#ComplexPCI

The beauty of "septal surfing". #Interventionalcardilogy #complexPCI #CTO #CTOPCI #CardioTwitter @Sher_Intervent @CtoEuro @APTMedDevices @PCRonline

قسطرة علاجية ناجحة والحمدلله لتضيق شديد في الشريان التاجي الأيسر الملتف (LCX) مع الشريان الفرعي المائل (OM) بإستخدام تقنية Mini-Crush بدعامتين دوائيتين Successful PCI (Mini-crush 2 stents technique) to LCX-OM bifurcation lesion #PCI #bifurcation #complexPCI #minicrush

Another #complexPCI on the #IVIguided PCI in calcified RCA. #Episode 16. --Very important concepts: 📌 Imaging is key! 📌 Plaque debulking is different from plaque modification. 📌 Detecion of Calcium: morphologies, nodules, distribution, depth, and thickness. 📌 Be ready for treatment of complications. #InterventionalCardiology #intracoronaryimagine #calcifiedlesion #coronaryperforation #OPNballoon @esbrilakis @realarainmd @stefan_harb @sbrugaletta @dautov_MD @jbspadoni @NievesGonzalo1 @SarahFairley7 @MdSomov @Pooh_Velagapudi @evandrofilhobr @ziadalinyc @AlbertoCereda1 @FranceskAlbs @MohammedAlo @Hragy @mmamas1973 @aspergian1 @mirvatalasnag @Abdul_alkindy @whitfieldlewis6 @TWilsonMD @ShadiYaghi2 @jedicath @rotamonster @Laserrman @Sh_Zaynobidinov @GopalKkoduru @DrMarthaGulati @nadig_cardio @iamritu @ArielRoguin @nicolasamabile @ShockwaveIVL @sis_medical @BIOTRONIK_News @bostonsci

How would you manage this PCI? 78👴: LVEF 30% NYHA2-3, COPD+T2RF, HTN EVAR(AAA). MDT: for revasc, not surgery. #Cardiotwitter #ComplexPCI @jcspratt @simonjwilson1 @DrSinjini @SarahFairley7 @Jackandrews86 @chapdoc1 @evandrofilhobr @clare_12 (More pics in reply)

52F inferior STEMI, VF arrest on table, DCRx3, this is how the RCA looks, now what?!? What a case! More videos to follow #RadialFirst #complexpci #Cardiology #CardioTwitter

LatSTEMI in 84yo👨🏻‍🦳 #complexPCI Simplified Reverse Wire Technique for LM Stenting #someonenotatPCR @evandrofilhobr @SimoneBiscaglia @ajaykirtane @mirvatalasnag @aspergian1 @Obisht @BarberoUmberto @Babar_Basir @BaoGTran @ESCardioNews @RadialFirstBot @yeh_james3 @ShariqShamimMD

Good result for our live case patient with severe dominant Cx, non viable mid-apical LAD territory, stents back to LM and DCB into LAD. Would anyone do it differently? #complexPCI #bifurcation Thanks @Medtronic + @mcd_ben for supporting @LHCHFT

👨3-day inferior AMI echo severe MI #amicomplication. Diagnostic angiography presented cardiogenic shock. #complexpci CD dissection #stent 3.0x39+3.5x24+4.0x24 CD, #CTO Cx #corsair #ASAHI FielderXR #awe.Mild IM post-ICP + hemodynamic improvement. Amazing team @strejosmc @DrECMO

67 years old male presented with NSTEMI. No DM and CKD, EF %20 The patient was offered CABG but due to high risk CVS refused to operate the patient. What would your plan be? #CTO #PCI #complexPCI @cerol191 @CagdasOzdol @Basarcand @demet_gerede

All in a days work! First shot in a male in 70’s, no prior cardiac hx, initial p/w CP, ECG changes developed while in ED, BP 110/ in ED, 90/ in cathlab, 70/ when taking this shot. What’s the next step in contemporary practice? #RadialFirst #complexpci #CardioTwitter more below

#OCTguided #ComplexPCI (hybrid approach). Severe (micro/macrocalcification, nodular) calcified #LAD #LM #Cardiology #interventionalcardiology #intracoronaryimaging #intravascularlithotripsy #cuttingballoon #drugcoatedballoon @esbrilakis @realarainmd @jedicath @TWilsonMD @evandrofilhobr @DrJayMohan @Laserrman @yuejianing @yassersadeknhi @Obisht @saraceciliamtz @PCRonline @gbiondizoccai @mmamas1973 @ziadalinyc @ShariqShamimMD @sbrugaletta @DFCapodanno @dautov_MD @FaustoHerediaDr @Hragy @jbspadoni @aspergian1 @mirvatalasnag @Vivolight666 @spectrumedics @DrBIqbal @nicolasamabile @DrIHHashmi1

