Thank you sir, had your retro wire ended in subintimal space, doing a reverse cart in a single guide would have been difficult. Would you have used ping pong guides? Any solutions for doing a reverse cart in a single guide?
Why not attempt ADR once you were extra plaque prior to going retrograde ? Even though there is disease, there are no sig branches and may have been worth an attempt
Excellent Ahmed and Manos
the q is what if tip in failed
and thank u for sharing this amazing case
Thanks for the excellent case presentation.
Thank you sir, had your retro wire ended in subintimal space, doing a reverse cart in a single guide would have been difficult. Would you have used ping pong guides? Any solutions for doing a reverse cart in a single guide?
Amazing case !
Why not attempt ADR once you were extra plaque prior to going retrograde ?
Even though there is disease, there are no sig branches and may have been worth an attempt
Good point - reentry would likely have been quite challenging here given small size of the distal vessel and the presence of calcification.