- Видео 71
- Просмотров 4 970
Huang ChienMing
Добавлен 1 фев 2011
台灣冠狀動脈慢性完全阻塞介入手術 Taiwan CTO Club since 2010/5/1
黃建銘醫師的網頁
黃建銘醫師的網頁
皇后鎮至庫克山之旅&胡克峽谷步道
皇后鎮至庫克山之旅
途經鄧斯坦湖、粘土懸崖、特威澤爾、格蘭坦納、普卡基湖抵達庫克山國家公園。
走Hooker Valley Track (胡克峽谷步道) 途經三座吊橋。
從皇后鎮到庫克山沿途風景美不勝收,
湖泊、壯闊美景、山嵐、遠望雪山,奔馳於峽谷的汽車、水連山、山連天,寶石藍的壯闊的湖泊美景令人難忘。
Mt. Cook (庫克山國家公園) Hooker Valley Track (胡克峽谷步道健行) 全長約 10 公里,來回約需2.5-3.5小時,且沿途無顯著爬升路段,是個簡易型步道
LakeDunstan
鄧斯坦湖
Clay cliffs view 粘土懸崖景觀
OMARAMA-
Lindis Pass Viewpoint
奧瑪拉瑪-林迪斯山口觀景台
TWIZEL-OMARAMA RD
特威澤爾-奧馬拉馬路
Glentanner Lookout 格蘭坦納瞭望台
Lake Pukaki Viewpoint
普卡基湖觀景台
Aoraki/Mount Cook National Park 奧拉基/庫克山國家公園魯冰花
途經鄧斯坦湖、粘土懸崖、特威澤爾、格蘭坦納、普卡基湖抵達庫克山國家公園。
走Hooker Valley Track (胡克峽谷步道) 途經三座吊橋。
從皇后鎮到庫克山沿途風景美不勝收,
湖泊、壯闊美景、山嵐、遠望雪山,奔馳於峽谷的汽車、水連山、山連天,寶石藍的壯闊的湖泊美景令人難忘。
Mt. Cook (庫克山國家公園) Hooker Valley Track (胡克峽谷步道健行) 全長約 10 公里,來回約需2.5-3.5小時,且沿途無顯著爬升路段,是個簡易型步道
LakeDunstan
鄧斯坦湖
Clay cliffs view 粘土懸崖景觀
OMARAMA-
Lindis Pass Viewpoint
奧瑪拉瑪-林迪斯山口觀景台
TWIZEL-OMARAMA RD
特威澤爾-奧馬拉馬路
Glentanner Lookout 格蘭坦納瞭望台
Lake Pukaki Viewpoint
普卡基湖觀景台
Aoraki/Mount Cook National Park 奧拉基/庫克山國家公園魯冰花
Просмотров: 15
Видео
Transradial PCI for LAD CTO in patient with severe bilateral radial artery stenosis
Просмотров 3272 месяца назад
Transradial PCI for LAD CTO in patient with severe bilateral radial artery stenosis EBU 3.5, 7F GW:Runthrough, Fielder FC, XTR, Gaia2 Double lumen
2024年9月28日 Transradial PCI with IVL for heavily calcified lesion complicated with acute closure
Просмотров 352 месяца назад
Transradial approach (6F) Shock wave IVL 4.0x10 mm IVUS No reflow/acute closure after IVL POBA 3x20mm balloon DES 4x24mm IVUS IMH intramural hematoma at distal stent edge Cutting balloon angioplasty 3.5x10mm DES 3.5x15mm
PCI for 6th ISR with CTO of LAD
Просмотров 2052 месяца назад
PCI note: Target lesion: LAD-md ISR 100% stenosis GC: EBU 4.0/6F GW: Runthrough Balloon: 2.0x15mm MiniTREK upto 22atm repeatedly POBA 2.5x15mm Accforce NCB, dilated upto 30 atm,2.7mm repeatedly POBA 3.0x15mm Accuforce NCB,dilated upto 30 atm, 3.28mm repeatedly POBA 3.0x10mm Wolverine Cutting balloon upto 6-18atm (3.06 to 3,46mm) repeatedly POBA Selution DEB 3.0x40 mm for 60sec upto (1 6atm 3.14...
瑞士Kandersteg坎德斯泰格小鎮的高山湖泊Oeschinensee 厄希嫩湖
Просмотров 173 месяца назад
瑞士Kandersteg坎德斯泰格小鎮的高山湖泊Oeschinensee 厄希嫩湖
策馬特、馬特洪峰、冰山、瑞士國慶日
Просмотров 363 месяца назад
策馬特Zermatt馬特洪峰搭乗 高納萄拉特(Gornergrat Bahn) 齒軌火車上山抵3,089公尺高的慾點站,近距離欣賞到诃爾界斯山區第三 川「 爾網冰川 (Gorner Glacier)」稀有高山花卉 瑞士國慶日八月一日慶典
Taiwan CTOClub : complication case
Просмотров 41Год назад
Very proximal near Ostial iatrogenic coronary artery dissection in this case 1.Poor coaxial alignment of the Guiding catheter 2. Unexpected soft wire runthrough GW into false lumen make proximal RCA dissection and advanced intramural hematoma 3. IVUS guided rewiring into RCA true lumen 4. Cutting balloon angioplasty to relieved IMH (intramural hematoma) 5. GW and POBA leading RV distal branch m...
