Great case Sir as usual! Just few observation: It looked like an acute closure of a previously diseased vessel! Pilot 200 wire as an initial choice Your take on using cutting ballon!
Agree re: previously diseased vessel given well developed collaterals. Cutting balloon can facilitate stent expansion - delivery can be challenging but it is overall very useful.
Nice illustration Dr brilakisit ,I wonder what were the ECG findings,I think this CTO lesion or established MI.
Thanks for the excellent case presentation.
Good result! Collega, did you use DK- crush are nano crush technic in this case?
Nano crush
Great case Sir as usual! Just few observation: It looked like an acute closure of a previously diseased vessel!
Pilot 200 wire as an initial choice
Your take on using cutting ballon!
Agree re: previously diseased vessel given well developed collaterals.
Cutting balloon can facilitate stent expansion - delivery can be challenging but it is overall very useful.
Thank you, sir, was the 6F set-up continued? if possible DCB could be considered for distally diffuse disease, maybe later.
Great point, thank you
Good case Dr Brilikas. Was your HS Trop 50? In which case this was a true CTO and viability of that LAD is a question.
Great point - it could well have been acute on chronic - this may also explain why good collateral circulation was present to the LAD