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Recurrent SVG-Instent-Restenosis with stent fracture

Peter Dietrich

The case is about 60-year-old male patient with three-vessel disease and CABG 20 years ago, LV function is slightly reduced due to an inferior MI already before operation and he suffers from recurrent angina since um 2015 because of recurrent in-stent restenosis of the saphenous vein graft So let's have a look at the um coronary situation so this is actually the only native vessel that is still open.

CME


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1196



Cases

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372

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SWISS CTO&CHIP

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25

290

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CHIP-BATTLE: Dr. Gabriele Gasparini VS. ...

CHIP Romania

CME

20

317

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SWISS CTO SUMMIT 2023: The post CABG pat ...

SWISS CTO&CHIP

CME

14

346

1

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SWISS CTO 2023: LIVE CASE BASEL - Gregor ...

SWISS CTO&CHIP

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12

321

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SWISS CTO SUMMIT 2023: Case in the box 1 ...

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11

354

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TALK 1 Lessons (not) learned from ISCHEM ...

SWISS CTO CONNECT

CME

11

323

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SWISS CTO SUMMIT 2024: LIVE CASE 07, BAS ...

SWISS CTO&CHIP

CME

9

337

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SWISS CTO CONNECT 2022: Ostia In-Stent R ...

SWISS CTO CONNECT

CME

9

307

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LAD-CTO-recanalization

CHIP Romania

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9

305

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SWISS CTO SUMMIT 2022: Live Case 3, ST.G ...

SWISS CTO&CHIP

CME

9

285

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DCB - this is now state of the art, Dani ...

SWISS CTO&CHIP

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8

312

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LIVE CASE 1 Left Main PCI

SWISS CTO CONNECT

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8

310

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What happened to the live cases of 2023- ...

SWISS CTO&CHIP

CME

7

306

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When imaging is more important than imag ...

SWISS CTO&CHIP

CME

7

303

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Calcium modification 2023 - John Hung

SWISS CTO CONNECT

CME

7

292

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SWISS CTO 2019 LIVE CASE 4

SWISS CTO&CHIP

CME

7

290

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CASES SUMMARY AND TAKE HOME MESSAGES DAY ...

SWISS CTO CONNECT

CME

7

275

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SWISS CTO&CHIP

CME

7

272

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258

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CHIP Romania

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334

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370

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337

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CHIP Romania

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LIVE CASE 4 Bifurcation LAD disease wit ...

SWISS CTO CONNECT

CME

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302

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How to surgically defuse a ticking time ...

CHIP Romania

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5

291

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291

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SWISS CTO SUMMIT 2023: Bifurcation PCI s ...

SWISS CTO&CHIP

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259

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The way to do complex

CHIP Romania

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249

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Oops, it snapped! The quirky side of cor ...

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The best Portuguese complication case

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990

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RCA CTO retrograde case using extensive ...

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914

1

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SWISS CTO SUMMIT 2024: LIVE CASE 11, BAS ...

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SWISS CTO SUMMIT 2023: LIVE CASE 4 ST.GA ...

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289

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SWISS CTO SUMMIT 2022: Live Case 4, ST.G ...

SWISS CTO&CHIP

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4

266

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Entrapment nightmares, the least invasiv ...

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260

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SWISS CTO 2021: Imaging and complex PCI

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260

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3

1046

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Ultra-Low Contrast LAD PCI in Advanced C ...

Giuseppe Colletti

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3

363

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SWISS CTO&CHIP

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3

329

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Over the hills and far away...

CHIP Romania

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324

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SWISS CTO 2021: CTO and hemodynamic supp ...

SWISS CTO&CHIP

CME

3

310

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SWISS CTO SUMMIT 2024: LIVE CASE 01, BAS ...

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SWISS CTO CONNECT 2022 HartCentrum ZNA, ...

SWISS CTO CONNECT

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Live Case from Herzzentrum Lahr, Germany

CHIP Romania

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SWISS CTO&CHIP

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SWISS CTO&CHIP

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286

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Live case from novamed hospital chisinau ...

