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Dimitriadis Dimokritos MD interventional cardiologist Euromedica ‘Kyanous Stavros, THESSALONIKI IICE 2017 THESSALONIKI THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG.

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Page 1: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

Dimitriadis Dimokritos MD interventional cardiologist

Euromedica ‘Kyanous Stavros, THESSALONIKI

IICE 2017 THESSALONIKI

THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG.

Page 2: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

Dimitriadis Dimokritos MD interventional cardiologist

Euromedica ‘Kyanous Stavros, THESSALONIKI

IICE 2017 THESSALONIKI

Page 3: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR
Page 4: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR
Page 5: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

THREE ALMOST THE SAME PATIENTS

AGE 80 YEARS OLD!!DIABETUS MELITUS!!CABG WITH AT LEAST A PATENT GRAFT!!MILD-SEVERE RENAL FALURE!!LOW EF!!

AND INDICATION FOR PCI !!!

Page 6: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

1ST CASE

Page 7: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR
Page 8: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR
Page 9: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

Promus premier 3,5x16mm

Page 10: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

Promus Premiere 4x24mm

Page 11: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

Pot quantum apex 5.0x8mm

postdilatation

Quantum apex 4.0x12mm

Page 12: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

FINAL RESULT!!

Contrast volume 50cc

Page 13: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

FINAL RESULT!!

Page 14: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

2CASE.

Page 15: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR
Page 16: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

Predilationemerge2.5x15mm

Page 17: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

Promus premier 3.5x16mm

Promus premier4.0x16mm

Page 18: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

Postdilatationquantum 4x15mm

Page 19: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

Post dilatation quantum apex 5.0x8mm

Page 20: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

FINAL RESULT!!

Contrast volume 45cc

Page 21: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

3CASE

Page 22: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR
Page 23: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

Onyx resolute 3.5x22mm

Page 24: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

FINAL RESULT!!

Contrast volume 30cc

Page 25: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR
Page 26: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR
Page 27: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR
Page 28: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR
Page 29: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR
Page 30: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

Tools !!!

Page 31: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR
Page 32: THE ROLE OF INTERVENTIONAL CARDIOLOGY AFTER CABG....with CV/eGFR < 1 set as absolute limit. Z-PCI performed using IVUS guidance, with pre- and post-PCI measurements of FFR and CFR

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