Video : Transfemoral TAVI Procedure with ACURATE valve - Retrograde Complex proximal LAD CTO

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Cardiology / Valvular / Aortic / Case in the box

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CASE 01: TAVI Procedure in patient patient with Low Surgical Risk -Dr.N van Mieghem

This procedure concerns 82 years old female , Presenting progressive Heart failure and severe Aortic stenosis.

Strategy Plan

Imaging studies

Echo: LVEF:68%, Severe lt AS : AVA:0.6cm² , MG:33mmhg,
Coronary angiography: No obstructive CAD
Cardiac CT: AV:Area :433mm², Primeter:74mm, Area derived:23.5mm

Clinical indication

Severe aortic stenosis with degenerated mitral bioprosthesis ( STS Score:3,9%).
Patient decision for TAVI.

Planned Procedure

Transfemoral TAVI with BSC ACURATE
MANTA closure device.

CASE 02: Complex LAD CTO Procedure -Dr.Roberto DILETTI - Dr.Jeroen WILSCHUT

This procedure concerns 60 years old male , with history of CAD (RCA PCI, LAD CTO), Still symptomatic despite OMT.

First attempt to LAD CTO recanalization has failed, today, a second attempts will be performed.

Strategy Plan

Imaging studies

Echo: LVEF:55%, No wall motion abnormalities.
Coronary angiography: No obstructive CAD
SPECT:antero-apical and anteroseptal ischemia .

Clinical indication

Stable angina .
Proven ischemia

Planned Procedure

LAD CTO PCI with retrograde approach.

Shooting date : 2018-02-23
Last update : 2020-03-27

ACURATE neo™ / Boston Scientific

Aortic Valve System

Ebu 3.5-4 / Medtronic

Luncher guide catheter

ASAHI Sion / Asahi

PTCA Guidewire

ASAHI SUOH03 / Asahi

PTCA Guidewire

Caravel Microcatheter / Asahi

ASAI Gaia Second / Asahi

Hi-Torque PILOT 200 Guide wire / Abbott

Antegrade escalation & Knuckle

Fielder XT Guide Wire / Asahi

Corsair Pro / Asahi

IVUS / Philips

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