I have yet to encounter such a par excellence , generous, honest and clear teacher. Not at all insecure and willingly transfering all knowledge you have. No words to thank and respect you Sir. I wish you could write a book on interventional cardiology that will benefit generations.
Very good point. Unclipped intercostal branches may cause coronary ischemia via steal phenomenon, but this is not likely, as the coronary flow is mainly diastolic, while the flow into the intercostal branches is mainly systolic. Also, the steal phenomenon would not cause LIMA atresia. The competitive flow from SVG-diagonal is the likely cause of LIMA atresia here.
I have yet to encounter such a par excellence , generous, honest and clear teacher.
Not at all insecure and willingly transfering all knowledge you have.
No words to thank and respect you Sir.
I wish you could write a book on interventional cardiology that will benefit generations.
Dr. Hanna your talks are always very high quality with lots of learning points, thank you!
Thanks a lot Dr Hanna You are a big master and a big school , greeting from france .
Simply the great demonstration just like always
Thank you. Great teaching.
great cases thank you Dr. Elias
thanks alot
can you give us lectures on CTO PCI
Do you think that the LIMA graft in the last case gave side branch proximally, which may cause a steal phenomenon ?
Very good point. Unclipped intercostal branches may cause coronary ischemia via steal phenomenon, but this is not likely, as the coronary flow is mainly diastolic, while the flow into the intercostal branches is mainly systolic. Also, the steal phenomenon would not cause LIMA atresia. The competitive flow from SVG-diagonal is the likely cause of LIMA atresia here.
Thank you ❤ great
Thanks a lot