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2 High-risk Impella Cases

Gregor Leibundgut

The first Cath Lab TV session featured two complex high-risk PCI cases using Impella support. A 77-year-old in cardiogenic shock underwent urgent PCI with rotational atherectomy, IVL, and high-pressure ballooning via distal radial and femoral access. An 85-year-old with distal left main trifurcation disease refused surgery and was treated with a complex two-stent “double T” strategy. Both cases highlight advanced techniques, mechanical support, and tailored care for challenging patients.

CME


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Cases

Swiss CTO 2019 Session 6: The Last Step ...

SWISS CTO&CHIP

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294

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

SWISS CTO&CHIP

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231

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

CHIP Romania

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242

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

SWISS CTO&CHIP

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278

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

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

SWISS CTO&CHIP

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

SWISS CTO CONNECT

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249

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

SWISS CTO&CHIP

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LAD-CTO-recanalization

CHIP Romania

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239

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

SWISS CTO CONNECT

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

SWISS CTO&CHIP

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

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LIVE CASE 1 Left Main PCI

SWISS CTO CONNECT

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

SWISS CTO&CHIP

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When imaging is more important than imag ...

SWISS CTO&CHIP

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SWISS CTO 2019 LIVE CASE 4

SWISS CTO&CHIP

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241

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Calcium modification 2023 - John Hung

SWISS CTO CONNECT

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CASES SUMMARY AND TAKE HOME MESSAGES DAY ...

SWISS CTO CONNECT

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SWISS CTO SUMMIT 2024: LIVE CASE 02, ST. ...

SWISS CTO&CHIP

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SWISS CTO SUMMIT 2024: LIVE CASE 06, PUE ...

SWISS CTO&CHIP

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An easy LAD CTO... or not

CHIP Romania

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SWISS CTO SUMMIT 2024: LIVE CASE 09 PARD ...

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SWISS CTO SUMMIT 2024: LIVE CASE 10, BUC ...

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

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The debate- Circulatory support, Felix W ...

SWISS CTO&CHIP

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Live case from UPMC heart and vascular i ...

CHIP Romania

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

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LIVE CASE 4 Bifurcation LAD disease wit ...

SWISS CTO CONNECT

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How to surgically defuse a ticking time ...

CHIP Romania

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SWISS CTO SUMMIT 2022: Live Case 10, LIE ...

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SWISS CTO SUMMIT 2022: Live Case 5, ATLA ...

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SWISS CTO SUMMIT 2023: Bifurcation PCI s ...

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

SWISS CTO CONNECT

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

SWISS CTO&CHIP

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The way to do complex

CHIP Romania

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The best Portuguese complication case

SWISS CTO&CHIP

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RCA CTO retrograde case using extensive ...

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SWISS CTO SUMMIT 2023: LIVE CASE 3 DUBAI ...

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

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

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Live cases from national Taiwan Univerit ...

CHIP Romania

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

SWISS CTO&CHIP

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

SWISS CTO&CHIP

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Entrapment nightmares, the least invasiv ...

SWISS CTO&CHIP

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SWISS CTO 2021: Imaging and complex PCI

SWISS CTO&CHIP

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Dealing with large bore accesses: how to ...

SWISS CTO&CHIP

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A nightmare of avulsion- a catastrophic ...

SWISS CTO&CHIP

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Over the hills and far away...

CHIP Romania

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Live Case from Herzzentrum Lahr, Germany

CHIP Romania

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SWISS CTO 2021: CTO and hemodynamic supp ...

SWISS CTO&CHIP

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

SWISS CTO&CHIP

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

Giuseppe Colletti

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SWISS CTO CONNECT 2022 HartCentrum ZNA, ...

SWISS CTO CONNECT

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SWISS CTO SUMMIT 2023: Case in the box 4 ...

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SWISS CTO SUMMIT 2022: Live Case 1, BASE ...

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Live case from novamed hospital chisinau ...

CHIP Romania

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SWISS CTO SUMMIT 2023: LIVE CASE 13-BRAZ ...

SWISS CTO&CHIP

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SWISS CTO SUMMIT 2023: LIVE CASE 6 LONDO ...

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A bitter epilogue, Michele Schincariol

SWISS CTO&CHIP

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A Tale of Three Rounds

CHIP Romania

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Natural or man made?

CHIP Romania

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

SWISS CTO&CHIP

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Recurrent SVG-Instent-Restenosis with st ...

Peter Dietrich

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Stepwise RAO Recanalization via DRA with ...

Giuseppe Colletti

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Carlino talking about Carlino technique

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SWISS CTO CONGRES 2021: Live Case 7 St.G ...

