Wonderful. I have one point to make. On inflating the SB stent, I prefer to place the MV balloon AT, not distal to SB ostium. This is because in one case I spent some time (and nerve!) pulling back a jailed balloon that was placed distal to SB ostium. It was difficult to pull the balloon proximally although the SB stent protruded minimally into MV.
Well done Dr Amjad; 2 questions: 1-In case of unavailability of NC balloon, do you think that compliant balloon would be enough??? 2-which guidewire do you prefer to recross side branch after crunching it’s stent??
You know we work with what’s available. 1- NC balloons are indispensable in the cath lab., not just for POT but for a lot of things. When not available? , I guess you will obliged to use a complaint balloon, but beware not to overdilate the vessel by a complaint balloon. I don’t do a calcified vessel when an NC balloon is not available. 2- use the available wire. To reduce cost I just switch wires. To recross a stent I may use pilot50 if the original wire didn’t cross.
Nice results! I have few questions, - what is your opinion about the use of FFR in ACS presentation? Because it seems that your patient presented with ACS. - Are you using a JL guide ? Why note an EBU ? Does the JL give you enough support for such cases ? - How much side branch stent do you protrude into the main branch ? I felt the diagonal stent protrusion was alot in this case. Thank you so much
Thank you very much for elligant work and explanation, can we use sequential kissing to avoid elliptical shappin of MB after same time kissing if NC balloon is not available.
Great thanks for this remarkable work and outstanding channel
Outstanding, Thanks alot sir for this case as always simlified and informative explanations and one of the best references for future
Thanks alot
Wonderful.
I have one point to make. On inflating the SB stent, I prefer to place the MV balloon AT, not distal to SB ostium. This is because in one case I spent some time (and nerve!) pulling back a jailed balloon that was placed distal to SB ostium. It was difficult to pull the balloon proximally although the SB stent protruded minimally into MV.
Thank you for addressing my fears 😁. I also do that and for the same reason .
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شكرآ جزيلا
Thanks Sir
Thanks sir for nice case
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“Common sense will lead you” is the best comment.
Well done Dr Amjad;
2 questions:
1-In case of unavailability of NC balloon, do you think that compliant balloon would be enough???
2-which guidewire do you prefer to recross side branch after crunching it’s stent??
You know we work with what’s available. 1- NC balloons are indispensable in the cath lab., not just for POT but for a lot of things. When not available? , I guess you will obliged to use a complaint balloon, but beware not to overdilate the vessel by a complaint balloon. I don’t do a calcified vessel when an NC balloon is not available.
2- use the available wire. To reduce cost I just switch wires. To recross a stent I may use pilot50 if the original wire didn’t cross.
Nice results! I have few questions,
- what is your opinion about the use of FFR in ACS presentation? Because it seems that your patient presented with ACS.
- Are you using a JL guide ? Why note an EBU ? Does the JL give you enough support for such cases ?
- How much side branch stent do you protrude into the main branch ? I felt the diagonal stent protrusion was alot in this case.
Thank you so much
Thank you very much for elligant work and explanation, can we use sequential kissing to avoid elliptical shappin of MB after same time kissing if NC balloon is not available.
You can do that, but when you do complex stenting, then you’d better get everything ready
@@amjadalmendilawi5328 thanks alot