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Orsiro stent traceability is good, but poor radial strength, not ideal stent for heavily calcified lesions

Two doctors said my 88 year old mother could not do TAVI because her aortic calcification was too far gone. They recommended OHS and she died 12 days after the surgery. Very sad.

A lot of average work here. Multiple injections w/ no pressure wave. Took forever to wire a huge septal. No definity injection on echo to confirm proper ablative territory.

Good❤

It's a shame, that this outstanding video has no comments and so few views! Excellent work, dear colleagues!

BETTER READ THAN NARATED

Excellent

Super informative. Thanks

I think the right atrial lead was misplaced by your catheter and need repositioning later on ...

Lcx is not touched at all 👍I was looking for the same case situation 😊

im having this tomorrow morning

Im hocm peasant From India community guidelines?

BEAUTIFUL PRESENTATION. GOD BLESS YOU ALL

Nice case & very good job,thanks for sharing 🎉

Thanks for sharing

Nice prsentation thanks for sharing

Im suffering from this myself. Hopefully im a candidate for this surgery.

The MEMS placement will be of greater benefit than loss of atrial sensing and pacing (RA lead dislodged???)?

Nice demonstration Some thoughts: leaving the LCX, doing pot-side-pot or even FKI: there are some data to support each approach of the above. So good choice. Covering the LM or just the ostium: Also here: if the angle is favorable and plaque burden in LM is < 30% (confirmed by IVUS) then covering the ostium only is ok. Using post PCI IFR: we make sure be generous in NTG and saline flushing and also placing the distal tip in large area and making sure the guide is not against any wall for better results. Nice final result

Super

Thank you Dr Muhammed for your nice illustration for this interesting case

Wonderful work

What is the size of the stent?

*PromoSM* 😑

Thanks dr Muhammad for such nice case presentation well done

How much cost of Mitra clip??

Please write me the name of operator.

At 43:00 there is accidental advancement of GEC which may well cause dissection. Fellows, always hold the GEC w injections! Nice case!

Prox RCA is heavily calcified and borderline severe. That vessel deserves IVUS or physio assessment in near future. Would also refer for CTO PCI of Ramus and LCX, likely retro via SVGs.

thank you, beautifull presentation!

Only a brave or a foolish person would leave the underexpanded proximal SECOND stent. 😮

Thanks dear Mohammed for the nice illustrative case

AL guide is superior. I’m not sure how wires fatigue but that guide surely does. Great case showing a lot of techniques and issues frequently encountered w CHIP cases. Personally, would have taken 7Fr AL guide, 1.75 RA, cutting, +/- IVL. Still think RA modifies better. Agree wiggle is a good idea as well.

2 SVGs occluded at 6 months. What a joke. Can’t believe the CV community still allows SVGs to be Std of Care.

1.75 burr would have been better I think. Should have at least gone on high speed w the OA. This LAD deserves 7Fr guide support via 6/7 slender or 7Fr x 45mm Destination. Using IVL is unnecessary with adequate RA/OA.

Classic Rota Regret. Much easier, quicker case if a 1.5 burr was used up front or when the 2.0 balloon had resistance. Good case to show the downstream effects of Diamond Deficiency.

Needed more NC ballooning in the mid to distal with a 3.25mm NC.

Why use such a long DES in the OM? Also, could have used a 3.5mm or 4.0mm NC for the LAD anchor which would have yielded a better SB stent crush. But great case overall excellent work.

Well done guys, displaying your service to the world...

Certainly doesn't look like a 3.5 mm vessel distally

Mild to moderate calcium burden. NC and/or cutting balloon would be plenty. IVL totally unnecessary IMO.

Excellent choice to leave the LAD alone. Great example for fellows to defer PCI in borderline stenoses.