Thank you Dr. Brilakis, komsu

Is possible that diagonal rewairing with dlmc was subintimal

Thanks for sharing.

STAR: Pushed the leash hard on Knuckle? Can't the hematoma compromise the visualization of the vessel? What is the ideal wire for this?

Excellent innovative safe after stenting. I have a question: In case of poor flow, do you prefer to do IVUS, especially after dilation with a jailed balloon, to clarify the mechanism before stenting? Thanks

Thank you for the case Dr Brilakis. Will that diagonal remain patent over time ?

STAR method = (Subintimal Tracking and Reentry) with a Sion Black wire. Your cases are always educational and informative Dr. Brilakis. Thank you.

I am sure this patient is flying high after the wonderful results 😉

very nice video! is there also the video 14.2?

Thanks for sharing. Why don’t you occlude LIMA after recanalization?

Learning to fail and respecting the tissue in epicardials are 2 very valuable lessons. For me as a low volume CTO operator are these 2 very valuable points. Thank you for a fantastic interview!

I had recently a somehow similar situation, requiring as well emergent surgery in a post CABG patient with a perf of the RCA. Feel comforted by your honesty presenting this case. Thank you very much for sharing

While pulling the entrapped microcath simultanously pushing it from the opposite site with a balloon or another Micro?

Good evening sir. I don't know if you'll be reading this. Today while doing ptca in an awmi, I ended up closing a flowing artery. Probably a dissection because of the workhorse wire . Was unable to cross with whisper wires of diffrent shapes. Switched to Gaia 2 that crossed and helped complete the case and restore flow. Watching your videos made it possible. Thanks 🙏🏼

Nice explanation and clear video .. we usually do with right artery and right vein. So that it's easy to maintain...

It was amazing, Professor Emmanouil Brilakis! Thanks for You and Salman Allana for this interesting interview!

Dr. Brilakis, you have many fans in Korea after your KSIC lecture. We hope to see you here soon!

Dr. Kim is on the Brilakis channel! He is a distinguished leader in the KSIC society, known for his servant leadership and warm heart. Thank you for introducing such a wonderful person!😀

Deploying a longer noncovered stent in the covered stent helps to make endothelisation faster? It may also keep edges of covered stent on the vessel wall and well apposed

May deploying a longer stent in graft stent? This may keep the edges of covered stent.

🎉

Hello, Professor Emmanouil Brilakis. Can I ask one question "out of topic"? We have three complications in this complex case: how to save our nerve cells, when we decide how to solve this problems? It is very important! We have perforation, pericardial effusion, and we can't to deliver the pk papyrus stent to the target zone! Thank You for this case, You have "metallic nerves" !!! Sincerely, for Your Wizarding Work. It is great, and I have no words!👏👏👏

Great job 👏🏻 you are talented with your series of excellent lectures

Could we use DCB in DG and only provisional stenting for LAD in this case ?

Thanks for the excellent case sharing.

Happy Friday Manos Abdul

update to date, innovative and evidence based practice! Using: data from PREVENT, using CT for planning and reducing number of procedures for the patient (discomfort, radiation), and finally utilizing high resolution OCT. Well-Done 👍

Thanks for the excellent case presentation.

thank you

Nice case. Is CART feasible in this case? Thank you

Thanks for these great videos, Some retrograde approach videos have not been uploaded in playlist.

What a pleasing beautiful case

Thank you

Thank you

How come you change to the pilot 200 retrograde rather than sticking with the gladius MG in the PDA?

Excellent case.In case of severe lesion not moderate one, do you still relay on FFR for strategy planning? Thanks

Great conversation thanks to both of you. I was in the same meeting in Türkiye 🇹🇷 if I am not wrong the case was presented by Prof. Dr Şevket Görgülü which was about closing Vessel with a distrupped baloon

nice case , I have a couple of questions if I may: First: Would it be safer to avoid ballooning the superior diagonal branch beforehand? second:2.25 is too small a stent to put in LAD, isnt it?

I went to ijcto Hyderabad, really hoping to meet you there. 😢

Why did you place 3 mm stent proximally and ask for 3.5 mm stent distally? also,did you post dilate proximal stent to 3.5 mm?

Are you sure lad stent was 2.25 mm.what stent do you use that can go upto 3.5 from 2.25 mm?also,did you post dilate distal part of stent?

Thanks for the excellent case presentation.

Excellent job Caution is needed when pressure wires are advanced through MB stent to check pinched side branches, especially in some case of high calcium burden at bifurcation (even after stenting) these pressure wires can easily get stuck leading to unpleasant complications. I would always use FFR Angio after stenting as it was perfectly mentioned here

Nice result. But are you concerned for Ostial pinching of superior branch?

It seems like there is some compromise on the ostium of the upper branch of diagonal. Do you think in the future it May cause problem?

Do we have to see from another angle how much we protruding into lad when we implanting first stent?

Great cases as usual Manos. My only point is about the LAD stent, you chose 2.25 mm diameter. POT with 3.5 will lead to over expansion . The ONYX 2.25 goes up 3.25. I would have used a larger diameter and deployed at lower pressures then post dilated accordingly.

Many advocates the use of OCT for bifurcation stenting, especially for making sure the proper SB strut wiring before 2nd kissing balloon..what is your view on that? Thank you

Left atrial branch is missing now, right?

THANK YOU DR FOR DOING MY PROCEDURE ON APRIL 26th, 2024…..BECAUSE OFYOU AND YOUR ENTIRE TEAM I HAVE LIFE AGAIN…..I AM FROM WISCONSIN AND SO BLESSED T HAVE BEEN SENT YOUR WAY….I AM ALMOST BACK TO NORMAL….THANKS AGAIN