Taiwan CTO Club: Primary Retrograde for RCA CTO (2nd attempt)
Просмотров 136Год назад
Taiwan CTO Club: Primary Retrograde for RCA CTO (2nd attempt)
新竹縣 尖石鄉 北得拉曼山 內鳥嘴山 巨木步道
Просмотров 46Год назад
北得拉曼山。林相有人工造林地、天然闊葉林區及檜木林帶,是泰雅族傳統的狩獵領域,是台灣海拔最低的檜木巨木群。沿途有迴音谷、小瀑布等景點,往巨木群的步道為一循環線,可欣賞紅檜巨木。
南投水里 呆呆 鵲橋 梅花村 風櫃斗 老梅花海樹化石
Просмотров 290Год назад
南投水里 呆呆 鵲橋 梅花村 風櫃斗 賞老梅樹化石。 梅花うめ屬於薔薇科,是長壽樹種,樹齡可達數百年之久,樹齡越高開花越繁密。 台灣栽培主要以可食用單瓣白花的果梅與粉紅色重瓣的宮粉梅為主。 www.eastfa.org.tw/main.asp?body_sel=3_4_2_6
Taiwan CTO Club: Treatment of Heavy Calcium Nodule in the Ostial RCA 2023年1月21日
Просмотров 57Год назад
Taiwan CTO Club: Treatment of Heavy Calcium Nodule in the Ostial RCA 88 year-old male, post CABG, s/p redo mechanic MVR & AVR, PPI, AdenoCa of colon post surgery Options: Rota, Orbital artherectomy, Cutting balloon angioplasty, high pressure balloon, intravascular lipotripsy (priority ?) Best imaging modality: OCT , IVUS IVL: Indications in ACS (STEMI, NSTEMI) ; Thrombus lesion, degenerated gra...
京都 貴船神社 鞍馬神社冬雪
Просмотров 887Год назад
京都貴船神社鞍馬寺2022年12月26日冬雪 京都車站-17路公車-出町柳站-叡山電鐵-貴船口-33路 ICOCA-貴船神社- 貴船口站 鞍馬站 貴船神社 kifunejinja.jp/en/ 鞍馬寺 kuramadera.or.jp
京都嵐山保津川天龍寺竹林2022年12月28日
Просмотров 81Год назад
JR 京都嵯峨野線-龜岡 -保津川渡船口 渡月橋 天龍寺 嵐電 龜岡保津川公司 保津川下り 日本、〒621-0005 京都府亀岡市保津町下中島2 Hozugawa River Boat Ride 保津川ラフティング(保津川クルーズ) Hodzugawa rafutingu (Hodzugawa kurūzu) www.hozugawakudari.jp/
2022 Taiwan CTO Club (Taiwan & Japan) 亞東醫院1105 全
Просмотров 1732 года назад
2022 Taiwan CTO Club (Taiwan & Japan) 亞東醫院1105 全
2022 Taiwan CTO Club (Taiwan & Japan)
Просмотров 1372 года назад
2022 Taiwan CTO Club (Taiwan & Japan)
Taiwan CTO Club PCI for Unprotected True LM bifurcation via Snuffbox dRRA Approach
Просмотров 202 года назад
Taiwan CTO Club PCI for Unprotected True LM bifurcation via Snuffbox dRRA Approach
Taiwan CTO club PCI in complex lesions
Просмотров 1772 года назад
Taiwan CTO club PCI in complex lesions
Taiwan CTO club (Ostial LAD CTO without stump)
Просмотров 372 года назад
Taiwan CTO club (Ostial LAD CTO without stump)
CTO PCI: Antegrade wire escalation (AWE)
Просмотров 6494 года назад
CTO PCI: Antegrade wire escalation (AWE)
你拍照的角度很棒!超有震撼力的!!
Case Review 49 year old male Effort experienced chest distress with pain off and on since several months ago Coronary MSCT showed CTO of RCA. PAST HISTORY: Old stroke (3 years), Type 2 diabetes melitus (>3 years); Hyperlipidemia. Smoking 1PPD/day for> 20 years, SAS, Obesity 1st attempt failure via TRA (Sep. 23,’22) 2nd attempt (Feb 10.’23) Coronary intervention for CTO of RCA; 2nd attempt Primary Retrograde: Voda3.5 (7F) Caravel 150 cm: Sion->Suoh 03 successful retrograde wiring via epicardial channel Antegrade: AL1 (8F) Double lumen->Caravel 135 cm Gaia3rd->Conq 12->Conq 8-20->FC->Gaia 3rd ->Conq 12 (final crossing wire) Caravel & Turnpike gold fail to cross the lesion -->Balloon: 10x6 mm,-> Caravel->1.5x12mm-->Turnpike gold -->20x20mm POBA IVUS;done Stent: Synergy 3x48 mm, post dilatation 3.5x12mm (NC)
2019-4-23 Left Distal Radial Artery Approach for Unprotected Left Main Bifurcation Lesions • A 54 year-old male, CAD with Triple Vessel disease and Hyperlipidemia • 2014 PCI/Stent toAD and RCA • GC: 7Fr EBU 3.0 • Snuffbox (IdRA) • IVUS guided • Crusade • Culotte Stentine • KBT and final POT
To Reattempt PCI for CTO of RCA in a 53 Year Old Man via BTRA • PH: DM, HT, HL, Obesity, CKD (Cr 1.84), Hx of APN with ARF • CC: exertional dyspnea, TET ( ). • 2019-4-1 PCI for RCA CTO failed at other hospital • 2019-5-14 MSCT 2019-5-31 Retry PCI • Contrast volume:210 ml • BTRA: RRA (7F, AL1, sh) LRA (5F, JL3.5) • Corsair Pro 135 cm: XTR Crusade: XTR in Ac Marginal br & Gaia 2nd ->Miracle 3->XTA Conquest Pro (crossing wire) >Sion ww Balllon 2.0x15 mm Predilatation • IVUS ->3.0x20 NC 30atm DES: 3.5x38mm & 4x24 mm
ruclips.net/video/VaMN0tUkqBM/видео.html
Thanks
Thanks for your opionion