Had a stroke yesterday during a RHC for evaluation of PH in a mitro-aortic valvular heart disease (double metalic prosthetic valves - mitral & aortic) using warfarin. Young patient 46) with multiple A-M valve replacements. Last one in 2008 (got metallic valves)
How do you bridge

67👨🏼‍🦳. MV PCI. RCA CTO crossed w/ Finecross & FXTR. LM-LCx provisional stenting with KB & DCB to ostial LAD.

PCR Perspectives:
Learn from this exchange between jcspratt and Flavio Ribichini how the European Consensus document offers practical guidance for approaching calcified lesions, the significance of angiography findings, the critical role of intravascular imaging, and device

Straightforward rotablation to LAD. POBA to S1 & Dg1. Complex RCA CTO to be staged.

Confira os convidados internacionais do próximo Congresso da SBHCI 2024.

O encontro da cardiologia intervencionista está programado para ocorrer de 26 a 28 de junho de 2024, no Centro de Eventos do Ceará, em Fortaleza - CE.

Participe! Inscrições em: congresso2024.sbhci.org

I truly loved writing this piece with Dr. Bill Lombardi, which was just published by American Journal of Cardiology.
I hope you folks enjoy reading it as much as we did putting it together, and especially that it can be useful for your professional and personal growth.
#CTO
ajconline.org/article/S0002-…

Loss of a major side branch after RCA CTO PCI in a post-CABG patient. Occlusion at failed graft insertion site. Tortuous microchannel that couldn’t be negotiated antegradly. AW created hematoma/dissection and blocked antegrade flow so retrograde through ipsi channel, suspecting a

For TDADR technique remember to rotate IVUS and align with anatomy and make a 3D roadmap in your mind (use px side branches to locate TL side) can facilitate wire puncture Tsutomu Fujita MD

Amem 🙏🏻

73y man, DM2, severe PVD admitted w/ decomp HF. Cardiac MR with EF:30%, large antero-lat ischemia and inf fibrosis. CAG: RCA CTO, calcified nodule LM and severe IRS ostial LAD+CX. Protected PCI w/ Impella CP via right axilar art. IVL LM + LM/LAD stent + KB + POT + DEB ostial CX

Clever 👏🏻👏🏻

#GuideExtension Telescoping technique

In extreme cases of #CoronaryCalcifications where 1 #GuideExtension is not enough, one of the ways to push support safely to a whole different level is to ADD another #GuideExtension Catheter

Aditya Bharadwaj Evandro Martins F. MD Timir Paul, MD, PhD, FACC, FSCAI, FAHA

92👨🏼‍🦳, NSTEMI, MVD, Left dominat LCx, shockwave for nodular calcium. GFR 21 so low contrast PCI - 15cc. Beautiful cracks.

81 years old. Long term survival after heart transplantation. TAVI 25 years later. Javier Suarez d Lezo Soledad Ojeda Rafael González Manzanares Lorenzo Azzalini Lola mesa rubio Belén Cid Alvarez ACI-SEC: Hemodinamica Jorge A. Chavarria V. 🇨🇦 🇪🇸 🇨🇷. Adrián Lostalo González jose diaz REC Publications PCRonline 🫀 EuroIntervention Rafael Romaguera Soc Esp Cardiología

Maybe in a Rota 3.0 version we should add “Reverse Dynaglide” mode. BostonSci Cardiology