Friday 30th

LIVE CASE #4

Dominant LCx CTO with ipsilateral collateral channels

Operators : Kambis Mashayekhi, MD – Alexander Bufe, MD
IVUS commentator : Stéphane Carlier, MD

CLINICAL DATA

71 yo male
Risk factors: hypertension, ex smoker
History: COPD
Stable angina on exertion CCS2
EF 70%
Stress perfusion: inferolateral ischemia (Lcx territory)

ANGIOGRAM

Severe disease to LAD – CTO to LCx – mild to moderate RCA
PCI to LAD (1DES 3.5x34mm) – FFR to RCA 0.89
Lcx: AWE attempt at the end of the procedure

LIVE CASE #5

Ostial LAD CTO with short left main and ipsilateral and contralateral collateral channels

Operators : Masahisa Yamane, MD – Alexandre Avran, MD
IVUS commentator : Stéphane Carlier, MD

CLINICAL DATA

57 yo male
Risk factors: dyslipidemia – ex smoker
History: PCI to RCA 2010 (CTO to lAD medically treated)
Recent admission for chest pain at rest
Scintigraphy: + LAD territory

LIVE CASE #6

LCx CTO with ambiguous proximal cap

Operators : Roberto Garbo, MD – Andrea Gagnor, MD
IVUS commentator : Stéphane Carlier, MD

CLINICAL DATA

50 yo male
Risk factors: hypertension, dyslipidemia, diabetic insulin therapy.
History: troponin positive ACS 12.2016 – PCI to OM1
Now complains of stable angina CCS2
EF 64%, no RWMA
Angiogram: Severe disease to PDA (1DES 2,5×8), patent stent to LCX/OM, Blocked LCx, atheroma to LAD
Still symtomatic despite OMT
Stress perfusion + LCx territory