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Advanced Education

Complex Cases

Challenging real-world cases in structural and interventional cardiology — anatomy, decision-making, technique, and outcomes. Structural heart and coronary cases presented separately.

Advanced Education

Complex Cases

Challenging real-world cases in structural and interventional cardiology — anatomy, decision-making, technique, and outcomes. Coming soon as cases are added.

🫀 Structural Heart ⚡ Coronary / PCI All Cases
Structural Heart Complex Cases
TAVR
TAVR in Bicuspid Aortic Valve with Severe Calcification
Management of a challenging TAVR case in bicuspid anatomy — CT planning, valve sizing, risk of AR, and landing zone optimization strategies.
BicuspidCT PlanningHigh-Risk
Tricuspid
Complex Tricuspid TEER in Severe TR with RV Dysfunction
Decision-making and procedural approach for T-TEER in a patient with severe TR and significant RV dysfunction — patient selection, timing, and technical considerations.
TRRV FailureTEER
MCS
Cardiogenic Shock Escalation — Impella to VA-ECMO
Step-by-step case of a patient requiring MCS escalation from Impella CP to VA-ECMO support — hemodynamic targets, configuration, and weaning strategy.
SCAI-D ShockImpellaVA-ECMO
🫀
More structural cases coming
TMVR · Paravalvular leak · Watchman · PFO/ASD closure · Valve-in-valve
Coronary / Interventional Complex Cases
High-Risk PCI
Unprotected Left Main PCI with IVUS Guidance
Complex unprotected left main PCI using IVUS-guided optimal stent sizing, positioning, and post-dilation strategy — key technical pearls and pitfalls.
Left MainIVUSComplex PCI
CTO
CTO PCI — Retrograde Approach via Collateral Channel
Retrograde CTO crossing using a septal collateral channel — wire manipulation techniques, equipment selection, and managing complications during complex CTO intervention.
CTORetrogradeCollateral
Calcification
Severely Calcified RCA — Rotational Atherectomy + IVL
Stepwise approach to a severely calcified right coronary artery — rotational atherectomy followed by intravascular lithotripsy for lesion preparation before stenting.
RotablatorIVLCalcification
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More coronary cases coming
Bifurcation · Protected PCI · STEMI with shock · FFR/iFR assessment · Orbital atherectomy