Case Discussion: Learn & Share

Share your complicated cases in cardiac intervention and have some discussion in this forum. This is open to all website member. Comments are welcome! 

June 21st 2018

To Move Forward, You Have To Let Go : Dealing with knotted wire and disrupted stent

Case: A 51 years old male was admitted with Acute NSTEMI. He had Type II Diabetes, hypertension, and history of ischemic stroke. His renal function was mildly declined (creatinine 1.5, eGFR 48). He underwent cardiac catheterization on the third day of hospitalization and was found to have triple…

Author / Operator

WA

Wishnu Aditya Jakarta Heart Center
March 21st 2018

Sacrifation of Right Carotid Artery With Giant Aneurysm: A Safe Bet?

Writer's note: This case was performed by Suko Adiarto, MD, PhD and dr. Taofan, MD   Case Description A 36 yo male came to our hospital with chief complain pulsatile mass in the neck that occured after lymph node biopsy and keep enlarging since 1 weeks before. He felt headache, and hard to…

Author

SI

Suci Indriani National Cardiovascular Center Harapan Kita

Operator

S

Suko Adiarto National Cardiovascular Center Harapan Kita
February 23rd 2018

Percutaneus Atrial Septal Defect Closure in Severe Pulmonary Hypertension with Fenestrated Device

Introduction Closure of Atrial Septal Defect (ASD) in patient with severe pulmonary arterial hypertension (PAH) is discouraged. Recent advences in PAH medical treatment  and percutaneous procedure in ASD closure have given the possibility to close defect in patients with previously considered inoperable.…

Author

YK

Yovi Kurniawati National Cardiovascular Center Harapan Kita

Operator

RP

Radityo Prakoso National Cardiovascular Center Harapan Kita
February 1st 2018

Step Wise of Stent Delivery After Wire Crossing CTO: “Buddy balloon technique”

Clinical Information A 51 years old male was admitted with stable angina pectoris and already received medical therapy. However, he still complaint chest pain while doing light activity. Two months earlier, he was hospitalized due to unstable angina pectoris and was done diagnostic coronary angiography…

Author

JS

Johan Senihardja Cardiology resident, Sam Ratulangi University

Operator

BB

Bambang Budiono Heart & Vascular Center Awal Bros Makassar Hospital
December 28th 2017

Catheter Kinking and Entrapment in Congenital Heart Catheterization: Retrieval Using Snaring Technique

  INTRODUCTION Cardiac catheterization has become the gold standard to diagnose and evaluate several complex cardiac abnormalities. The femoral access approach is the commonly used vascular access to perform both of diagnostic and interventional procedures in congenital heart disease. Hematoma,…

Author / Operator

RP

Radityo Prakoso National Cardiovascular Center Harapan Kita
December 12th 2017

Feasibility of Left Distal Transradial Access for PCI

Introduction Left radial access for coronary angiography and intervention have several benefits. However, conventional left radial access leaves the operator in an ergonomically suboptimal position and subject to higher radiation exposure. Left Distal Transradial access (ldTRA) has recently been introduced…

Author

VD

Vito Damay Siloam Karawaci Hospital

Operator

AF

Achmad Fauzi Yahya Hasan Sadikin Hospital
August 22nd 2017

It's not Always As Easy As it Seems

Clinical Information A male, 62 years old came with angina pectoris. Last February 2017 he had exercise stress test and the result showed positive ischemic response with moderate risk. Coronary angiography showed CTO at LCx with retrograde flow, 50% stenosis at mid RCA and subtotal occlusion at posterolateral…

Author

DH

Dewi Hapsari Suprobo RS Islam Klaten

Operator

DA

Dafsah A Juzar National Cardiovascular Center Harapan Kita
August 7th 2017

ISR x Bifurcation lesion

Clinical Information A 59 years old male was admitted in Nov 16 Due to Inferior STEMI 8 hours of onset. He had history of PCI to LAD in 2014. Primary PCI was performed with 1 DES implanted in distal RCA - RPL

Author / Operator

WA

Wishnu Aditya Jakarta Heart Center