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CCC Live Cases
Registrace 21. 07. 2016
Free Educational Resource for Interventional Cardiology
Complex Coronary Cases occurs every 3rd Tuesday of the month at 8am EST
Operators: Dr. Annapoorna Kini and Dr. Samin Sharma
Moderator: Dr. Sameer Mehta, MD
Live Peripheral Interventions occurs every 4th Wednesday of the month at 8am EST
Operators: Dr. Prakash Krishnan, Dr. Karthik Gujja and Dr. Vishal Kapur
Structural Heart Live occurs every 2nd Tuesday of every other month at 9am EST
Operators: Dr. Annapoorna Kini and Dr. Samin Sharma
Complex Coronary Cases occurs every 3rd Tuesday of the month at 8am EST
Operators: Dr. Annapoorna Kini and Dr. Samin Sharma
Moderator: Dr. Sameer Mehta, MD
Live Peripheral Interventions occurs every 4th Wednesday of the month at 8am EST
Operators: Dr. Prakash Krishnan, Dr. Karthik Gujja and Dr. Vishal Kapur
Structural Heart Live occurs every 2nd Tuesday of every other month at 9am EST
Operators: Dr. Annapoorna Kini and Dr. Samin Sharma
Learn From The Masters - Managing Calcified Bifurcation Coronary Lesions (June 2024)
Patient Demographics
78 yrs, M CAD Risk Factors
Hypertension- controlled
Hyperlipidemia- controlled
NIDDM- controlled
Present Clinical Presentation
Presented with CCS class Il angina, CTA revealing
LAD and RCA disease and stress MPI for inferior and apico-lateral ischemia
Clinical Variables
Known CAD s/p DES PCI of D1 and PL 2011, EF 60%
SAQ-7: 79
Medications
Aspirin, Losartan, Amlodipine, Metoprolol XL, Rosuvastatin, Ezetimibe, Glucophage, Glimepiride
Cath: Cath on June 4th 2024 revealed calcific 3 V CAD with ISR; 80-90% multiple RCA lesions, 80% LPL DES ISR, 70-80% calcified bifurcation LAD/D1 (1,1,0) with FFR 0.76, LVEF 50% & Syntax score 22. Pt underwent RotaSynergyDES of RCA/LPL & did well.
78 yrs, M CAD Risk Factors
Hypertension- controlled
Hyperlipidemia- controlled
NIDDM- controlled
Present Clinical Presentation
Presented with CCS class Il angina, CTA revealing
LAD and RCA disease and stress MPI for inferior and apico-lateral ischemia
Clinical Variables
Known CAD s/p DES PCI of D1 and PL 2011, EF 60%
SAQ-7: 79
Medications
Aspirin, Losartan, Amlodipine, Metoprolol XL, Rosuvastatin, Ezetimibe, Glucophage, Glimepiride
Cath: Cath on June 4th 2024 revealed calcific 3 V CAD with ISR; 80-90% multiple RCA lesions, 80% LPL DES ISR, 70-80% calcified bifurcation LAD/D1 (1,1,0) with FFR 0.76, LVEF 50% & Syntax score 22. Pt underwent RotaSynergyDES of RCA/LPL & did well.
zhlédnutí: 1 498
Video
Live Structural Case (India) - June 2024
zhlédnutí 834Před měsícem
Case: Structural Heart Live Case: DT, 64 Y/O F Presentation: Presents with progressive dyspnea on exertion & LE edema, NYHA class IlI PMH: Severe AS s/p SAVR with 23 mm Magna Ease aortic root enlargement ascending aorta replacement in 2013, complicated with type B aortic dissection from mid aortic arch-aorto-iliac bifurcation. Hodgkin's Lymphoma (1986) s/p chemo XRT, cardiobacterium hominis end...
Learn from Masters - April 2024
zhlédnutí 4,1KPřed 3 měsíci
Case and Plan: 84 yrs, M presented with CCS class I angina & Stress MPI for MV ischemia done as preop for bladder cancer surgery CAD Risk Factors Hypertension- controlled Hyperlipidemia- controlled SAQ-7: 82, CKD Stage 3 Smoker with mild COPD Cath: Cath on January 7th 2024 revealed calcific 3 V CAD; 80% prox LCx, 90% LPL, multiple 70-80% calcified bifurcation LAD/D1-2 lesion (1,1,1) LVEF 62% & ...
Complex - Arch 2024
zhlédnutí 1,4KPřed 3 měsíci
Case and Plan 77 yrs, Male - Presented on 11/13/2023 with progressive angina and DOE due to CAD and severe AS CAD Risk Factors: Controlled Hypertension Controlled hyperlipidemia CKD s/p renal transplantation x2 H/o Neuro endocrine tumor s/p RT SAQ-7 score: 60 Clinical Variables Pt has known AS and normal EF Medications: ASA, Atorvastatin, CellCept, Flomax. Renal transplant drugs Cath: Cath @OSH...