CHIP Romania

CME

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281

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SWISS CTO&CHIP

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3

278

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A Tale of Three Rounds

CHIP Romania

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276

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Natural or man made?

CHIP Romania

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255

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From failure to success: a post CABG jou ...

SWISS CTO&CHIP

CME

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1217

3

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Recurrent SVG-Instent-Restenosis with st ...

Peter Dietrich

CME

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1196

4

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Stepwise RAO Recanalization via DRA with ...

Giuseppe Colletti

CME

2

646

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Carlino talking about Carlino technique

SWISS CTO&CHIP

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623

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SWISS CTO&CHIP

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SWISS CTO&CHIP

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Looking is not enough you also need to s ...

CHIP Romania

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297

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SWISS CTO CONNECT 2022: 3 Vessel Disease ...

SWISS CTO CONNECT

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281

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LIVE CASE 2 Mid RCA CTO, ambiguous proxi ...

SWISS CTO CONNECT

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SWISS CTO&CHIP

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270

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SWISS CTO SUMMIT 2022: Live Case 6, DUBL ...

SWISS CTO&CHIP

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265

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SWISS CTO SUMMIT 2024: LIVE CASE 05, BAS ...

SWISS CTO&CHIP

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264

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Live case from ARES cluj napoca Romania

CHIP Romania

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SWISS CTO SUMMIT 2023: LIVE CASE 8 SEOUL ...

SWISS CTO&CHIP

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CTO PCI: dealing complications

SWISS CTO&CHIP

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Chilli con carne from Chile

SWISS CTO&CHIP

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1049

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Mechanical Atherectomy: the most effecti ...

SWISS CTO&CHIP

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617

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SWISS CTO SUMMIT 2023: LIVE CASE 12 SWIT ...

SWISS CTO&CHIP

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LIVE CASE 3 RCA CTO in MVD

SWISS CTO CONNECT

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SWISS CTO CUMMIT 2022: INTRAVASCULAR IMA ...

SWISS CTO&CHIP

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Complex left main trifurvation PCI in ac ...

CHIP Romania

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Three different complications in repeate ...

SWISS CTO&CHIP

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SWISS CTO&CHIP

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CHIP Romania

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SWISS CTO&CHIP

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SWISS CTO 2021: ADR CTO PCI

SWISS CTO&CHIP

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SWISS CTO 2019 LIVE CASE 6 -K. Mashayekh ...

SWISS CTO&CHIP

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CHIP Romania

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SWISS CTO CONGRES 2021: Live Case 3 St.G ...

SWISS CTO&CHIP

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Live case from CC Iliescu Hospital Bucha ...

CHIP Romania

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SWISS CTO&CHIP

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SWISS CTO CONGRES 2021: Hybrid in motion

SWISS CTO&CHIP

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Lectures

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SWISS CTO&CHIP

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TALK 2 Coronary Physiology in complex PC ...

SWISS CTO CONNECT

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Swiss CTO 2019 Session 4: From Evidence ...

SWISS CTO&CHIP

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SWISS CTO CONNECT 2022: Do the Guideline ...

SWISS CTO CONNECT

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TALK 1 Multivessel disease and amp; Left ...

SWISS CTO CONNECT

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SWISS CTO SUMMIT 2022: CTO-PCI WITHOUT H ...

SWISS CTO&CHIP

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SWISS CTO SUMMIT 2022: THE BATTLE HEMODY ...

SWISS CTO&CHIP

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SWISS CTO SUMMIT 2023: The Battle Physio ...

SWISS CTO&CHIP

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SWISS CTO CONNECT 2022: Unmet needs in r ...

SWISS CTO CONNECT

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Swiss CTO 2019 Session 1: Prepare For Th ...

SWISS CTO&CHIP

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Swiss CTO 2019 Session 2: The Solid Base ...

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SWISS CTO SUMMIT 2023: The battle - Comp ...

