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 What and Who Defines ‘Complex’?  What and Who Defines ‘Complex’?

What and Who Defines ‘Complex’? - PowerPoint Presentation

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Uploaded On 2020-04-03

What and Who Defines ‘Complex’? - PPT Presentation

Case 1 Transradial Approach Ostialtype Calcified Lesion RCA Significant Lesions in midLAD LCx Surgical Candidacy and Selection Bias in ULM PCI Periprocedural Insertion of Intraaortic Balloon Pump ID: 774839

caudal view cto lao caudal view cto lao catheter placement lad guidewire rca corsair result final distal balloon lcx

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Presentation Transcript

Slide1

Slide2

What and Who Defines ‘Complex’?

Slide3

Case 1

Slide4

Transradial Approach: Ostial-type Calcified Lesion RCA

Slide5

Significant Lesions in mid-LAD, LCx

Slide6

Surgical Candidacy and Selection Bias in ULM PCI

Slide7

Slide8

Slide9

Periprocedural Insertion of Intra-aortic Balloon Pump

Slide10

RCA: Heavily Calcified Ostial Stenosis and Ectatic Changes

Slide11

Successful Placement of 5-mm Stent

Slide12

LM: Right Anterior Caudal View

Slide13

LM: LAO Caudal view

Slide14

Rotational Atherectomy LCx

Slide15

LCx

Slide16

LAD: Rotational Atherectomy

Slide17

LAD

Slide18

Slide19

TIMI 3 Flow Into Both Branches

Slide20

Shallow LAO Caudal View

Slide21

Sequential High-pressure Postdilatation

Slide22

Final Result: RAO Caudal View

Slide23

Final Result: LAO Caudal View

Slide24

Case 2

Slide25

CTO

Slide26

Hybrid Algorithm for CTO PCISimplifying the Procedure and Equipment

Slide27

Corsair Catheter in the Distal Posterior Lateral Branches

Slide28

LAO Caudal View

Slide29

8-Fr Guiding Corsair Cath in CTO (Antegrade Component )

Slide30

Advancement of Balloon Catheter

Slide31

Facilitated Guidewire Passage

Slide32

Guidewire Advances

Slide33

Guidewire Advances

Slide34

Final Result: AP Caudal View

Slide35

Slide36

Case 3

Slide37

LAO Caudal and AP Cranial Views

Slide38

CTO in the Proximal Segment of RCA

Slide39

An Interventional Risk Treatment ParadoxNegative Impact of CTO Treatment on Clinical Outcomes in SYNTAX Trial

Slide40

RCA Total Occlusion: Distal Placement of a Pilot 200 Wire

Slide41

DES Revascularization

Slide42

LAD CTO and Distal LM Disease

Slide43

Advancing Corsair Catheter: Antegrade Approach

Slide44

Catheter Placement

Slide45

Reentry Using Stingray Catheter and Guidewire

Slide46

Provisional Balloon Angioplasty and Stent Placement

Slide47

Summary

Slide48

Abbreviations

Slide49

Abbreviations (cont)

Slide50

Abbreviations (cont)

Slide51

References