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SWISS CTO SUMMIT 2022: Live Case 7, SEOU ...

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

CHIP Romania

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SWISS CTO 2021: Complex antegrade fenest ...

SWISS CTO&CHIP

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

SWISS CTO CONNECT

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SWISS CTO CONNECT 2022: 3 Vessel Disease ...

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

SWISS CTO&CHIP

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

SWISS CTO&CHIP

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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 ...

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CTO PCI: dealing complications

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Chilli con carne from Chile

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Mechanical Atherectomy: the most effecti ...

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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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Complex left main trifurvation PCI in ac ...

CHIP Romania

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SWISS CTO CUMMIT 2022: INTRAVASCULAR IMA ...

SWISS CTO&CHIP

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Three different complications in repeate ...

SWISS CTO&CHIP

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SWISS CTO SUMMIT 2023: LIVE CASE 1 ST.GA ...

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

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SWISS CTO SUMMIT 2022: Live Case 11, ST. ...

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Live Case from MCGILL University Healt C ...

CHIP Romania

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SWISS CTO 2021: ADR CTO PCI

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Live Case from Timone Hospital Marseille ...

CHIP Romania

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

SWISS CTO&CHIP

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

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Live case from CC Iliescu Hospital Bucha ...

CHIP Romania

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SWISS CTO SUMMIT 2023: LIVE CASE 9 ST.GA ...

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SWISS CTO CONGRES 2021: Hybrid in motion

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Lectures

Swiss CTO 2019 Session 6: The Last Step ...

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 ...

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SWISS CTO CONNECT 2022: Do the Guideline ...

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SWISS CTO SUMMIT 2022: THE BATTLE HEMODY ...

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

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TALK 1 Multivessel disease and amp; Left ...

SWISS CTO CONNECT

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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 ...

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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 ...

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

CHIP Romania

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CTO, CTO and CTOs

CHIP Romania

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Benefit of CTO PCI beyond symptoms, Mich ...

SWISS CTO&CHIP

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SWISS CTO SUMMIT 2023: The battle Acces ...

SWISS CTO&CHIP

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

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

SWISS CTO&CHIP

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SWISS CTO CHIP SUMMIT 2022: Patient and ...

SWISS CTO&CHIP

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Complex Coronary Interventions – Antegra ...

Gregor Leibundgut

CME

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

SWISS CTO&CHIP

CME

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278

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

SWISS CTO&CHIP

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SWISS CTO SUMMIT 2023: The battle Imagin ...

SWISS CTO&CHIP

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2 High-risk Impella Cases

Gregor Leibundgut

CME

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756

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

SWISS CTO&CHIP

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SWISS CTO SUMMIT 2023: The technical req ...

SWISS CTO&CHIP

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

SWISS CTO&CHIP

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

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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SWISS CTO SUMMIT 2022: THE BATTLE ANTEGR ...

SWISS CTO&CHIP

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Complete Revascularization is the gold s ...

SWISS CTO&CHIP

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SWISS CTO 2021: Complete Revascularizati ...

SWISS CTO&CHIP

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CHIP BATTLE: Complete revascularisation ...

CHIP Romania

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Noirclerc Halloween Special 2022

Gregor Leibundgut

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LAD-CTO-recanalization

CHIP Romania

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

SWISS CTO CONNECT

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

SWISS CTO&CHIP

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SWISS CTO CONNECT 2022: Kantonsspital St ...

SWISS CTO CONNECT

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SWISS CTO CONNECT 2022: Kantonsspital Ba ...

SWISS CTO CONNECT

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

SWISS CTO&CHIP

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SWISS CTO SUMMIT 2022: LIVE 02, TURIN

SWISS CTO CONNECT

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

SWISS CTO&CHIP

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

SWISS CTO&CHIP

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When imaging is more important than imag ...

SWISS CTO&CHIP

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Calcium modification 2023 - John Hung

SWISS CTO CONNECT

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Calcium modification 2023 - John Hung

SWISS CTO CONNECT

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CASES SUMMARY AND TAKE HOME MESSAGES DAY ...

SWISS CTO CONNECT

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

SWISS CTO&CHIP

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Functional assessment in CHIP- ready for ...

SWISS CTO&CHIP

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Periprocedural imaging and physiology is ...

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SWISS CTO SUMMIT 2022: IFURCATION MANAGE ...

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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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SWISS CTO 2021: Coronary Physiology and ...

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Swiss CTO 2019 Session 3: Succesful Conn ...

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SWISS CTO 2021: Live Case 4 Atlanta

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SWISS CTO SUMMIT 2023: The Battle- Hemod ...

