Agree that this can be challenging and that experience is required. Typically the size of the knuckle decreases once the wire enters into the distal true lumen.
Thanks for this interesting case! Was the IVUS not still in a remaining false lumen for a long distance? I thought the false lumen would have shrunken and the true lumen would have been dominant.
At the end of the first procedure the dissection extended into the PDA and right posterolateral, that is why we did not place stents. At the follow-up procedure the dissection was limited in the RCA without affecting the PDA/PLV.
Manos, Thank you so ever very mych.
You are best Interventional operator and teacher.
Abdul ☕️☕️
Thanks for the educative case presentation.
Would be interesting to see the initial IVUS, how long that dissection goes.
Thanks alot doctor
How to make an investment safely? Do I always have to enter the subintimate? How to recognize that I'm in the subintima of the vase without ivus?
Agree that this can be challenging and that experience is required. Typically the size of the knuckle decreases once the wire enters into the distal true lumen.
Thanks for this interesting case! Was the IVUS not still in a remaining false lumen for a long distance? I thought the false lumen would have shrunken and the true lumen would have been dominant.
At the end of the first procedure the dissection extended into the PDA and right posterolateral, that is why we did not place stents. At the follow-up procedure the dissection was limited in the RCA without affecting the PDA/PLV.
From 🇮🇳 India
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