Thursday 29th

LIVE CASE #1

Long proximal LCx CTO with ipsilateral and controlateral visualization

Operators : William Nicholson, MD – Khalid Tammam, MD
IVUS commentator : Stéphane Carlier, MD

CLINICAL DATA

78 yo male
Risk factors: ex-smoker, hypertension, family history
History: AAA treated by endoprothesis; severe PAD femoral bypass; CKF (45 MDRD)
On VKA
Admitted for stable angina
EF 45%
Ischemia 3 segments: Lcx territory
Angiogram: CTO to LCx – Severe disease to RCA – moderate PDA/PLA bifurcation PCI to RCA – 1 DES (3.0×30 mm)

LIVE CASE #2

Dominant LCx CTO with septal collateral channels

Operators : Satoru Sumitsuji, MD – Nicolas Boudou, MD
IVUS commentator : Stéphane Carlier, MD

CLINICAL DATA

74 yo female
Risk factors: Dyslipidemia
Previous PCI LAD 2012
Troponin positive ACS following carotid endarterectomy
EF 50%

ANGIOGRAM

Mild to moderate ISR LAD
Significant disease to 1st OM
CTO to AV Lcx
Diffuse disease to non dominant RCA
Proceed to PCI to LCx – 1st OM with kissing ballon inflation to AV Lcx (CTO prox cap) 05.2017
Scintigraphy 06.2017 : + post and lateral

LIVE CASE #3

Long mid RCA CTO with a good landing zone

Operators : Emmanouil Brilakis, MD – Mike Wyman, MD
IVUS commentator : Stéphane Carlier, MD

CLINICAL DATA

56 yo male
Risk factors: dyslipidemia, hypertension
No history
Stable angina CCS2 – positive exercise stress test 90 watts
TTE: LVEF 65%
Angiogram: Severe disease to LAD/D1CTO to RCA
PCI to left system (reverse TAP) 05.2017
Scintigraphy 06/2017 : + posterior / normal IVA territory