Video

sure I will

its better if you cannot cross and would be a modification of this technique however the original technique did not have that because they were using it for left main and the vessel was large. You are absolutely right that in real life you have to dilate the ostium

Glad it helped!

Glad it was helpful!

I will do that

Thanks for liking

DK crush is proximal crossing Minicrush is distal crossing

yes 250 mcg/ml. Apologies

you can use 200 mcg of verapamil

@@highriskpci5004 meaning all 200 mcg correct

yes @@Tune97dotcom

Thank you for your kind words

appreciate your response

true. My practice has changed since the last 3 years. POT should be performed as you suggested. POT is not being advised more and more and I probably will need to make another video with it.

true. My practice has changed since the last 3 years. POT should be performed as you suggested. POT is not being advised more and more and I probably will need to make another video with it.

I will like to know more about your comments. I apologize for your experience. I think there are two fold issues 1. We doctors are not trained formally in explaining the family about risks and benefits. However with increasing knowledge through internet, it has become more and more important to communicate with our patients and their families 2. We tend to be optimistic in our approaches and sometimes overestimate our success rate. Unfortunately, sometimes it is not possible to predict the outcome. Again I am sorry to hear about your experience. An important step what I suggest my patient's and their families is to write up notes about what the doctor is saying and also ask them the questions. It is our duty to answer your questions.

@@highriskpci5004 I had a very strange and tragic experience in a South Indian corporate hospital. 1. The renowned surgeon left no words to instill confidence in the patient for the most fatal recommendation of double open surgeries of abdominal aerotic aneurysm and bypass together on 19/10/2019 . But he spoke the truth on 11/11/2019 at the last moment leaving no scope to depart the hospital. Amazingly the doctor had to take nearly a month to disclose the truth. 2. Secondly, at 10 am on 13/11/2019 when I entered the ventilation room all the doctors in charge of the room rushed to me to telll that another operation of Cholestomy would've to be done because my father had gangrene in the intestines though there was no trace of gangrene in their own multiple test reports, neither had any pain and discomfort in my father's abdomen. After 22 days of the operation they returned my father's body with the wounds of five surgeries AAA, CABG, CHOLESTOMY ,TREAKESTOMY and THORACENTESIS. My family and friends are quite shocked at the whimsical botched up multiple surgeries on a strong and stable 75 yr old patient in a renowned corporate hospital of Bangalore where many like us visit every day from Bengal. I had no previous idea that a doctor may misguide an innocent patient so brazenly. I am not successful to take home my father alive , but learnt an expensive lesson by trusting a doctor whom many common patients regard as God .

YOu can crush sequentially. I think you mean kissing? yes kissing balloon inflation is needed. My practice has evolved since the video. I now perform balloon inflation on the side branch, then on the main branch and then kissing balloon inflation by inflating both balloons in TAP. This helps with less overhang of the stent. You do it when both balloons are already in kissing position. Not separately.

Glad you like them!

Most welcome!

I will. Thanks for your comment.

thank you.

Can you please elaborate which specific techniques you are interested

Great question, you will need 0.018 wire to get the catheter over to the location if using a 6F catheter otherwise you can use 0.035 wire for larger catheter sizes. The back end of the wire should already be through the guide catheter that you are using as a snare.

Was thinking the same

Thank you