CCC Live Cases

CCC Live Cases

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

Complex - Arch 2024

Complex - Arch 2024

MSH TIO 2024

MSH TIO 2024

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  • @user-eo5mc4jx2x
    @user-eo5mc4jx2xКүн бұрын

    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.

  • @jwilson3985
    @jwilson39855 күн бұрын

    Bridge would be a decent spot to use Agent DCB instead of DES.

  • @jwilson3985
    @jwilson39855 күн бұрын

    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.

  • @nctbkh3718
    @nctbkh37186 күн бұрын

    Great case and wonderful management. Thank you

  • @Whenisaybum
    @Whenisaybum7 күн бұрын

    Dislike

  • @jwilson3985
    @jwilson39857 күн бұрын

    “I won’t comment” is a great comment. Nice case.

  • @jwilson3985
    @jwilson39857 күн бұрын

    Atherectomy in the SI space is not a concern. Do it all the time and have not had any problems with DA or Jet.

  • @wilzboyz
    @wilzboyz7 күн бұрын

    Haha. “We’re supposed to talk about but I won’t comment” = lazy fellow, or fellow didn’t prepare.

  • @mohammedawaad1689
    @mohammedawaad168910 күн бұрын

    Great work. One of a kind as usual. Thank you for posting

  • @areenal-taie6836
    @areenal-taie683610 күн бұрын

    Thank you

  • @MuhammadYasir-jl2fm
    @MuhammadYasir-jl2fm11 күн бұрын

    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

  • @jwilson3985
    @jwilson398511 күн бұрын

    Or rota LAD then Diag before performing plasty. Either way is better than the method chosen imo. But excellent case.

  • @jwilson3985
    @jwilson398511 күн бұрын

    Would have been better to rota LAD into Diag first, LAD second, then do CBPTCA and DCB.

  • @uzunoglan.sezgin
    @uzunoglan.sezgin12 күн бұрын

    Can we do side branch DCB arter main branch stenting because if there is dissection taking pictures could make dissection worse.

  • @uzunoglan.sezgin
    @uzunoglan.sezgin12 күн бұрын

    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?

  • @mohammedawaad1689
    @mohammedawaad168912 күн бұрын

    Very true: STATE OF ART DEMONSTRATIONS. Thank you so much.

  • @mohammedawaad1689
    @mohammedawaad168912 күн бұрын

    Great work. Outstanding. Thank you so much

  • @nctbkh3718
    @nctbkh371813 күн бұрын

    Thank you. First time I saw PTAB.

  • @tom11298
    @tom1129813 күн бұрын

    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

  • @Whenisaybum
    @Whenisaybum13 күн бұрын

    Dislike

  • @tom11298
    @tom1129814 күн бұрын

    IVL is good enough alone. IVL would have been more gentle in terms of Brady

  • @jwilson3985
    @jwilson398516 күн бұрын

    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.

  • @wilzboyz
    @wilzboyz16 күн бұрын

    Aminophyline ideally 5-10m beforehand. Short 5-10s runs. Rarely need TVP

  • @nctbkh3718
    @nctbkh371826 күн бұрын

    Thank you for sharing this challenging case with us.. I would be happy to see the final result .

  • @Whenisaybum
    @WhenisaybumАй бұрын

    Dislike

  • @dramolchavhan4431
    @dramolchavhan4431Ай бұрын

    Can we do such case without LV assistant device ?

  • @darthrage2002
    @darthrage2002Ай бұрын

    Great Result! Well done!

  • @sreekarmcv8913
    @sreekarmcv8913Ай бұрын

    Beautifully explained ser,thank u❤

  • @areenal-taie6836
    @areenal-taie6836Ай бұрын

    Great case and cath team ! Thank you very much !

  • @jwilson3985
    @jwilson3985Ай бұрын

    Jetstream 2.4/3.4 w filter would do well here too. 2-3 runs blades down, 2 blades up.

  • @siwanchoi9470
    @siwanchoi9470Ай бұрын

    Cutting balloon inflation is safe in bifurcation lesion with branch wire?

  • @rajthapa1997
    @rajthapa1997Ай бұрын

    Great teaching as always. Thank you

  • @BangaliBangali-rv2gs
    @BangaliBangali-rv2gsАй бұрын

    Nit.mornek.60..bdolar

  • @eyasalmousaable
    @eyasalmousaableАй бұрын

    what do you think about cerebral embolic protection device use in TAVR

  • @areenal-taie6836
    @areenal-taie68362 ай бұрын

    Great job ❤

  • @areenal-taie6836
    @areenal-taie68362 ай бұрын

    Thank you very much Excellent teaching case ❤

  • @amjadalmendilawi5328
    @amjadalmendilawi53282 ай бұрын

    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.

  • @fatherabdul
    @fatherabdul2 ай бұрын

    Excellent Teaching 🎉 Thank You

  • @areenal-taie6836
    @areenal-taie68362 ай бұрын

    Thank you

  • @jwilson3985
    @jwilson39852 ай бұрын

    Aviigo AI is terrible. Disappointing hope it improves drastically.

  • @wilzboyz
    @wilzboyz2 ай бұрын

    Geographic miss

  • @wilzboyz
    @wilzboyz2 ай бұрын

    No 2.75 IVL balloon. Agree no need for IVL. Could probably get away with provisional across the diag.

  • @drsen5
    @drsen52 ай бұрын

    Great

  • @jwilson3985
    @jwilson39852 ай бұрын

    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.

  • @areenal-taie6836
    @areenal-taie68362 ай бұрын

    Great case ❤ Thank you

  • 2 ай бұрын

    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!

  • @drsen5
    @drsen52 ай бұрын

    Great 🎉

  • @areenal-taie6836
    @areenal-taie68362 ай бұрын

    Great teaching case ! Thanks Dr Sharma and Dr Kini

  • @uzunoglan.sezgin
    @uzunoglan.sezgin2 ай бұрын

    When ivl balloon ruptured should we give some dye before getting balloon out.

  • @tom11298
    @tom112982 ай бұрын

    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.