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! 

Sort by category: Coronary

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


Wishnu Aditya Jakarta Heart Center

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…



Johan Senihardja Cardiology resident, Sam Ratulangi University


Bambang Budiono Heart & Vascular Center Awal Bros Makassar Hospital

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…



Vito Damay Siloam Karawaci Hospital


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…



Dewi Hapsari Suprobo RS Islam Klaten


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


Wishnu Aditya Jakarta Heart Center