Guide dissection: cases and management

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Күн бұрын

+ Review general dissection classification and management at 24:07 and at • Interesting coronary a...
0:00 Case 1 and guide dissection causes
03:17 Proper AL1 engagement technique
05:09 General approach to guide dissection. Stent proximally vs distally. Proximal stenting most important and sometimes enough
10:06 Approach if you don’t have a wire across
12:20 and 13:05 How to wire in case of dissection
14:24 and 24:04 IVUS features of false lumen/intramural hematoma
15:24 Advanced tips for when you fail to wire true lumen (parallel wire, STRAW)
17:37 Role of IIb/IIIa antagonists
19:11 stenting tips
20:51 Case 1 distal stenting: crush stent through Guideliner
24:57 General dissection classification
27:31 Case 2: left main dissection
31:42 Case 3 LIMA dissection. How to treat heavy calcium past the LIMA
37:50 Case scenarios 4: aorto-coronary dissection, cusp dissection and Dunning classification

Пікірлер: 14

@cristianolisi3001 17 күн бұрын

Thank you Prof.Hanna for this exaustive lesson of iatrogeniic coronary dissections. I think that this lesson will improve our clinical practice. Dr. Cristiano Lisi, Interventional Cardiologist San Luca Hospital, Lucca, Italy. Many thanks

@dr.ajab-kharoty1299 11 күн бұрын

You are amazing sir, your lectures are guidelines in intervention

@tom11298 15 күн бұрын

excellent presentation, the best till date to cover this topic, I would like to add that souh 0.3 wire is very effective in wiring in these cases.

@petarbeslic991 17 күн бұрын

You're simply the best!

@pavelsomov8297 16 күн бұрын

Thank you for such a great presentation! What do you think about suoh 03 wire for iatrogenic dissection? We have some data about this wire - safe and always goes in true lumen!

@studentforlife9687 18 күн бұрын

Thank you so much Pr Hanna !!!

@zubairwarraich242 18 күн бұрын

Thank you so much Dr Hanna❤

@user-cf9sm6tx1v 15 күн бұрын

very nice and educational cases and lecture for us many thanks

@Aliahani1234 18 күн бұрын

From Egypt 🇪🇬 You are the best teacher ever I have one question please, Could we do cutting balloon and observe in your first case? If we undersized the stent should we take another look one month later?

@vvasavvat 19 күн бұрын

Thank you 😊

@Dr.YudhavirsinghShekhawa-se4iw 17 күн бұрын

Thank you Dr Hanna sir....

@haiderguru7551 17 күн бұрын

Thank you

@tompagano9015 18 күн бұрын

AL catheters , especially for the RCA, especially 7 and 8 French , are WEAPONS. I remember being a first/ second year fellow back in ‘80 - ‘81. If Dr. S. , the Chief, had to use a 8 French AL 2 for even the LCA, it was going to be a long day in the lab and the Surgeon was going to be busy! The catheters in those days were a piece of work. Ah, the “ good old days”.