Tejas Patel, MD | Sanjay Shah, MD | Samir B. Pancholy, MD

Atlas Case Videos

Atlas Case Videos

Video 2.8.8. Two covered stents were deployed, one after another, to seal the perforations (this...
Video 2.8.9. Subsequent angiogram revealed sealing of perforation and clean stented segment.
Video 2.9.1. Bilateral coronary angiogram revealed CTO of the RCA.
Video 2.9.2. Angiogram showing that the SVG to PDA was totally occluded.
Video 2.9.3. A prior attempt at an antegrade CTO crossing had failed.
Video 2.9.4. Antegrade crossing attempts resulted in subintimal crossing using a knuckled Pilot 200...
Video 2.9.5. An epicardial collateral perforation is now seen.
Video 2.9.6.The Sion wire (Asahi Intecc) was advanced through the epicardial collateral to the...
Video 2.9.7. The retrograde microcatheter placement resulting in hemostasis at the perforation site.
Video 2.9.8. Successful recanalization the RCA CTO.
Video 2.9.9. The epicardial collateral perforation was successfully sealed.
Video 2.10.1. Pre-PCI diagnostic angiogram of LMCA.
Video 2.10.2. Post-rotational atherectomy angiogram of LMCA showing dissection and perforation of...
Video 2.10.3. Post-PCI angiogram of LMCA showing containment of the perforation and dissection...
Video 2.11.1. CTO of proximal LAD artery.
Video 2.11.2. Multiple Type III perforations (opening into the pericardial cavity) in the distal...
Video 2.11.3. Emergency pericardiocentesis was done.
Video 2.11.4. Two coronary guidewires were kept in the LAD and diagonal branches, and a 2.5 x 15 mm...
Video 2.11.5. Microcatheter was used as a carrier and a solution of PVA particles as an occluder.
Video 2.11.6. The distal tip of the microcatheter was almost wedged at the perforated segment to...
Video 2.11.7. A 3 ml mixture of 250-355 micron Contour Emboli (Target Therapeutics, Boston...
Video 2.11.8. Final injection revealed successful occlusion of both perforation sites and no leak...
Video 2.12.1. Post-stenting injection revealed a Type III perforation of the distal PDA, opening in...
Video 2.12.2. A microcatheter was tracked and wedged into the perforated segment.
Video 2.12.3. PVC particles were injected through the lumen of microcatheter into the perforated...
Video 2.12.4. Final angiography demonstrating an occluded perforated segment of PDA and no further...
Video 2.12.5. Final angiography demonstrating an occluded perforated segment of PDA and no further...
Video 2.13.1. LMCA injection revealed 99% stenosis followed by a CTO in the proximal LAD.
Video 2.13.2. A CTO coronary wire was negotiated and segmental balloon dilatation was performed.
Video 2.13.3. A Type III perforation in the distal LAD segment with significant myocardial staining.
Video 2.13.4. A balloon was placed just proximal to perforated segment and inflated at 15 atm to...
Video 2.13.5. Coronary injection revealed occlusion of perforated segment and significantly reduced...
Video 2.14.1. Angiography of the RCA CTO.
Video 2.14.2. Coronary injection revealed a Type III perforation and diffuse intramyocardial...
Video 2.14.3. Subsequent coronary injection revealed significant decrease in intramyocardial stain.
Video 2.14.4. Fluoroscopic examination revealed reduced myocardial stain and normal movement of...
Video 2.15.1.Angiography showing total occlusion of mid LCX.
Video 2.15.2. Angiography revealed a LCX bifurcation lesion that became evident after initial...
Video 2.15.3. Balloon with a waist still present despite inflation to 18 atm.
Video 2.15.4. Angiography showing a Type III perforation after the balloon ruptured at 20 atm.
Video 2.15.5. Angiography of a 3 x 19 mm Jostent GraftMaster PTFE-covered stent being deployed...
Video 2.15.6. Covered stent deployed at 15 atm.
Video 2.15.7. Final angiogram revealed complete occlusion of perforated LCX segment and normal...
Video 2.15.8. Final angiogram revealed complete occlusion of perforated LCX segment and normal...
Video 2.16.3. A 3.0 x 18 mm stent being deployed.
Video 2.16.4. Coronary angiogram revealed a Type III perforation at the lesion site.
Video 2.16.5. The balloon was immediately re-advanced and inflated at the lesion site.
Video 2.16.6. A second introducer sheath (7 Fr) was placed in the left femoral artery above the...

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