Case 272: Manual of CTO PCI - No flow

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  • เผยแพร่เมื่อ 23 ธ.ค. 2024

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  • @shashijanjirala1402
    @shashijanjirala1402 3 วันที่ผ่านมา

    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 ❤

  • @shangz0216
    @shangz0216 3 วันที่ผ่านมา

    Thanks for the instructive case presentation.😊

  • @DreamTheaterTomi
    @DreamTheaterTomi 3 วันที่ผ่านมา

    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

  • @ВалерийАлмаев-у7л
    @ВалерийАлмаев-у7л วันที่ผ่านมา

    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.

  • @kedarmahagaokar8689
    @kedarmahagaokar8689 4 วันที่ผ่านมา

    Thank you for the great case Dr. Brilakis.
    If stingray re-entry were unsuccessful, what would be the next series of steps?

    • @manosbrilakis
      @manosbrilakis  3 วันที่ผ่านมา +2

      STAR, retrograde, or just stop and re-attempt in 1-2 months

    • @shashijanjirala1402
      @shashijanjirala1402 3 วันที่ผ่านมา

      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

  • @maisamtaherian986
    @maisamtaherian986 3 วันที่ผ่านมา

    Thank you very much. Injection a small amount of contrast through a microcatheter distally, is useful in such cases to confirm where we are. 🙏🌹

    • @manosbrilakis
      @manosbrilakis  3 วันที่ผ่านมา +1

      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.

    • @maisamtaherian986
      @maisamtaherian986 3 วันที่ผ่านมา

      @ thank you 🙏