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LAD In-Stent Restenosis

Lean about iFR and IVUS Co-registration, laser atherectomy, final DCB and stenting use in the live case.
For more infomration - www.philips.se/healthcare/res...

Пікірлер: 77

  • @e.miller8943
    @e.miller89439 ай бұрын

    I just had 2 stents put in my LAD. At age 80, I am hoping once is enough. I have seen on youTube where the newer stents have a coating that discourages them from stopping up again. I watched a video where the doctor said if the blockage isn't too bad they can put another stent inside the old one. I guess the point is for us patients to quit doing what caused the blockage to start with.

  • @drsagykuruttukulam4551
    @drsagykuruttukulam45513 ай бұрын

    Iam an interventional cardiologist . Sorry to highlight an important point . The operators must wear mask and caps . Otherwise what is the point point in weaing all those serile gowns and precautions.. The face of the operator can be shown at the beginning and end if required. Patients are at risk of infection.

  • @johnzima9505
    @johnzima95052 жыл бұрын

    I had this done 2 stents. Thank You Dr. Parveen Upal in New Jersey! I am 70 and doing fine thank to you my IDOL!

  • @bruhbhai123

    @bruhbhai123

    4 ай бұрын

    Hope you are doing well ❤️‍🩹❤️‍🩹😊😊

  • @slainiae
    @slainiae2 жыл бұрын

    When my Dad was getting his stent inserted, the surgeon punctured through the artery which caused bleeding into the pericardium which resulted in an emergency procedure which in turn caused multiple severe follow-on complications. Lesson to be learned: no medical procedure is without risks.

  • @adriannasanchez

    @adriannasanchez

    2 жыл бұрын

    Did he survive it. My grandma is getting the surgery on the 21. She’ has copd

  • @chongxina8288

    @chongxina8288

    2 жыл бұрын

    @@adriannasanchez How did your Grandmother get on? 🙏🏻 Best of luck and wishes for her.

  • @adriannasanchez

    @adriannasanchez

    2 жыл бұрын

    @@chongxina8288 thank you! My grandma smoked for 72 years and has 1 arterie 95% clogged. And it was a big challenge for her health. But She’s well they performed the surgery a few months ago and everything was good.

  • @chongxina8288

    @chongxina8288

    2 жыл бұрын

    @@adriannasanchez Me and my mum are smokers, looks like she’s going to get a stent. ☹️ I have nobody else tbh, I have autism and I’m not very good at social stuff. She’s had cancer. We’re both just deciding not to worry too much about it and remaining upbeat. I’m really glad your Grandmas ok. She sounds like a tough cookie! 💪😬 Much luck to you both! ❤️

  • @adriannasanchez

    @adriannasanchez

    2 жыл бұрын

    @@chongxina8288 thank you. I hope u and ur mom Stay positive and I know it’s hard to do this but try to stay away from the cigarettes at least limit your use. I know the addiction is hard but please try

  • @jukeboxhero1649
    @jukeboxhero16493 жыл бұрын

    I'd like to come over the pond and have you sort out my LAD plaqueing. Practice on me, if it's not too much trouble.

  • @Poohdaddymagic
    @Poohdaddymagic2 жыл бұрын

    And this is why Drs make big bucks

  • @kamelakkouche2307
    @kamelakkouche23073 жыл бұрын

    Avec le grand professeur bouayed chirurgien vasculaire

  • @englishbob5106
    @englishbob51063 жыл бұрын

    6 sept 2020. I've just been told that i need in stent restenosis , as things are today i hope I live long enough to receive this surgery. 🙁

  • @mansishukla1473

    @mansishukla1473

    3 жыл бұрын

    Are u okey?

  • @mansishukla1473

    @mansishukla1473

    3 жыл бұрын

    What is your age sir? When u got your first stent and when restonasis happened?

  • @cheese-money2748

    @cheese-money2748

    2 жыл бұрын

    I hope you get what you need friend

  • @sebbysmommy

    @sebbysmommy

    2 жыл бұрын

    hope you’re fine

  • @peterv6i

    @peterv6i

    2 жыл бұрын

    I had the same "restenosis"... my stent was almost clogged. and got 2 additional stents in.. (on the same machine as on the video)...

  • @user-di4ke8zo9b
    @user-di4ke8zo9b9 ай бұрын

    How can an interventionist made such a mistake for risky procedure such as this? Restonosis

  • @helenr216
    @helenr21611 ай бұрын

    does anyone know of a doctor that can take out 2 stents placed in the LAD. Any help is appreciated. Thank you

  • @guyk7496

    @guyk7496

    10 ай бұрын

    Stents are permanent and can't be removed.

  • @jyotisirkiclass8347

    @jyotisirkiclass8347

    8 ай бұрын

    But why 😮

  • @ayokay123
    @ayokay12311 ай бұрын

    6+ people on this team? It's often just 3 nowadays; an RT, an RN, and an operator. The more the better, but $$$ demands reduced staffing. I could watch this kinda stuff all day. :)

  • @dpaper7962

    @dpaper7962

    8 ай бұрын

    And soon RCIS will take over and their will be no more RT needed in the Cath Lab. What country is this because last time I checked cap and masks are required in the lab during a procedure.

