Complex Cases

Advanced Education

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

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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