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Ultra-Low Contrast LAD PCI in Advanced CKD: Real-Time IVUS-Guided Ostial Stenting

Giuseppe Colletti

PCI in advanced CKD requires a disciplined strategy to minimize contrast while preserving precision—especially for ostial LAD work where angiography alone can be misleading. This case demonstrates an ultra-low contrast workflow integrating: • Pre-procedural planning using co-registered physiology • Use of index diagnostic angiograms as the roadmap to reduce repeat injections • IVUS-based lesion definition and landing zone selection • Real-time IVUS guidance to accurately deploy an ostial stent

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LAD-CTO-recanalization

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Over the hills and far away...

CHIP Romania

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Stepwise RAO Recanalization via DRA with ...

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Carlino talking about Carlino technique

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LIVE CASE 4 Bifurcation LAD disease wit ...

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A Tale of Three Rounds

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2 High-risk Impella Cases

Gregor Leibundgut

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LAD-CTO-recanalization

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SWISS CTO 2021: Complete Revascularizati ...

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

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

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Functional assessment in CHIP- ready for ...

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CHIP Romania

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The way to do complex

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

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The too confident CTO operator

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Gregor Leibundgut

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Calcium modification 2023 - John Hung

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When imaging is more important than imag ...

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

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

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

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CHIP Romania

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Three different complications in repeate ...

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Bifurcation PCI- double stent approach i ...

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CHIP Romania

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1

13

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

SWISS CTO&CHIP

CME

1

13

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SWISS CTO CONGRES 2021: Hybrid in motion

SWISS CTO&CHIP

CME

1

13

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SWISS CTO 2021: Dealing with large bore ...

SWISS CTO&CHIP

CME

1

13

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SWISS CTO 2021: Welcome

SWISS CTO&CHIP

CME

1

10

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Live case from sahlgrenska university ho ...

CHIP Romania

CME

1

5

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Sometimes a side branch can die hard

CHIP Romania

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1

5

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flavius Buddy wire stent anchor techniqu ...

CHIP Romania

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1

4

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Interviews

SWISS CTO SUMMIT 2022: MYOCARDIAL REVASC ...

SWISS CTO&CHIP

CME

24

193

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CTO PCI: dealing complications

SWISS CTO&CHIP

CME

1

1124

4

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Other

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

SWISS CTO&CHIP

CME

41

961

1

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SWISS CTO CONNECT 2022: Welcome to Day 1

SWISS CTO CONNECT

CME

8

211

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CASES SUMMARY AND TAKE HOME MESSAGES DAY ...

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7

193

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

SWISS CTO&CHIP

CME

4

469

1

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Day 1 Welcome and timeplan

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4

12

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SWISS CTO 2021: WRAP UP

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CME

2

307

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Product Reviews

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

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4

246

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Featured Videos

The too confident CTO operator

SWISS CTO&CHIP

CME

0

1360

4

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Longitudinal Stent Deformation (LSD)

Gregor Leibundgut

CME

0

1206

1

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CTO PCI: dealing complications

SWISS CTO&CHIP

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1124

4

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Noirclerc Halloween Special 2022

Gregor Leibundgut

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1078

1

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A Complicated Complication

Gregor Leibundgut

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1075

1

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

SWISS CTO&CHIP

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1074

3

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Recurrent SVG-Instent-Restenosis with st ...

Peter Dietrich

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0

1073

4

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

SWISS CTO&CHIP

CME

0

989

1

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

SWISS CTO&CHIP

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0

966

2

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

SWISS CTO&CHIP

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0

961

1

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CART is still alive!

SWISS CTO&CHIP

CME

0

959

1

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Chilli con carne from Chile

SWISS CTO&CHIP

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0

953

2

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Dealing with large bore accesses: how to ...

SWISS CTO&CHIP

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0

943

1

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The best Portuguese complication case

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900

2

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RCA CTO retrograde case using extensive ...

SWISS CTO&CHIP

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0

807

1

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