  • @sanmandeepsinghbali9274
    @sanmandeepsinghbali92742 жыл бұрын

    My dad lad in stent but aftr 3 days he had sudden attack i dont know what is the reason

  • @rw114

    @rw114

    2 жыл бұрын

    Did he survive

  • @bobwa399
    @bobwa3992 жыл бұрын

    Why dont they shave, cut or remove those plaques?

  • @EmilyGloeggler7984

    @EmilyGloeggler7984

    Жыл бұрын

    Excellent question.

  • @lachyt5247

    @lachyt5247

    11 ай бұрын

    It depends on plaque composition and risk of dissection. Heavily calcified lesions are often rotablated or shock-wave'd to break up calcification for stent advancement. You want to avoid this if possible because it increases the risk of the artery dissecting and can turn a very stable plaque into an unstable one (leading to a thrombosis and subsequent AMI).

  • @truhunk1
    @truhunk13 жыл бұрын

    Is it rare to use this laser technology ? I had restonosis last month (Jan 2021) and they just re-expanded my old stent and added two more ?

  • @mansishukla1473

    @mansishukla1473

    3 жыл бұрын

    When you got your first stent sir? Have u got restonasis in that?

  • @claudedesaulniers2300

    @claudedesaulniers2300

    3 жыл бұрын

    Yes, that is where my restenosis was, in my 5 year old stent.

  • @mansishukla1473

    @mansishukla1473

    3 жыл бұрын

    @@claudedesaulniers2300 was that drug eluting stent? How it got restonasis?

  • @truhunk1

    @truhunk1

    3 жыл бұрын

    @@mansishukla1473 Yes drug eluting stent. I think drug eluding just means that the body will not reject the stent, but any stent can sometimes have restenosis.

  • @mansishukla1473

    @mansishukla1473

    3 жыл бұрын

    @@truhunk1 the drug stops the extra growth of scar tissue.. Did you quit smoking and drinking?

  • @ShonTV15
    @ShonTV152 жыл бұрын

    Kali Muscle brought me here

  • @Battleborndobermans
    @Battleborndobermans7 ай бұрын

    I am 44 yrs old and have 9 stents it sucks

  • @sandralomeli2635

    @sandralomeli2635

    7 ай бұрын

    Sorry to hear that. I had 1 and to this day I don't feel good. Feel worse! I changed cardiologist to get a second opinion. 🙏

  • @imeanhairhair2644

    @imeanhairhair2644

    3 ай бұрын

    I been told i need one tomorrow and im scared

  • @wholeNwon
    @wholeNwon10 ай бұрын

    You gown, glove and drape and then proceed to speak, thus expectorating onto equipment that will enter the bloodstream of a living pt. Similar comments can be made about hair covering. I find this very distressing.

  • @unclefester9113
    @unclefester91134 жыл бұрын

    Amazing - neither man has a face mask ?

  • @gamimgwithluigiidk7650

    @gamimgwithluigiidk7650

    4 жыл бұрын

    Yea

  • @A_J100

    @A_J100

    4 жыл бұрын

    because although this was uploaded in April of 2020 the actual procedure was done in 2018 before COVID. The procedure is also minimally invasive so it doesn't require one

  • @catherineburlin9954

    @catherineburlin9954

    3 жыл бұрын

    It’s not surgery, it is a procedure. The patient is numbed, not asleep!

  • @abdulbaripopal5172

    @abdulbaripopal5172

    2 жыл бұрын

    Sorry dear sir you are crossed the rules and regulations of catheter lab 😔🤦‍♂️

  • @chevcheryl
    @chevcheryl Жыл бұрын

    I’m surprised masks aren’t having to be worn.

  • @piratesmurf4251

    @piratesmurf4251

    Жыл бұрын

    It was probably before COVID 19

  • @lowpunchmiller3881

    @lowpunchmiller3881

    Жыл бұрын

    With some accreditation agencies, because Cardiac Cathaterization Labs usually perform percutaneous procedures, which are considered non-invasive or minimally invasive procedures; Therefore, hair covers and masks are not required. Personally, I'm at least wearing a mask. This has been my experience in working in Cath Lab. I may be wrong.

  • @lachyt5247

    @lachyt5247

    11 ай бұрын

    @@lowpunchmiller3881 Exactly, personally I find it a bit ridiculous though. The procedure may be percutaneous, but the caths and guide wires are all being exposed to respiratory droplets, it's not at all difficult to put on a mask and cap and certainly every cath lab I've worked in (Australia) now requires this for accreditation.

  • @wholeNwon

    @wholeNwon

    10 ай бұрын

    @@lachyt5247 Exactly.

  • @poraliyogi6813
    @poraliyogi6813Ай бұрын

    It's so stupid they don't remove the plaque while stenting.

  • @ignatiusjk
    @ignatiusjk4 ай бұрын

    NO MASKS !!!!!!

  • @kamelakkouche2307
    @kamelakkouche23073 жыл бұрын

    Avec le grand professeur bouayed chirurgien vasculaire