×
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.
Cardiology / Coronary / Pci / Case in the box
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


Worldwide schedules comment Share

9 chapters

29852 views
This didactic procedure concerns a 67 years old male with history of coronary artery disease presenting unstable angina and diffusely calcified and multilevel Right coronary artery lesions.
These lesions were prepared  with rotational atherectomy and  stent implantations were guided by IVUS.

Protocol

  • OptiRAY® (Ioversol)
  • Concentration 350 mgI/ml
  • Flow rate: 8 mL/ s
  • Volume: 228 mL
  • Total exposure : 8.2 Gy
  • Exposure time: 62 minutes
  • 15 images / slow dose Philips

Learning points

  • Lesions selection for Rotational atherectomy.
  • How to prepare  and use the device.
  • Guiding catheter, guidewire  and Burr size selection.
  • How to perform multilevel plaque modification.
  • Guiding catheter extension to improve support and stent delivery.
  • IVUS assessment before and after stenting.

Step-by-Step Procedure

  • Arterial Femoral access 7F, Temporary pace-maker insertion and RCA catheterization with JR4 7F Guiding catheter.
  • Crossing the lesion using Whisper LS coronary PCI guidewire.
  • Exchange the Coronary guidewire with Rotawire Extra support guidewire using a Finecross microcatheter.
  • Rotational atherectomy runs from proximal RCA to the distal bifurcation with 1.5mm Burr.
  • IVUS assessment showing optimal plaque modification.
  • Predilatation with 3.0x20mm balloon and Rotawire exchange to BMW 0.014 guidewire.
  • Stenting of the distal bifurcation with 4.5x18mm Onyx Drug Eluting Stent using Guideliner catheter extension.
  • Stenting of the distal PL with 3.5x12mm Onyx stent for dissection.
  • Stenting of the Mid and Proximal RCA .
  • IVUS control of the final result.

 

Biobliography

Shooting date : 2016-11-18
Last update : 2021-05-11
Antonio Serra
Barcelona, Spain
Private message
Read more

OptiRAY® / Guerbet

Optiray® contrast agent is lower osmolar, lower viscosity and nonionic.
View more
Read more

Jr 4.0 / Medtronic

6F Guiding Catheter
View more
Read more

Hi-Torque Whisper / Abbott

Guidewire
View more
Read more

Finecross® MG / Terumo

Coronary Microcatheter
View more
Read more

RotaWire™ / Boston Scientific

Guide Wire
View more
Read more

Rotablator Rotational Atherectomy System / Boston Scientific

View more
Read more

TREK & MINI TREK / Abbott

PTCA dilatation catheter
View more
Read more

OptiCross Coronary Imaging Catheter / Boston Scientific

View more
Read more

Resolute Onyx / Medtronic

Zotaroliums-Eluting Coronary Stent System
View more
Read more

/ Medtronic

View more
Read more

Mistral NC / Hexacath

PTCA Dilatation Catheter
View more
Read more

Hi-Torque Balance Middleweight / Abbott

View more
Read more

Guideliner / Vascular Solutions

View more

Discussion and cases around complex PCI

4 Videos / Public /

Share
Discover playlist

Focus on Rotablation

6 Videos / Public /

Learn more about Rotational Atherectomy System for plaque modification in complex patients with heavily calcified lesions.

Share
Discover playlist

Our Cases of the Month

39 Videos / Public /

The case of the month is a new way for our users to watch, learn, and share with incathlab. They can watch a video that highlights an innovative case and uses excellent pedagogical techniques, lear...

Share
Discover playlist
7 comments
Join the Discussion
See previous comments (3)
  • Dang D.

    Dang D. good result

    2016-11-30, 16h58
      Join files
      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.


    • isa S.

      isa S. good

      2016-12-18, 17h06
        Join files
        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.


      • Ademaj F.

        Ademaj F. very nice result. Congratilations.

        2016-12-30, 10h41
          Join files
          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.


        • mehmet M.

          mehmet M. good result. congragulationsLeave a new comment to the discussion

          2017-07-07, 16h15
            Join files
            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.


          • Anil D.

            Anil D. Great results

            2018-04-08, 16h40
              Join files
              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.


            • Roberto R.

              Roberto R. Congratulations

              2018-04-15, 11h28
                Join files
                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.


              • Dr. S Vijay Kumar R.