SWISS CTO&CHIP

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SWISS CTO CONNECT 2022 Coronary Pshyiolo ...

SWISS CTO CONNECT

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TALK 3 Efficacy and safety of CTO-PCI in ...

SWISS CTO CONNECT

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21

88

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CHIP-BATTLE: Dr. Gabriele Gasparini VS. ...

CHIP Romania

CME

20

317

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CTO, CTO and CTOs

CHIP Romania

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275

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Benefit of CTO PCI beyond symptoms, Mich ...

SWISS CTO&CHIP

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338

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SWISS CTO SUMMIT 2023: The battle Acces ...

SWISS CTO&CHIP

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18

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SWISS CTO 2021: MVD and TAVI: When to pl ...

SWISS CTO&CHIP

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17

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SWISS CTO SUMMIT 2022: CTO PCI IN HEART ...

SWISS CTO&CHIP

CME

16

265

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SWISS CTO CHIP SUMMIT 2022: Patient and ...

SWISS CTO&CHIP

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100

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Complex Coronary Interventions – Antegra ...

Gregor Leibundgut

CME

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746

1

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SWISS CTO SUMMIT 2023: The post CABG pat ...

SWISS CTO&CHIP

CME

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346

1

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SWISS CTO SUMMIT 2023: The left main is ...

SWISS CTO&CHIP

CME

14

323

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SWISS CTO SUMMIT 2023: The battle Imagin ...

SWISS CTO&CHIP

CME

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281

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2 High-risk Impella Cases

Gregor Leibundgut

CME

12

813

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SWISS CTO SUMMIT 2024: LIVE CASE 08, TAI ...

SWISS CTO&CHIP

CME

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SWISS CTO SUMMIT 2023: The technical req ...

SWISS CTO&CHIP

CME

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283

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SWISS CTO SUMMIT 2023: CTO-PCI Legacy- H ...

SWISS CTO&CHIP

CME

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263

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SWISS CTO 2021: Left main PCI 2021: neve ...

SWISS CTO&CHIP

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SWISS CTO CONNECT 2022: wrap up day 1

SWISS CTO CONNECT

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SWISS CTO SUMMIT 2023: Case in the box 1 ...

SWISS CTO&CHIP

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Swiss CTO 2019 Session 5: Hard Times In ...

SWISS CTO&CHIP

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127

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SWISS CTO SUMMIT 2022: THE BATTLE ANTEGR ...

SWISS CTO&CHIP

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Complete Revascularization is the gold s ...

SWISS CTO&CHIP

CME

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SWISS CTO 2021: Complete Revascularizati ...

SWISS CTO&CHIP

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CHIP BATTLE: Complete revascularisation ...

CHIP Romania

CME

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259

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Noirclerc Halloween Special 2022

Gregor Leibundgut

CME

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1183

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SWISS CTO CONNECT 2022: Ostia In-Stent R ...

SWISS CTO CONNECT

CME

9

307

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LAD-CTO-recanalization

CHIP Romania

CME

9

305

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CTO-PCI Legacy series- How it all stared ...

SWISS CTO&CHIP

CME

9

274

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SWISS CTO CONNECT 2022: Kantonsspital St ...

SWISS CTO CONNECT

CME

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276

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SWISS CTO CONNECT 2022: Kantonsspital Ba ...

SWISS CTO CONNECT

CME

8

104

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SWISS CTO SUMMIT 2022: LIVE 02, TURIN

SWISS CTO CONNECT

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8

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When in Rome... or Czechia and Slovakia, ...

SWISS CTO&CHIP

CME

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92

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SWISS CTO 2021: DCB in CTO and Complex P ...

SWISS CTO&CHIP

CME

7

353

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What happened to the live cases of 2023- ...

SWISS CTO&CHIP

CME

7

306

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When imaging is more important than imag ...

