×
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


  • 62 years old female
  • CVRF : arterial hypertension
  • ACS presentation 3 weeks ago in stress context. 
  • At admission (no chest pain)
    ECG :  ST segment depression in lateral leads
    Troponine positive (7 ng/ml)
    Echocardiography  : LVEF = 35% with apical bollooning.

Learning points

  • Functional  evaluation by FFR in coronary multivessels disease. 
  • FFR in serial multiple lesions in the same vessel. 
  •  Additional diagnostic  value of intracoronary imaging by OCT in case of borderline FFR result. 

Procedure description

  • 6Fr JR guiding catheter in the RCA.
  • FFR recording to the distal RCA ( two lesions, FFR:0.87)
  • Pullback pressure recording.
  • FFR recording to the LAD ( two FFR values : 0.81 and 0.80).
  • OCT run to the LAD showing significant  lipid-Rich plaque.
  • Stent implantation in the proximal LAD Xience Alpine 3.5x15mm.
  • OCT and FFR control  runs.

Protocol

  • Time of procedure: 16 min.
  • Radiation exposure: 0.51 Gy. 
  • Contrast volume: 190 ml Iomeon)
Shooting date : 2017-11-16
Last update : 2018-02-03
Julien Adjedj
Saint-Laurent-du-Var, France
1 comment
Join the Discussion
  • Mayou A. Nice

      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
    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
    With Masahisa Yamane
    Honolulu : Tuesday, June 6th 2023 from 01pm to 01pm (GMT+2)
    San Francisco : Tuesday, June 6th 2023 from 04pm to 04pm (GMT+2)
    New York : Tuesday, June 6th 2023 from 07pm to 07pm (GMT+2)
    Buenos Aires : Tuesday, June 6th 2023 from 08pm to 08pm (GMT+2)
    Reykjavik : Tuesday, June 6th 2023 from 11pm to 11pm (GMT+2)
    London / Dublin : Wednesday, June 7th 2023 from 12am to 12am (GMT+2)
    Paris / Berlin : Wednesday, June 7th 2023 from 01am to 01am (GMT+2)
    Istanbul : Wednesday, June 7th 2023 from 02am to 02am (GMT+2)
    Moscou / Dubaï : Wednesday, June 7th 2023 from 03am to 03am (GMT+2)
    Bangkok : Wednesday, June 7th 2023 from 06am to 06am (GMT+2)
    Shanghai : Wednesday, June 7th 2023 from 07am to 07am (GMT+2)
    Tokyo : Wednesday, June 7th 2023 from 08am to 08am (GMT+2)
    Sydney : Wednesday, June 7th 2023 from 10am to 10am (GMT+2)
    Wellington : Wednesday, June 7th 2023 from 12pm to 12pm (GMT+2)

    A complex ostial LAD occlusion in a 67 years old man

    Alex & Friends - Ep.5

    Share
    Scroll Up