Complex Interventions

Case Report

Successful PCI of a Bifurcation Lesion Using “Reverse Wire” Technique With a Dual-Lumen Microcatheter

11/05/2019

This procedure was first developed by Kavasaki et al in 20083, but the technique has been improved over the following years with the addition of a dual-lumen microcatheter to more easily engage the narrow, angulated side branch.

This procedure was first...

11/05/2019

Cath Lab Digest

Getting a Balloon Through in Complex PCI: Crossing Made Easier

07/08/2019

J. Aaron Grantham , MD;

I do 250-300 percutaneous coronary intervention (PCI) procedures per year, and 60-70% of those procedures are chronic total occlusions (CTOs) or complex high-risk indicated procedures (CHIP). It is important to emphasize that these procedures...

I do 250-300 percutaneous...

07/08/2019

Cath Lab Digest

Case Report

Noncompliant, High-Pressure Balloon and Calcified, Undilatable Coronary Lesions

07/08/2019

Samir Kammoun , MD, PhD;

Amine Bahloul , MD;

Hela Sarray , MD;

Yassmine Kammoun , MD;

Tarek Ellouz , MD;

Mourad Hentati , MD, PhD;

Leila Abid , MD, PhD;

Optimal stent deployment can become a challenge for the interventional cardiologist, especially when it involves calcified, undilatable lesions. Various technologies have been developed to tackle this scenario and the super high-pressure...

Optimal stent deployment can...

07/08/2019

Cath Lab Digest

ECG Primer for the Cath: What Does a Tall R Wave in V1 Mean? The Four Categories Approach

06/07/2019

Leo Ungar , MD;

Teferi Mitiku , MD;

Morton J. Kern , MD, MSCAI, FACC, FAHA;

Your cath patient is in the lab and the electrocardiogram (ECG) shows a tall R wave in V1 (defined as an R wave amplitude that is greater than that of the S wave). What should you be thinking about and what is the differential for this...

Your cath patient is in the lab...

06/07/2019

Cath Lab Digest