SWISS CTO&CHIP

CME

7

303

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Calcium modification 2023 - John Hung

SWISS CTO CONNECT

CME

7

292

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Calcium modification 2023 - John Hung

SWISS CTO CONNECT

CME

7

292

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CASES SUMMARY AND TAKE HOME MESSAGES DAY ...

SWISS CTO CONNECT

CME

7

275

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SWISS CTO SUMMIT 2022: Live Case 9, MILA ...

SWISS CTO&CHIP

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7

270

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Functional assessment in CHIP- ready for ...

SWISS CTO&CHIP

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Periprocedural imaging and physiology is ...

SWISS CTO&CHIP

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SWISS CTO SUMMIT 2022: IFURCATION MANAGE ...

SWISS CTO&CHIP

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SWISS CTO 2021: Antegrade techniques: ju ...

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An easy LAD CTO... or not

CHIP Romania

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6

334

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SWISS CTO 2021: Coronary Physiology and ...

SWISS CTO&CHIP

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6

304

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Swiss CTO 2019 Session 3: Succesful Conn ...

SWISS CTO&CHIP

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SWISS CTO&CHIP

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The Provisional-philosophy

CHIP Romania

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The too confident CTO operator

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Live case from North Karelia Central Hos ...

CHIP Romania

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SWISS CTO 2021: Complex CTO-PCI and IVL

SWISS CTO&CHIP

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SWISS CTO&CHIP

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SWISS CTO&CHIP

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The debate- Circulatory support, Felix W ...

SWISS CTO&CHIP

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312

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SWISS CTO SUMMIT 2023: Case in the box 7 ...

SWISS CTO&CHIP

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311

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How to surgically defuse a ticking time ...

CHIP Romania

CME

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291

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SWISS CTO SUMMIT 2023: LIVE CASE 5 ATLAN ...

SWISS CTO&CHIP

CME

5

286

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SWISS CTO CONNECT 2022: CTO of the RCA a ...

SWISS CTO CONNECT

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5

261

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The way to do complex

CHIP Romania

CME

5

249

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Oops, it snapped! The quirky side of cor ...

SWISS CTO&CHIP

CME

5

249

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The debate- CTO wires, Marin Postu

SWISS CTO&CHIP

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Scaffolds- this is now state of the art, ...

SWISS CTO&CHIP

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87

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SWISS CTO&CHIP

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RCA CTO retrograde case using extensive ...

SWISS CTO&CHIP

CME

4

914

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SWISS CTO SUMMIT 2023: Case in the box 3 ...

SWISS CTO&CHIP

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SWISS CTO SUMMIT 2023: The Battle CHIP E ...

SWISS CTO&CHIP

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DCB BATTLE: Gregor Leibundgut VS. Flori ...

CHIP Romania

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CHIP BATTLE: Dr. Jurij VS. Dr. Stanislaw ...

CHIP Romania

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Less stents in complex PCI - Bernardo Co ...

SWISS CTO CONNECT

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SWISS CTO SUMMIT 2022: OSTIAL LESIONS

SWISS CTO&CHIP

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297

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SWISS CTO SUMMIT 2023: Complex coronary ...

SWISS CTO&CHIP

CME

4

275

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Entrapment nightmares, the least invasiv ...

SWISS CTO&CHIP

CME

4

260

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SWISS CTO 2021: Imaging and complex PCI

SWISS CTO&CHIP

CME

4

260

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CTO donor vessel dissection, catastrophi ...

SWISS CTO&CHIP

CME

4

93

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The retrograde bar - how to perform the ...

SWISS CTO&CHIP

CME

3

570

2

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Over the hills and far away...

CHIP Romania

CME

3

324

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SWISS CTO 2021: CTO and hemodynamic supp ...

SWISS CTO&CHIP

CME

3

310

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SWISS CTO CONNECT 2022 HartCentrum ZNA, ...

SWISS CTO CONNECT

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3

303

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Two “marriages”, one messy “divorce” and ...