PCI of Calcific Nodules of RCA using Stepped Burr RotaTripsy - March 2024
zhlédnutí 3,4KPřed 4 měsíci
PCI of Calcific Nodules of RCA using Stepped Burr RotaTripsy - March 2024
Live Relay: Impella Supported High-Risk PCI of RCA/LAD/LCx w/ OCT Guidance for OA Use - 3/17/24
zhlédnutí 2,6KPřed 4 měsíci
Live Relay: Impella Supported High-Risk PCI of RCA/LAD/LCx w/ OCT Guidance for OA Use - 3/17/24
Learn From the Masters - February 2024
zhlédnutí 6KPřed 5 měsíci
Learn From the Masters - February 2024
Live Relay: Structural - RSH Conference (Saudi Arabia) TAVI - January 2024
zhlédnutí 705Před 6 měsíci
Live Relay: Structural - RSH Conference (Saudi Arabia) TAVI - January 2024
Complex RA of Severely Calcified Circumflex - December 2023
zhlédnutí 6KPřed 7 měsíci
Complex RA of Severely Calcified Circumflex - December 2023
Peripheral Multilevel Complex Fem/Pop and BTK CTO
zhlédnutí 1,1KPřed 7 měsíci
Peripheral Multilevel Complex Fem/Pop and BTK CTO
Multimodality Imaging: Atrial Septal Defect
zhlédnutí 372Před 7 měsíci
Multimodality Imaging: Atrial Septal Defect
Multimodality Imaging: Takayasu Arteritis
zhlédnutí 251Před 7 měsíci
Multimodality Imaging: Takayasu Arteritis
Multi-Level Popliteal and Infrapopliteal CTO in a Patient with RCC 4 PAD - November 29, 2023
zhlédnutí 1,1KPřed 7 měsíci
Multi-Level Popliteal and Infrapopliteal CTO in a Patient with RCC 4 PAD - November 29, 2023
M-TEER in High Risk Patient with Primary MR Secondary to Flail & Prolapse P2
zhlédnutí 579Před 9 měsíci
M-TEER in High Risk Patient with Primary MR Secondary to Flail & Prolapse P2
VIV TTVR with a 26mm S3 Ultra in a 27mm Epic Porcine Valve
zhlédnutí 551Před 9 měsíci
VIV TTVR with a 26mm S3 Ultra in a 27mm Epic Porcine Valve
Medical Management of Diastolic Dysfunction Does The Emperor Finally Have Clothes - Dr. Pinney
zhlédnutí 133Před 9 měsíci
Medical Management of Diastolic Dysfunction Does The Emperor Finally Have Clothes - Dr. Pinney
Panel Discussion Featuring Dr. Kini, Dr. Bhatt, Dr. Mehran, Dr. Dukkipati and Dr. Pinney
zhlédnutí 129Před 9 měsíci
Panel Discussion Featuring Dr. Kini, Dr. Bhatt, Dr. Mehran, Dr. Dukkipati and Dr. Pinney
Chronic Coronary Disease Guidelines What's New Besides the Name - Dr.Maron
zhlédnutí 1,6KPřed 9 měsíci
Chronic Coronary Disease Guidelines What's New Besides the Name - Dr.Maron
Novel Anti-Thrombotics Promise a Better Future Dr.Mehran
zhlédnutí 137Před 9 měsíci
Novel Anti-Thrombotics Promise a Better Future Dr.Mehran
Finding a Productive Role for AI in Your Practice - Dr.Reich
zhlédnutí 50Před 9 měsíci
Finding a Productive Role for AI in Your Practice - Dr.Reich
Role of Physiology & Intravascular Imaging During Interventions Complementary or Redundant Dr.Stone
zhlédnutí 111Před 9 měsíci
Role of Physiology & Intravascular Imaging During Interventions Complementary or Redundant Dr.Stone
Top 10 Trials of Coronary Interventions 2023 - Dr. Sharma
zhlédnutí 883Před 9 měsíci
Top 10 Trials of Coronary Interventions 2023 - Dr. Sharma
Advances in Ablation Therapy in Atrial and Ventricular Arrhythmias - Dr. Dukkipati
zhlédnutí 148Před 9 měsíci
Advances in Ablation Therapy in Atrial and Ventricular Arrhythmias - Dr. Dukkipati
Top 10 Environmental Challenges for Cardiologists - Dr.Biga
zhlédnutí 58Před 9 měsíci
Top 10 Environmental Challenges for Cardiologists - Dr.Biga
Reinterrogating the Triglyceride Role in CAD Newer Therapies and Superior Outcomes Dr.Bhatt
zhlédnutí 441Před 9 měsíci
Reinterrogating the Triglyceride Role in CAD Newer Therapies and Superior Outcomes Dr.Bhatt
Role of CT Angiography in Indication for Revascularization Equivocal or Forgotten - Dr.Narula
zhlédnutí 167Před 9 měsíci
Role of CT Angiography in Indication for Revascularization Equivocal or Forgotten - Dr.Narula
Update in Transcatheter Mitral and Tricuspid Valve Interventions - Dr. Kini
zhlédnutí 323Před 9 měsíci
Update in Transcatheter Mitral and Tricuspid Valve Interventions - Dr. Kini
Panel Discussion Cathleen Biga, MSN, RN; Valentin Fuster, MD, PhD; David Maron, MD; Gregg Stone, MD
zhlédnutí 166Před 9 měsíci
Panel Discussion Cathleen Biga, MSN, RN; Valentin Fuster, MD, PhD; David Maron, MD; Gregg Stone, MD
Thank you for sharing. The final cranial angio looks like a prox stent edge dissection in the left main.
