Free Educational Resource for Interventional Cardiology
Complex Coronary Cases occurs every 3rd Tuesday of the month at 8am EST
Operators: Dr. Annapoorna Kini and Dr. Samin Sharma
Moderator: Dr. Sameer Mehta, MD
Live Peripheral Interventions occurs every 4th Wednesday of the month at 8am EST
Operators: Dr. Prakash Krishnan, Dr. Karthik Gujja and Dr. Vishal Kapur
Structural Heart Live occurs every 2nd Tuesday of every other month at 9am EST
Operators: Dr. Annapoorna Kini and Dr. Samin Sharma
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I had watch in morbid fascination, as I've had 3 surgeries so far this, and an soon a 4th. My case is so rare, that I am a case study at Baylor Scott White heart hospital in Dallas TX ( Plano) I wasn't expected to survive, so, they definitely saved my life! Blessings to all who help patients such as myself.
Bridge would be a decent spot to use Agent DCB instead of DES.
Great case. Think 7Fr system would be a superior choice when risk of perf is higher. Can get much better angio w the burr in the coronary. Also more support if you need it for advancing PKP.
Great case and wonderful management. Thank you
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“I won’t comment” is a great comment. Nice case.
Atherectomy in the SI space is not a concern. Do it all the time and have not had any problems with DA or Jet.
Haha. “We’re supposed to talk about but I won’t comment” = lazy fellow, or fellow didn’t prepare.
Great work. One of a kind as usual. Thank you for posting
Thank you
I would have done it differently. Stent the LAD and kissing balloon inflation with NC balloons followed by DEB to diagonal and kBI again with NC in LAD and same DEB in diagonal
Or rota LAD then Diag before performing plasty. Either way is better than the method chosen imo. But excellent case.
Would have been better to rota LAD into Diag first, LAD second, then do CBPTCA and DCB.
Can we do side branch DCB arter main branch stenting because if there is dissection taking pictures could make dissection worse.
Do you think you can achieve the same result without rotablation? Second question is Annu back the side branch rotawire after rotational atherectomy, WhatsApp will happened if there is rota related rupture? İsnt it possible?
Very true: STATE OF ART DEMONSTRATIONS. Thank you so much.
Great work. Outstanding. Thank you so much
Thank you. First time I saw PTAB.
LM-LAD supplied via lima Ptca of ostial lad has big chance of recoil/dissection soon.. Before seeing the final shot, my expectations of the above sentence did happen lima is doing the job, all good. I would habe only stented lima-Lcx
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IVL is good enough alone. IVL would have been more gentle in terms of Brady
Good rota technique. With sub-totaled RCA would have used meds/TVP up front. Liberal use of IC Nipride/Cardene before runs may help? Also would open that RCA in near future.
Aminophyline ideally 5-10m beforehand. Short 5-10s runs. Rarely need TVP
Thank you for sharing this challenging case with us.. I would be happy to see the final result .
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Can we do such case without LV assistant device ?
Great Result! Well done!
Beautifully explained ser,thank u❤
Great case and cath team ! Thank you very much !
Jetstream 2.4/3.4 w filter would do well here too. 2-3 runs blades down, 2 blades up.
Cutting balloon inflation is safe in bifurcation lesion with branch wire?
Great teaching as always. Thank you
Nit.mornek.60..bdolar
what do you think about cerebral embolic protection device use in TAVR
Great job ❤
Thank you very much Excellent teaching case ❤
We have to admit that fighting calcium is not a total win . The proximal stent is still underexpanded. But finally with the current technology even the IVL , this is the best that can be achieved.
Excellent Teaching 🎉 Thank You
Thank you
Aviigo AI is terrible. Disappointing hope it improves drastically.
Geographic miss
No 2.75 IVL balloon. Agree no need for IVL. Could probably get away with provisional across the diag.
Great
Why IVL the Diag? Total waste of $. There was superficial Ca and fracture seen with just a SC balloon. Wolverine or NC would do just fine.
Great case ❤ Thank you
a good presentation. But I have a notice. The Presenter between 16:17 and 17:00 he sat on the table " wich is not sterile" and after that he turned his buttock to the sterile table!
Great 🎉
Great teaching case ! Thanks Dr Sharma and Dr Kini
When ivl balloon ruptured should we give some dye before getting balloon out.
IVL ruptured cause OCT showed calcified nodule in LM 😮. Better be very cautious here without repeated inflations. Even previous rota did not remove the CN entirely. Another point you are bringing 3.0 stent skypoint to 4.0. Better stick to 3.75 max (as per limit of the stent. I would have taken 3.5 stent at nominal pressure.