×
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


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

Suggestions

Discover it now!

Nothing is simple

Alex & The Young Generation - Ep.9

Share
Tuesday, October 4th 2022 from 05pm to 06:15pm (GMT+2)
Honolulu : Tuesday, October 4th 2022 from 06am to 07:15am (GMT+2)
San Francisco : Tuesday, October 4th 2022 from 09am to 10:15am (GMT+2)
New York : Tuesday, October 4th 2022 from 12pm to 01:15pm (GMT+2)
Buenos Aires : Tuesday, October 4th 2022 from 01pm to 02:15pm (GMT+2)
Reykjavik : Tuesday, October 4th 2022 from 04pm to 05:15pm (GMT+2)
London / Dublin : Tuesday, October 4th 2022 from 05pm to 06:15pm (GMT+2)
Paris / Berlin : Tuesday, October 4th 2022 from 06pm to 07:15pm (GMT+2)
Istanbul : Tuesday, October 4th 2022 from 07pm to 08:15pm (GMT+2)
Moscou / Dubaï : Tuesday, October 4th 2022 from 08pm to 09:15pm (GMT+2)
Bangkok : Tuesday, October 4th 2022 from 11pm to 12:15am (GMT+2)
Shanghai : Wednesday, October 5th 2022 from 12am to 01:15am (GMT+2)
Tokyo : Wednesday, October 5th 2022 from 01am to 02:15am (GMT+2)
Sydney : Wednesday, October 5th 2022 from 03am to 04:15am (GMT+2)
Wellington : Wednesday, October 5th 2022 from 05am to 06:15am (GMT+2)

Quand le patient et l’angiographie racontent des histoires différentes

Pourquoi le diagnostic des anomalies ou dysfonctions microcirculatoires est important

Share
Tuesday, February 28th 2023 from 06pm to 07:30pm (GMT+1)
Honolulu : Tuesday, February 28th 2023 from 07am to 08:30am (GMT+1)
San Francisco : Tuesday, February 28th 2023 from 09am to 10:30am (GMT+1)
New York : Tuesday, February 28th 2023 from 12pm to 01:30pm (GMT+1)
Buenos Aires : Tuesday, February 28th 2023 from 02pm to 03:30pm (GMT+1)
London / Dublin : Tuesday, February 28th 2023 from 05pm to 06:30pm (GMT+1)
Paris / Berlin : Tuesday, February 28th 2023 from 06pm to 07:30pm (GMT+1)
Istanbul : Tuesday, February 28th 2023 from 07pm to 08:30pm (GMT+1)
Moscou / Dubaï : Tuesday, February 28th 2023 from 09pm to 10:30pm (GMT+1)
Bangkok : Wednesday, March 1st 2023 from 12am to 01:30am (GMT+1)
Shanghai : Wednesday, March 1st 2023 from 01am to 02:30am (GMT+1)
Tokyo : Wednesday, March 1st 2023 from 02am to 03:30am (GMT+1)
Sydney : Wednesday, March 1st 2023 from 03am to 04:30am (GMT+1)
Wellington : Wednesday, March 1st 2023 from 05am to 06:30am (GMT+1)

MCS-Support in der biventrikulären Herzinsuffizienz -

vergessen wir den rechten Ventrikel ?!

Share
Friday, October 20th 2023 from 05pm to 07:15pm (GMT+2)
Honolulu : Friday, October 20th 2023 from 06am to 08:15am (GMT+2)
San Francisco : Friday, October 20th 2023 from 09am to 11:15am (GMT+2)
New York : Friday, October 20th 2023 from 12pm to 02:15pm (GMT+2)
Buenos Aires : Friday, October 20th 2023 from 01pm to 03:15pm (GMT+2)
Reykjavik : Friday, October 20th 2023 from 04pm to 06:15pm (GMT+2)
London / Dublin : Friday, October 20th 2023 from 05pm to 07:15pm (GMT+2)
Paris / Berlin : Friday, October 20th 2023 from 06pm to 08:15pm (GMT+2)
Istanbul : Friday, October 20th 2023 from 07pm to 09:15pm (GMT+2)
Moscou / Dubaï : Friday, October 20th 2023 from 08pm to 10:15pm (GMT+2)
Bangkok : Friday, October 20th 2023 from 11pm to 01:15am (GMT+2)
Shanghai : Saturday, October 21st 2023 from 12am to 02:15am (GMT+2)
Tokyo : Saturday, October 21st 2023 from 01am to 03:15am (GMT+2)
Sydney : Saturday, October 21st 2023 from 03am to 05:15am (GMT+2)
Wellington : Saturday, October 21st 2023 from 05am to 07:15am (GMT+2)

Bifurcation PCI: an immersive experience

Live cases from the Visible Heart® Lab

Share
Wednesday, April 26th 2023 from 01pm to 02:30pm (GMT+2)
Honolulu : Wednesday, April 26th 2023 from 02am to 03:30am (GMT+2)
San Francisco : Wednesday, April 26th 2023 from 05am to 06:30am (GMT+2)
New York : Wednesday, April 26th 2023 from 08am to 09:30am (GMT+2)
Buenos Aires : Wednesday, April 26th 2023 from 09am to 10:30am (GMT+2)
Reykjavik : Wednesday, April 26th 2023 from 12pm to 01:30pm (GMT+2)
London / Dublin : Wednesday, April 26th 2023 from 01pm to 02:30pm (GMT+2)
Paris / Berlin : Wednesday, April 26th 2023 from 02pm to 03:30pm (GMT+2)
Istanbul : Wednesday, April 26th 2023 from 03pm to 04:30pm (GMT+2)
Moscou / Dubaï : Wednesday, April 26th 2023 from 04pm to 05:30pm (GMT+2)
Bangkok : Wednesday, April 26th 2023 from 07pm to 08:30pm (GMT+2)
Shanghai : Wednesday, April 26th 2023 from 08pm to 09:30pm (GMT+2)
Tokyo : Wednesday, April 26th 2023 from 09pm to 10:30pm (GMT+2)
Sydney : Wednesday, April 26th 2023 from 11pm to 12:30am (GMT+2)
Wellington : Thursday, April 27th 2023 from 01am to 02:30am (GMT+2)

CAMP LIVE CASE

European Session from Luzerner Kantonsspital

Share
Upcoming, Wednesday 26th April

A lesson of IVUS

Alex & Friends - Ep.4

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