#IVIguided #HybridApproach #ComplexPCI #Episode 27 #UnstablePlaque #CTO #Cuttingballoon #DrugCoatedBalloon #InterventionalCardiology #intracoronaryimagine @esbrilakis @realarainmd @stefan_harb @sbrugaletta @dautov_MD @jbspadoni @NievesGonzalo1 @SarahFairley7 @MilasinD18 @mmamas1973 @Pooh_Velagapudi @evandrofilhobr @ziadalinyc @rotamonster @Laserrman @AlbertoCereda1 @FranceskAlbs @MohammedAlo @Hragy @nicolasamabile @NicolaRyanI1 @NievesGonzalo1 @nicolasamabile @mmamas1973 @aspergian1 @mirvatalasnag @Abdul_alkindy @TWilsonMD @abadkhan2002 @ogoktekin @ShadiYaghi2 @jedicath @rotamonster @Laserrman @Sh_Zaynobidinov @Obisht @Murmur_MD @PCRonline @GopalKkoduru @DrMarthaGulati @nadig_cardio @mirvatalasnag @ANazmiCalik @GoranEBC @shaoliang_chen @KambisMashayek1 @AgostoniPF @DFCapodanno @GreggWStone @LAzzaliniMD

#IVI guided #ComplexPCI #Episode 33 (LM->LCx crossover) The LCx ostium/prox is controversial segments for PCI. In LM bifurcation LAD and LCx are main branch for me! 1. Wiring both branches. 2. Image first. 3. Prepare the lesion properly: NC/Scoring/Cutting balloons and IVL or atherectomy when needed. 4. Then pause. Stop. Take an Angio/IVUS to decide on the final strategy. #LMcrossoverstenting #anginaeffort #cuttingballoon #InterventionalCardiology @esbrilakis @realarainmd @stefan_harb @sbrugaletta @dautov_MD @jbspadoni @NievesGonzalo1 @SarahFairley7 @MilasinD18 @mmamas1973 @Pooh_Velagapudi @evandrofilhobr @ziadalinyc @rotamonster @Laserrman @AlbertoCereda1 @FranceskAlbs @MohammedAlo @Hragy @NicolaRyanI1 @NievesGonzalo1 @nicolasamabile @mmamas1973 @aspergian1 @mirvatalasnag @Abdul_alkindy @TWilsonMD @abadkhan2002 @ogoktekin @ShadiYaghi2 @jedicath @rotamonster @Laserrman @Sh_Zaynobidinov @Obisht @Murmur_MD @PCRonline @GopalKkoduru @DrMarthaGulati @nadig_cardio @iamritu @ANazmiCalik @GoranEBC @shaoliang_chen @KambisMashayek1 @AgostoniPF @DFCapodanno @GreggWStone @LAzzaliniMD

Case summary: multivessel disease. I involve LM. cardiogenic shock 💔. 1st Time: Rescue Angioplasty. BIAC placement 🎈. 2nd Time: LM/LAD/Cx atherectomy🪨. LM 2 stents technique Culotte. From @LCathlab🇲🇽 with @mornei2011 @MizraymR #CardioTwitter #MedTwitter #complexpci

Part 2. Trivascular/LM disease. what would they do? from.@LCathlab #CardioTwitter #Cardiology #MedTwitter @mornei2011 @BotCardiology @EkgHacks @smithECGBlog @IC_SIAC @EM_RESUS @PCRonline @SOCiME_ @marioalrb84_a @akbarul @HiramSalas13 @ShariqShamimMD @cardioelihu @secardiologia

Successful #singleaccess #impella #complexpci surgical turndown & morbid obesity ( 460lbs) @SCAI @MissouriACC @txchapteracc @mirvatalasnag @HadyLichaaMD @evandrofilhobr @agtruesdell @SCAI_WIN @DrCindyGrines @BinitaShahMD @Allison_Dupont @prkothapalli

Reverse wire technique (hairpin) to gain a diagonal branch after successfull crossing of LAD CTO #CTO #complexPCI #CHIP #PCIbot #Cardiology

80y. CT evidence of LM, LAD and CR disease. Radial approach #slender 7/6 Fr. RC stent 3.5x38. LM approach VL 3.5 7Fr Whisper Wire LM and IR. LAD stent 3.5x38 and provisional stent LM-LAD 4.0x28 optimized NC balloon 5x15. #ivus #complexpci #RadialFirst @mornei2011 @LCathlab

IVUS guided #postCABGPCI with @Sher_Intervent Symptomatic pt with diffuze disease of the LCx and functional occlusion of the RCA (blood supply: balanced). Stenosis of the LM and LCx have progressively icnreased compared to 2019. #interventionalcardiology #complexPCI #intravascularimagine #wolverine @GreggWStone @TWilsonMD @evandrofilhobr @esbrilakis @realarainmd @rotamonster @dautov_MD @Laserrman @agtruesdell @mirvatalasnag @DrBIqbal @ogoktekin @hect2701 @agtruesdell @sbrugaletta @jbspadoni @nadig_cardio @FaustoHerediaDr @NievesGonzalo1 @GopalKkoduru @jedicath @SarahFairley7 @BSCCardiology

The holy grail for a #CTO procedure! Do you have it in your cathlab? #complexPCI @evandrofilhobr @KardiologieHH @RobertoGarbo1 @Babar_Basir @KambisMashayek1

Not my procedure … saw it in a cathlab.. failled LAD CTO PCI …. Whats the highest dose you’ve seen?#cathlab #CTO #complexpci @NZaderenko @mornei2011 @Dr_Renteria @misamed @gpaymd @cardiogax @felixdamasds @joaoeduardotp @swissCTO @MLCTOcourse @jedicath @esbrilakis