Thanks a Million Times

Sir appreciate to all cases but in last case i have doubt about present last case in this video OSTEUM LCX STENT is short because land on the edge of OM1 acc to me stent is taken long 6mm to cross the OM1 due to in future if any disease occur in OM 1 if any operator treat this easily to treat in future i see your all caese excellent knowledge

Thank you sir

Thank you for such a fantastic lecture Professor. In my experience, the issue of STEMI late-comers still has quite a bit of nuances. Let me present a specific scenario to illustrate my point: Anterior STEMI (QS + STe 1mm in V1 -> V4), chest pain suggestive of angina 5 days ago, hs Troponin T 2603 -> 2720 ng/L. Bedside echo: LVEF 35%, ischemic heart disease, LV not dilated. The patient eventually underwent elective invasive angiography the next day (Class IIB per your lecture) which revealed total occlusion of ostial LAD, non-significant stenosis of LCx and RCA. 1/ If the patient still complains of pain and distress, will you PCI the occluded LAD? 2/ If the patient no longer has chest pain, I understand that PCI is not indicated in this patient (OAT trial). However, given the LVEF of 35% (most likely left ventricular dysfunction/heart failure post MI), how would you manage this patient after the angiogram? Will you do stress test to further evaluate ischemia (and thus, indication for PCI of the occluded LAD), and if yes, how (which modality) and when (timing post STEMI)? 3/ If the patient no longer has chest pain, but the main symptom now is dyspnea suggestive of congestion due to heart failure post-MI (say Killip II, elevated NT-proBNP), will there be indication for LAD PCI?

Vikhram is killing it! 😎

Concepts that are poorly understood by most experienced cardiologists 👍🏼

Thank you for the amazing lecture

You are amazing sir, your lectures are guidelines in intervention

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Thank you so much sir

Fabulous sir thanks 🙏

Thank you Sir

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.

very nice and educational cases and lecture for us many thanks

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!

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

You're simply the best!

Thank you Dr Hanna sir....

Thank you

Thank you so much Pr Hanna !!!

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?

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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”.

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Thank you so much Dr Hanna❤

Thank you 😊

Great presentation as usual sir, thanks a lot.

Amazing lectures and a great book on hemodynamics. There can be a difference between PCWP and LV if there is some constriction at AV groove or Mitral stenosis. With a LV-PCWP trace alone can we diagnose CCP? Another point - IVC pressure is not affected by respiration while SVC is affected because IVC is mainly abdominal and not thoracic ?

Thank you very much

Thanks a lot

Thank you sir❤

Deeply Thanks

Awesome Lecture , Thanks a lot

Great Thanks Sir

Thank you Dr. Hanna. How about manual aspiration thrombectomy through guideliner or other type of aspiration catheter, instead of Penumbra System?

Can i get the pdf of this legendary lecture

Thank you for your amazing talk~~

Excellent

Very interesting viedo again

Thank you sir for one more great lecture as always.

Great vid ❤

Huge thanks to you. The work you put in throughout your videos and textbook helps us immensely.

Thank you sir for one more clinical pearls

Thank you for sharing. I have one question for TAP, which wire do you recemended to use for final POT ?

Thank you. This is very helpful 😊😊

Thanks a Million Times

Thank you our great prof thank you a million

Thanks my mentor

I am a cardiology fellow and i've watched lots of videos throughout my medical training. this is one of the best overview videos of any topic I've ever seen, thank you!

Elias, you r really doing good work, by helping Cardiology residents throughout the world, and thereby saving thousands of lives.