Wiring techniques through difficult angulations

0:44 Standard 2-bend wire shape. TURNING WHEEL technique
03:24 3 Major techniques and 2 additional techniques
04:15 Sharp bend or U curve technique. Turning wheel
06:07 Dual lumen catheter techniques and case
09:58 Blocking balloon and cases
12:10 Reverse hairpin techniques and pitfalls
15:45 Supercross and Venture catheters pitfalls
18:48 How to deal with wire prolapse outside the angled branch

[@godongsalam753]

thanks dr Hanna....greeting from Indonesia

[@petarbeslic991]

My ultimate teacher! ❤ I have already saved a lot of lives with your help (in non-invasive cardiology).

[@jorgevictorvictor7163]

Best vídeo 🚀👏 . Victor from Brasil.

[@drsedqi.alkubati]

thanks dear Dr Ilias

[@SYBhat1990]

Excellent lecture Dr Hanna.... Please explain in which projection to see the angulation between main vessel and side branch...??

[@abuahmed9026]

Thank you, doctor. Sometimes, various techniques fail. What are your thoughts on plaque modification using a small balloon? Is there a role for that approach?

[@haiderguru7551]

Dr hanna sir
U mentioned sir if lad is 3.5 we should make a bend 5 mm
Including or excluding the tip ?
Whats the formula for calculating this
I mean u said if lad 3.5 then distance 5 mm
What about 3 or 4 mm lad how to calculate

[@eliashanna8248]

I measure it excluding the tip, but it would not make a big difference (the distance from the proximal bend to the distal bend vs the tip is not much different). The formula is the triangles law of sines (online calculator: www.calculator.net/triangle-calculator.html).
More importantly, it is not exact science. Use the illustrations I provided to get the big concept. The length of the bend is longer than the caliber of the LAD, and the less sharp the bend, the longer it needs to be.