SWISS CTO&CHIP

CME

3

301

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A bitter epilogue, Michele Schincariol

SWISS CTO&CHIP

CME

3

286

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A Tale of Three Rounds

CHIP Romania

CME

3

276

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SWISS CTO 2019 LIVE CASE 1

SWISS CTO&CHIP

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276

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DES is the only safe and durable solutio ...

SWISS CTO&CHIP

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A knuckle far, far away…Pavol Tomasov

SWISS CTO&CHIP

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3

257

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Live Case from CC iliescu Hospital Bucha ...

CHIP Romania

CME

3

257

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Natural or man made?

CHIP Romania

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3

255

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SWISS CTO SUMMIT 2023: Case in the box 1 ...

SWISS CTO&CHIP

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3

253

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SWISS CTO SUMMIT 2024: LIVE CASE 03, LAH ...

SWISS CTO&CHIP

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110

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SWISS CTO 2019 LIVE CASE 5

SWISS CTO&CHIP

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94

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flavius Buddy wire stent anchor techniqu ...

CHIP Romania

CME

3

88

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CASES SUMMARY AND TAKE HOME MESSAGES DAY ...

SWISS CTO CONNECT

CME

3

84

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From failure to success: a post CABG jou ...

SWISS CTO&CHIP

CME

2

1217

3

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Weilenmann Ostial Stent Protrusion

Gregor Leibundgut

CME

2

617

1

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SWISS CTO SUMMIT 2023: Case in the box 9 ...

SWISS CTO&CHIP

CME

2

312

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Preprocedural planning in calcific coron ...

SWISS CTO&CHIP

CME

2

310

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Looking is not enough you also need to s ...

CHIP Romania

CME

2

297

1

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Complex-LM-with-Several-Challenges

CHIP Romania

CME

2

295

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TALK 3 DCB versus Stent in CTO-PCI

SWISS CTO CONNECT

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2

295

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SWISS CTO 2021: Minimalistic Approach fo ...

SWISS CTO&CHIP

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2

280

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SWISS CTO SUMMIT 2023: DCB or DES in com ...

SWISS CTO&CHIP

CME

2

275

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SWISS CTO 2021: Complex antegrade fenest ...

SWISS CTO&CHIP

CME

2

270

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Bifurcations 2023 - Nicolas Boudou

SWISS CTO&CHIP

CME

2

267

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SWISS CTO SUMMIT 2024: LIVE CASE 05, BAS ...

SWISS CTO&CHIP

CME

2

264

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SWISS CTO SUMMIT 2024: LIVE CASE 05, BAS ...

SWISS CTO&CHIP

CME

2

264

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TALK 2 IVUS in CTO and Left main

SWISS CTO CONNECT

CME

2

257

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Live Case from ARES Hospital Cluj-Napoca ...

CHIP Romania

CME

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256

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Welcome and Introduction, Gregor Leibund ...

SWISS CTO&CHIP

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Wrap up and Information, Gregor Leibundg ...

SWISS CTO&CHIP

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107

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SWISS CTO CONNECT 2022: Re-entry techniq ...

SWISS CTO CONNECT

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107

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SWISS CTO SUMMIT 2023: Case in the box 1 ...

SWISS CTO&CHIP

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95

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SWISS CTO SUMMIT 2022: Live Case 8, ST.G ...

SWISS CTO&CHIP

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93

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SWISS CTO SUMMIT 2023: Case in the box 1 ...

SWISS CTO&CHIP

CME

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90

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The psychology of growth, Kalaivani Maha ...

SWISS CTO&CHIP

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90

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SWISS CTO SUMMIT 2022: TRAINING VS TECHN ...

SWISS CTO&CHIP

CME

2

87

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Longitudinal Stent Deformation (LSD)

Gregor Leibundgut

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1

1310

1

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CART is still alive!

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1

1066

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SWISS CTO CUMMIT 2022: INTRAVASCULAR IMA ...

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1

349

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Complex left main trifurvation PCI in ac ...

CHIP Romania

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342

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Three different complications in repeate ...