                Dr. S Vijay Kumar R. excellent demonstration of truely complex case

                2020-01-02, 17h26
                  Join files
                  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

                May 2017
                Honolulu : Tuesday, May 16th 2017 from 11:30pm to 12:30am (GMT+2)
                San Francisco : Wednesday, May 17th 2017 from 02:30am to 03:30am (GMT+2)
                New York : Wednesday, May 17th 2017 from 05:30am to 06:30am (GMT+2)
                Buenos Aires : Wednesday, May 17th 2017 from 06:30am to 07:30am (GMT+2)
                Reykjavik : Wednesday, May 17th 2017 from 09:30am to 10:30am (GMT+2)
                London / Dublin : Wednesday, May 17th 2017 from 10:30am to 11:30am (GMT+2)
                Paris / Berlin : Wednesday, May 17th 2017 from 11:30am to 12:30pm (GMT+2)
                Istanbul : Wednesday, May 17th 2017 from 12:30pm to 01:30pm (GMT+2)
                Moscou / Dubaï : Wednesday, May 17th 2017 from 01:30pm to 02:30pm (GMT+2)
                Bangkok : Wednesday, May 17th 2017 from 04:30pm to 05:30pm (GMT+2)
                Shanghai : Wednesday, May 17th 2017 from 05:30pm to 06:30pm (GMT+2)
                Tokyo : Wednesday, May 17th 2017 from 06:30pm to 07:30pm (GMT+2)
                Sydney : Wednesday, May 17th 2017 from 08:30pm to 09:30pm (GMT+2)
                Wellington : Wednesday, May 17th 2017 from 10:30pm to 11:30pm (GMT+2)

                Discussion around complex PCI

                How to deal with complications?

                Cardiology / Coronary / Live/5 Comments
                View more
                Share
                Tuesday, April 27th 2021 from 03pm to 04pm (GMT+2)
                Honolulu : Tuesday, April 27th 2021 from 04am to 05am (GMT+2)
                San Francisco : Tuesday, April 27th 2021 from 07am to 08am (GMT+2)
                New York : Tuesday, April 27th 2021 from 10am to 11am (GMT+2)
                Buenos Aires : Tuesday, April 27th 2021 from 11am to 12pm (GMT+2)
                Reykjavik : Tuesday, April 27th 2021 from 02pm to 03pm (GMT+2)
                London / Dublin : Tuesday, April 27th 2021 from 03pm to 04pm (GMT+2)
                Paris / Berlin : Tuesday, April 27th 2021 from 04pm to 05pm (GMT+2)
                Istanbul : Tuesday, April 27th 2021 from 05pm to 06pm (GMT+2)
                Moscou / Dubaï : Tuesday, April 27th 2021 from 06pm to 07pm (GMT+2)
                Bangkok : Tuesday, April 27th 2021 from 09pm to 10pm (GMT+2)
                Shanghai : Tuesday, April 27th 2021 from 10pm to 11pm (GMT+2)
                Tokyo : Tuesday, April 27th 2021 from 11pm to 12am (GMT+2)
                Sydney : Wednesday, April 28th 2021 from 01am to 02am (GMT+2)
                Wellington : Wednesday, April 28th 2021 from 03am to 04am (GMT+2)

                Preserving Coronary Access After TAVI

                Case of the month: September 2021

                Cardiology / Valvular / Live Case/3 Comments
                View more
                Share
                December 2016
                Honolulu : Thursday, December 15th 2016 from 01am to 02am (GMT+1)
                San Francisco : Thursday, December 15th 2016 from 03am to 04am (GMT+1)
                New York : Thursday, December 15th 2016 from 06am to 07am (GMT+1)
                Buenos Aires : Thursday, December 15th 2016 from 08am to 09am (GMT+1)
                London / Dublin : Thursday, December 15th 2016 from 11am to 12pm (GMT+1)
                Paris / Berlin : Thursday, December 15th 2016 from 12pm to 01pm (GMT+1)
                Istanbul : Thursday, December 15th 2016 from 01pm to 02pm (GMT+1)
                Moscou / Dubaï : Thursday, December 15th 2016 from 03pm to 04pm (GMT+1)
                Bangkok : Thursday, December 15th 2016 from 06pm to 07pm (GMT+1)
                Shanghai : Thursday, December 15th 2016 from 07pm to 08pm (GMT+1)
                Tokyo : Thursday, December 15th 2016 from 08pm to 09pm (GMT+1)
                Sydney : Thursday, December 15th 2016 from 09pm to 10pm (GMT+1)
                Wellington : Thursday, December 15th 2016 from 11pm to 12am (GMT+1)

                Demystifying the Rotablator Procedure

                From a quick set-up to a safe plaque modification

                Cardiology / Coronary / Live/15 Comments
                View more
                Share

                Complex Ostial LAD CTO: Saphenous vein Graft as an Option for Retrograde Approach

                Case of the month: July 2019 - Live case #7 ML CTO

                Cardiology / Coronary / Live Case/2 Comments
                View more
                Share

                Recanalization of an ilio-femoral chronic venous obstruction

                Case of the month: November 2021

                IR / Others / Case in the box/1 Comments
                View more
                Share

                Occluded instent left SFA stenosis | Fractured stents treated - Eluvia stenting

                Case of the month: June 2022

                Endovascular / Lower limbs / Case in the box/3 Comments
                View more
                Share

                Complex PCI in Multivessels disease (MVD)

                Case 1

                Cardiology / Coronary / Case in the box/2 Comments
                View more
                Share

                Complex CTO PCI in retrograde (failure)

                through an occluded venous graft

                Cardiology / Coronary / Case in the box
                View more
                Share
                Scroll Up