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Case summary

Patient Demographics
Age: 66 years old
Gender: male
 
Medical History
NIDDM; Hypertension; Dyslipidaemia
Previous smoking history
Previous femoral PTCA
Known IHD: 
1998: Anterior STEMI - Thrombolysis + PCI of proximal LAD (BMS)
2002: CTO of RCA: medical management
2016: ICD (EF 35% + NSVT)
 
Clinical Presentation
Stable angina (CCS III)
Nuclear perfusion imaging: inducible ischaemia of infero-lateral wall
 
Coronary angio
Normal LM
LAD:
moderate ISR (FFR 0.79) 
severe stenosis mid-LAD 
PCI with two overlapping DESs 
M1: severe stenosis
RCA: CTO of proximal segment with septal collaterals from LAD

Strategy

ACCESSES
Radial: XB 3.5 6Fr 90 cm
Femoral: AL1 7Fr 100 cm; long sheath

APPROACHES
Retrograde approach through septal collaterals (Turnpike LP and Sion)
Retrogade true-to-true
Retrograde dissection and re-entry
Antegrade dissection reentry
Antegrade approach with guidewire escalation

Protocol: OptiRAY (Ioversol)

Concentration: 350 mgl/mL
Volume: 220 mL

 

 


 

Shooting date : 2017-01-26
Last update : 2021-06-09

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Wednesday, October 4th 2023 from 06pm to 06:45pm (GMT+2)
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Guides de 1ère intention :

algorithme décisionnel de la lésion simple à la lésion complexe

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Tuesday, June 28th 2022 from 12:30pm to 01:50pm (GMT+2)
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New York : Tuesday, June 28th 2022 from 07:30am to 08:50am (GMT+2)
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Paris / Berlin : Tuesday, June 28th 2022 from 01:30pm to 02:50pm (GMT+2)
Istanbul : Tuesday, June 28th 2022 from 02:30pm to 03:50pm (GMT+2)
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Bangkok : Tuesday, June 28th 2022 from 06:30pm to 07:50pm (GMT+2)
Shanghai : Tuesday, June 28th 2022 from 07:30pm to 08:50pm (GMT+2)
Tokyo : Tuesday, June 28th 2022 from 08:30pm to 09:50pm (GMT+2)
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Addressing complexity & unmet needs in modern day PCI

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Left Main Bifurcation from data to clinical practice

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The safe use of DCB in PCI:

from young to old patients

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Bifurcation PCI

Insights from the Visible Heart® Lab

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