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The Provisional-philosophy

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The too confident CTO operator

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Live case from North Karelia Central Hos ...

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

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SWISS CTO 2021: Complex CTO-PCI and IVL

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

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SWISS CTO CONGRES 2021: Live Case 8 Lies ...

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The debate- Circulatory support, Felix W ...

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

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How to surgically defuse a ticking time ...

CHIP Romania

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

SWISS CTO&CHIP

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

SWISS CTO CONNECT

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

SWISS CTO&CHIP

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The way to do complex

CHIP Romania

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The debate- CTO wires, Marin Postu

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

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SWISS CTO SUMMIT 2023: LIVE CASE 10 ROMA ...

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RCA CTO retrograde case using extensive ...

SWISS CTO&CHIP

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

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

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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

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SWISS CTO SUMMIT 2023: Complex coronary ...

SWISS CTO&CHIP

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Entrapment nightmares, the least invasiv ...

SWISS CTO&CHIP

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212

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SWISS CTO 2021: Imaging and complex PCI

SWISS CTO&CHIP

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210

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CTO donor vessel dissection, catastrophi ...

SWISS CTO&CHIP

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The retrograde bar - how to perform the ...

SWISS CTO&CHIP

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Over the hills and far away...

CHIP Romania

CME

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270

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SWISS CTO 2021: CTO and hemodynamic supp ...

SWISS CTO&CHIP

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252

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SWISS CTO CONNECT 2022 HartCentrum ZNA, ...

SWISS CTO CONNECT

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

SWISS CTO&CHIP

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A bitter epilogue, Michele Schincariol

SWISS CTO&CHIP

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SWISS CTO 2019 LIVE CASE 1

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DES is the only safe and durable solutio ...

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A Tale of Three Rounds

CHIP Romania

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Natural or man made?

CHIP Romania

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A knuckle far, far away…Pavol Tomasov

SWISS CTO&CHIP

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Live Case from CC iliescu Hospital Bucha ...

CHIP Romania

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

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

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SWISS CTO 2019 LIVE CASE 5

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CASES SUMMARY AND TAKE HOME MESSAGES DAY ...

SWISS CTO CONNECT

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flavius Buddy wire stent anchor techniqu ...

CHIP Romania

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

SWISS CTO&CHIP

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1112

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Weilenmann Ostial Stent Protrusion

Gregor Leibundgut

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

SWISS CTO&CHIP

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Preprocedural planning in calcific coron ...

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Complex-LM-with-Several-Challenges

CHIP Romania

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

CHIP Romania

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TALK 3 DCB versus Stent in CTO-PCI

SWISS CTO CONNECT

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

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SWISS CTO 2021: Minimalistic Approach fo ...

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SWISS CTO 2021: Complex antegrade fenest ...

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Bifurcations 2023 - Nicolas Boudou

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

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

SWISS CTO&CHIP

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Live Case from ARES Hospital Cluj-Napoca ...

CHIP Romania

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TALK 2 IVUS in CTO and Left main

SWISS CTO CONNECT

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Welcome and Introduction, Gregor Leibund ...

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Wrap up and Information, Gregor Leibundg ...

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

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

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SWISS CTO SUMMIT 2022: TRAINING VS TECHN ...

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

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

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34

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2

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CART is still alive!

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Complex left main trifurvation PCI in ac ...

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

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SWISS CTO CONNECT 2022 PCI-Guidance Imag ...

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

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SWISS CTO 2021: Antegrade CTO PCI

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

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

CHIP Romania

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SWISS CTO 2021: ADR CTO PCI

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231

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SWISS CTO SUMMIT 2023: Scaffolds for PCI ...

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

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SWISS CTO SUMMIT 2022: WIRES MICROS AND ...

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

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SWISS CTO 2021: Dealing with large bore ...

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SWISS CTO CONGRES 2021: Hybrid in motion

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SWISS CTO 2021: Retrograde CTO via epica ...

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SWISS CTO 2021: Welcome

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Case Presentations CHIP ROMANIA 2024

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Sometimes a side branch can die hard

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Live case from sahlgrenska university ho ...

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CTO PCI: dealing complications

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41

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SWISS CTO CONNECT 2022: Welcome to Day 1

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

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Day 1 Welcome and timeplan

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SWISS CTO 2021: WRAP UP

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Product Reviews

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

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Noirclerc Halloween Special 2022

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1111

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1109

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A Complicated Complication

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

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

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CART is still alive!

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

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Chilli con carne from Chile

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982

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Dealing with large bore accesses: how to ...

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975

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The best Portuguese complication case

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925

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RCA CTO retrograde case using extensive ...

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