 11th 2023 from 05:30am to 08am (GMT+1)
        Bangkok : Saturday, November 11th 2023 from 08:30am to 11am (GMT+1)
        Shanghai : Saturday, November 11th 2023 from 09:30am to 12pm (GMT+1)
        Tokyo : Saturday, November 11th 2023 from 10:30am to 01pm (GMT+1)
        Sydney : Saturday, November 11th 2023 from 11:30am to 02pm (GMT+1)
        Wellington : Saturday, November 11th 2023 from 01:30pm to 04pm (GMT+1)

        Bifurcation PCI

        Insights from the Visible Heart® Lab

        Share
        Scroll Up