It needs a lot of heart to accept that we had messed up in the first place To show us the vulnerability while doing cases and winning them from this position is pure art. Great job ❤
Thx for the case again. If the ivus showed that the wire is in the true lumen, I would consider also a distal competitive flow from that very developed collateral
Thank You very much for this case, Professor Emmanouil Brilakis. Can i ask one question? How to prevent guidewire extraplaque position in this case, if we have no clear IVUS visualization to confirm it? Can we use workhorse wire probe in exit occlusion point through the microcatheter? It seems like safety way to wire movement to postocclusion segment of vessel.
You probably want to avoid contrast injection, because if you are extraplaque it will enlarge the area of dissection and make it very hard or impossible to re-enter into the distal true lumen.
It needs a lot of heart to accept that we had messed up in the first place
To show us the vulnerability while doing cases and winning them from this position is pure art.
Great job ❤
Thanks for the instructive case presentation.😊
Thx for the case again.
If the ivus showed that the wire is in the true lumen, I would consider also a distal competitive flow from that very developed collateral
Thank You very much for this case, Professor Emmanouil Brilakis.
Can i ask one question? How to prevent guidewire extraplaque position in this case, if we have no clear IVUS visualization to confirm it? Can we use workhorse wire probe in exit occlusion point through the microcatheter? It seems like safety way to wire movement to postocclusion segment of vessel.
Thank you for the great case Dr. Brilakis.
If stingray re-entry were unsuccessful, what would be the next series of steps?
STAR, retrograde, or just stop and re-attempt in 1-2 months
It needs alot of heart to accept the fact that we messed up in the first place.
Correcting this defect is pure art.
Great job
❤
Thank you very much. Injection a small amount of contrast through a microcatheter distally, is useful in such cases to confirm where we are. 🙏🌹
You probably want to avoid contrast injection, because if you are extraplaque it will enlarge the area of dissection and make it very hard or impossible to re-enter into the distal true lumen.
@ thank you 🙏