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1

341

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SWISS CTO 2021: Dual Lumen micro: how to ...

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1

328

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SWISS CTO SUMMIT 2023: Case in the box 8 ...

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1

319

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Bifurcation PCI- double stent approach i ...

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318

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Keep it simple and cheap- NC and pressur ...

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1

306

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SWISS CTO 2021: ADR CTO PCI

SWISS CTO&CHIP

CME

1

298

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SWISS CTO CONNECT 2022 PCI-Guidance Imag ...

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1

296

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A low J-CTO SCORE LAD occlusion, HARDER ...

CHIP Romania

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1

296

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SWISS CTO 2021: Antegrade CTO PCI

SWISS CTO&CHIP

CME

1

295

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SWISS CTO SUMMIT 2022: THE MUST KNOW OF ...

SWISS CTO&CHIP

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1

290

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SWISS CTO SUMMIT 2023: Scaffolds for PCI ...

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1

273

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SWISS CTO SUMMIT 2024: LIVE CASE 04, ST. ...

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1

104

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SWISS CTO SUMMIT 2022: WIRES MICROS AND ...

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1

98

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SWISS CTO CONGRES 2021: Live Case 2 St.G ...

SWISS CTO&CHIP

CME

1

95

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SWISS CTO 2021: Dealing with large bore ...

SWISS CTO&CHIP

CME

1

95

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SWISS CTO CONGRES 2021: Hybrid in motion

SWISS CTO&CHIP

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1

93

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SWISS CTO 2021: Retrograde CTO via epica ...

SWISS CTO&CHIP

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1

93

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Sometimes a side branch can die hard

CHIP Romania

CME

1

87

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Live case from sahlgrenska university ho ...

CHIP Romania

CME

1

84

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SWISS CTO 2021: Welcome

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1

83

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Case Presentations CHIP ROMANIA 2024

CHIP Romania

CME

1

81

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Interviews

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SWISS CTO&CHIP

CME

25

273

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CTO PCI: dealing complications

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1

1232

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Other

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SWISS CTO&CHIP

CME

41

1041

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SWISS CTO CONNECT 2022: Welcome to Day 1

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8

286

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CASES SUMMARY AND TAKE HOME MESSAGES DAY ...

SWISS CTO CONNECT

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7

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Finally, I Learned My Lession (The Last ...

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4

543

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Day 1 Welcome and timeplan

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4

90

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SWISS CTO 2021: WRAP UP

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CME

2

381

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Product Reviews

SWISS CTO 2021: guide extensions: how to ...

SWISS CTO&CHIP

CME

5

328

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Featured Videos

The too confident CTO operator

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CME

0

1487

4

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Longitudinal Stent Deformation (LSD)

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0

1310

1

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CTO PCI: dealing complications

SWISS CTO&CHIP

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1232

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From failure to success: a post CABG jou ...

SWISS CTO&CHIP

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0

1217

3

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Recurrent SVG-Instent-Restenosis with st ...

Peter Dietrich

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0

1196

4

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Noirclerc Halloween Special 2022

Gregor Leibundgut

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0

1183

1

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A Complicated Complication

Gregor Leibundgut

CME

0

1177

1

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IVL is here to stay: the easiest and saf ...

SWISS CTO&CHIP

CME

0

1097

1

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CART is still alive!

SWISS CTO&CHIP

CME

0

1066

1

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Balloons cracks it all: let's KISS (keep ...

SWISS CTO&CHIP

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0

1062

2

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Chilli con carne from Chile

SWISS CTO&CHIP

CME

0

1049

2

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Dealing with large bore accesses: how to ...

SWISS CTO&CHIP

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0

1046

1

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MVD, left main and CTO: CABG is the gold ...

SWISS CTO&CHIP

CME

0

1041

1

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The best Portuguese complication case

SWISS CTO&CHIP

CME

0

990

2

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RCA CTO retrograde case using extensive ...

SWISS CTO&CHIP

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0

914

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