What a great concept of Microcatheter with Micro Rx. Very intuitive and practical design to address such cases in a very easy way. Looking forward to see it in Europe as well! Thank you for sharing this case Dr. Brilakis.
Hi, Professor Emmanouil Brilakis. Can i ask one question? What about PLB of RCA? We used cutting balloon and avacuated intramural hematoma. Do we need stent covering from RCA to PLB in this situation?
Hello professor Brilakis. Thanks for your teaching and sharing your experiences. Why did you recanalized RCA while SVG flow and distal RCA branches was TIMI 3 ?
RCA had a CTO distally, and recanalizing cto ,if feasible, is always a favorable option over PCi/stenting to SvG that is degenerative and started to fail and had stenosis at touch down. Also native pci has a better outcomes. Initial PTCA was only meant to open the vessel, with very high chance of re occlusion
What a great concept of Microcatheter with Micro Rx. Very intuitive and practical design to address such cases in a very easy way. Looking forward to see it in Europe as well!
Thank you for sharing this case Dr. Brilakis.
Thanks for the excellent case presentation.
Hi, Professor Emmanouil Brilakis. Can i ask one question? What about PLB of RCA? We used cutting balloon and avacuated intramural hematoma. Do we need stent covering from RCA to PLB in this situation?
Another stent could be used but that increases the complexity of the procedure and the risk of restenosis.
Can we exchange wires through this device ?
No
Hello professor Brilakis. Thanks for your teaching and sharing your experiences.
Why did you recanalized RCA while SVG flow and distal RCA branches was TIMI 3 ?
RCA had a CTO distally, and recanalizing cto ,if feasible,
is always a favorable option over
PCi/stenting to SvG that is degenerative and started to fail and had stenosis at touch down. Also native pci has a better outcomes.
Initial PTCA was only meant to open the vessel, with very high chance of re occlusion
Great point - the likelihood of achieving long-term SVG patency after the SVG becomes completely occluded during an AMI is quite low.