×
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
    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
    Monday, July 4th 2022 from 05pm to 06pm (GMT+2)
    Honolulu : Monday, July 4th 2022 from 06am to 07am (GMT+2)
    San Francisco : Monday, July 4th 2022 from 09am to 10am (GMT+2)
    New York : Monday, July 4th 2022 from 12pm to 01pm (GMT+2)
    Buenos Aires : Monday, July 4th 2022 from 01pm to 02pm (GMT+2)
    Reykjavik : Monday, July 4th 2022 from 04pm to 05pm (GMT+2)
    London / Dublin : Monday, July 4th 2022 from 05pm to 06pm (GMT+2)
    Paris / Berlin : Monday, July 4th 2022 from 06pm to 07pm (GMT+2)
    Istanbul : Monday, July 4th 2022 from 07pm to 08pm (GMT+2)
    Moscou / Dubaï : Monday, July 4th 2022 from 08pm to 09pm (GMT+2)
    Bangkok : Monday, July 4th 2022 from 11pm to 12am (GMT+2)
    Shanghai : Tuesday, July 5th 2022 from 12am to 01am (GMT+2)
    Tokyo : Tuesday, July 5th 2022 from 01am to 02am (GMT+2)
    Sydney : Tuesday, July 5th 2022 from 03am to 04am (GMT+2)
    Wellington : Tuesday, July 5th 2022 from 05am to 06am (GMT+2)

    Comment optimiser le traitement des longues lésions calcifiées grâce à l’OCT ?

    Live-in-a-box case, Angioplastie Coronaire guidée par l’OCT

    Share
    Friday, February 17th 2023 from 12:30pm to 02pm (GMT+1)
    Honolulu : Friday, February 17th 2023 from 01:30am to 03am (GMT+1)
    San Francisco : Friday, February 17th 2023 from 03:30am to 05am (GMT+1)
    New York : Friday, February 17th 2023 from 06:30am to 08am (GMT+1)
    Buenos Aires : Friday, February 17th 2023 from 08:30am to 10am (GMT+1)
    London / Dublin : Friday, February 17th 2023 from 11:30am to 01pm (GMT+1)
    Paris / Berlin : Friday, February 17th 2023 from 12:30pm to 02pm (GMT+1)
    Istanbul : Friday, February 17th 2023 from 01:30pm to 03pm (GMT+1)
    Moscou / Dubaï : Friday, February 17th 2023 from 03:30pm to 05pm (GMT+1)
    Bangkok : Friday, February 17th 2023 from 06:30pm to 08pm (GMT+1)
    Shanghai : Friday, February 17th 2023 from 07:30pm to 09pm (GMT+1)
    Tokyo : Friday, February 17th 2023 from 08:30pm to 10pm (GMT+1)
    Sydney : Friday, February 17th 2023 from 09:30pm to 11pm (GMT+1)
    Wellington : Friday, February 17th 2023 from 11:30pm to 01am (GMT+1)

    Coronary sinus reducer

    Share
    Thursday, June 1st 2023 from 05pm to 06pm (GMT+2)
    Honolulu : Thursday, June 1st 2023 from 06am to 07am (GMT+2)
    San Francisco : Thursday, June 1st 2023 from 09am to 10am (GMT+2)
    New York : Thursday, June 1st 2023 from 12pm to 01pm (GMT+2)
    Buenos Aires : Thursday, June 1st 2023 from 01pm to 02pm (GMT+2)
    Reykjavik : Thursday, June 1st 2023 from 04pm to 05pm (GMT+2)
    London / Dublin : Thursday, June 1st 2023 from 05pm to 06pm (GMT+2)
    Paris / Berlin : Thursday, June 1st 2023 from 06pm to 07pm (GMT+2)
    Istanbul : Thursday, June 1st 2023 from 07pm to 08pm (GMT+2)
    Moscou / Dubaï : Thursday, June 1st 2023 from 08pm to 09pm (GMT+2)
    Bangkok : Thursday, June 1st 2023 from 11pm to 12am (GMT+2)
    Shanghai : Friday, June 2nd 2023 from 12am to 01am (GMT+2)
    Tokyo : Friday, June 2nd 2023 from 01am to 02am (GMT+2)
    Sydney : Friday, June 2nd 2023 from 03am to 04am (GMT+2)
    Wellington : Friday, June 2nd 2023 from 05am to 06am (GMT+2)

    The safe use of DCB in PCI:

    from young to old patients

    Share
    Scroll Up