Thank you
Thank you for your teaching . Your teaching of guidewire design really helps in rewiring the stented artery.
Great case but why would you ever perform a stress test on an 89M w class 3 angina? Waste of time and money.
No
Why wires removed after rota before taking picture ? what if you have a complication( dissection/perf) I find your approach was too reckless
I had watch in morbid fascination, as I've had 3 surgeries so far this, and an soon a 4th. My case is so rare, that I am a case study at Baylor Scott White heart hospital in Dallas TX ( Plano) I wasn't expected to survive, so, they definitely saved my life! Blessings to all who help patients such as myself.
Bridge would be a decent spot to use Agent DCB instead of DES.
Great case. Think 7Fr system would be a superior choice when risk of perf is higher. Can get much better angio w the burr in the coronary. Also more support if you need it for advancing PKP.
Great case and wonderful management. Thank you
Dislike
“I won’t comment” is a great comment. Nice case.
Atherectomy in the SI space is not a concern. Do it all the time and have not had any problems with DA or Jet.
Haha. “We’re supposed to talk about but I won’t comment” = lazy fellow, or fellow didn’t prepare.
Great work. One of a kind as usual. Thank you for posting
Thank you
I would have done it differently. Stent the LAD and kissing balloon inflation with NC balloons followed by DEB to diagonal and kBI again with NC in LAD and same DEB in diagonal
Or rota LAD then Diag before performing plasty. Either way is better than the method chosen imo. But excellent case.
Would have been better to rota LAD into Diag first, LAD second, then do CBPTCA and DCB.
Can we do side branch DCB arter main branch stenting because if there is dissection taking pictures could make dissection worse.
Do you think you can achieve the same result without rotablation? Second question is Annu back the side branch rotawire after rotational atherectomy, WhatsApp will happened if there is rota related rupture? İsnt it possible?
Very true: STATE OF ART DEMONSTRATIONS. Thank you so much.
Great work. Outstanding. Thank you so much
Thank you. First time I saw PTAB.
LM-LAD supplied via lima Ptca of ostial lad has big chance of recoil/dissection soon.. Before seeing the final shot, my expectations of the above sentence did happen lima is doing the job, all good. I would habe only stented lima-Lcx
Dislike
IVL is good enough alone. IVL would have been more gentle in terms of Brady
Good rota technique. With sub-totaled RCA would have used meds/TVP up front. Liberal use of IC Nipride/Cardene before runs may help? Also would open that RCA in near future.
Aminophyline ideally 5-10m beforehand. Short 5-10s runs. Rarely need TVP
Thank you for sharing this challenging case with us.. I would be happy to see the final result .
Dislike
Can we do such case without LV assistant device ?
Great Result! Well done!
Beautifully explained ser,thank u❤
Great case and cath team ! Thank you very much !
Jetstream 2.4/3.4 w filter would do well here too. 2-3 runs blades down, 2 blades up.
Cutting balloon inflation is safe in bifurcation lesion with branch wire?
Great teaching as always. Thank you
Nit.mornek.60..bdolar
what do you think about cerebral embolic protection device use in TAVR
Great job ❤
Thank you very much Excellent teaching case ❤
We have to admit that fighting calcium is not a total win . The proximal stent is still underexpanded. But finally with the current technology even the IVL , this is the best that can be achieved.
Excellent Teaching 🎉 Thank You
Thank you
Aviigo AI is terrible. Disappointing hope it improves drastically.
Geographic miss
No 2.75 IVL balloon. Agree no need for IVL. Could probably get away with provisional across the diag.
Great
Why IVL the Diag? Total waste of $. There was superficial Ca and fracture seen with just a SC balloon. Wolverine or NC would do just fine.