×
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


Clinical Data
  • Patient: Male, 78 years old
  • Known CAD with inferior STEMI 2000 (lysis)
  • PCI of CX march 2000 (BMS)
  • PCI of LAD may 2000 (BMS)
  • LVEF 40%, inferior and lateral akinesia
  • CVRF: hypertension, dyslipidemia
  • Progressive Dyspnea NYHA III
  • CAG 9.8.17: very calcified vessels, proximal LAD in stent <30%, mid LAD 50%, CX with good result in-stent, RCA with several severe stenosis
  • Echo: LVEF 40%, Afib; inferior and lateral akinesia, moderate to severe MR
  • Renal function: eGFR = 62 ml/min/1.73m2
  • Hemodynamics: no pulmonary hypertension, mPAP = 24 mmHg, PCWP = 10 mmHg
 
Shooting date : 2017-09-12
Last update : 2017-10-31
Daniel Weilenmann
St. Gallen, Switzerland
Gregor Leibundgut
Liestal, Switzerland
2 comments
Join the Discussion
  • Henry K. Thank you for showing this fastastic and successful case, I was wondering about if there is a lot of evidence supporting avoiding stenting the whole mid RCA by using DEB especially when there is not much marginal branches to worry about.

      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.


    • Ahmed S. excellent results for this heavily diseased and calcified artery

        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

      Wednesday, September 14th 2022 from 06pm to 07pm (GMT+2)
      Honolulu : Wednesday, September 14th 2022 from 07am to 08am (GMT+2)
      San Francisco : Wednesday, September 14th 2022 from 10am to 11am (GMT+2)
      New York : Wednesday, September 14th 2022 from 01pm to 02pm (GMT+2)
      Buenos Aires : Wednesday, September 14th 2022 from 02pm to 03pm (GMT+2)
      Reykjavik : Wednesday, September 14th 2022 from 05pm to 06pm (GMT+2)
      London / Dublin : Wednesday, September 14th 2022 from 06pm to 07pm (GMT+2)
      Paris / Berlin : Wednesday, September 14th 2022 from 07pm to 08pm (GMT+2)
      Istanbul : Wednesday, September 14th 2022 from 08pm to 09pm (GMT+2)
      Moscou / Dubaï : Wednesday, September 14th 2022 from 09pm to 10pm (GMT+2)
      Bangkok : Thursday, September 15th 2022 from 12am to 01am (GMT+2)
      Shanghai : Thursday, September 15th 2022 from 01am to 02am (GMT+2)
      Tokyo : Thursday, September 15th 2022 from 02am to 03am (GMT+2)
      Sydney : Thursday, September 15th 2022 from 04am to 05am (GMT+2)
      Wellington : Thursday, September 15th 2022 from 06am to 07am (GMT+2)

      Protected PCI: Clinical Evidence and Best Practices Improvement

      Impella Case Club

      Share
      Thursday, September 14th 2017 from 01pm to 02:30pm (GMT+2)
      Honolulu : Thursday, September 14th 2017 from 02am to 03:30am (GMT+2)
      San Francisco : Thursday, September 14th 2017 from 05am to 06:30am (GMT+2)
      New York : Thursday, September 14th 2017 from 08am to 09:30am (GMT+2)
      Buenos Aires : Thursday, September 14th 2017 from 09am to 10:30am (GMT+2)
      Reykjavik : Thursday, September 14th 2017 from 12pm to 01:30pm (GMT+2)
      London / Dublin : Thursday, September 14th 2017 from 01pm to 02:30pm (GMT+2)
      Paris / Berlin : Thursday, September 14th 2017 from 02pm to 03:30pm (GMT+2)
      Istanbul : Thursday, September 14th 2017 from 03pm to 04:30pm (GMT+2)
      Moscou / Dubaï : Thursday, September 14th 2017 from 04pm to 05:30pm (GMT+2)
      Bangkok : Thursday, September 14th 2017 from 07pm to 08:30pm (GMT+2)
      Shanghai : Thursday, September 14th 2017 from 08pm to 09:30pm (GMT+2)
      Tokyo : Thursday, September 14th 2017 from 09pm to 10:30pm (GMT+2)
      Sydney : Thursday, September 14th 2017 from 11pm to 12:30am (GMT+2)
      Wellington : Friday, September 15th 2017 from 01am to 02:30am (GMT+2)

      How should I treat complex anatomic lesions and manage complications?

      Interactive discussion with your experts - Rotablator & CTO

      Share
      Scroll Up