Since I've been watching your videos my consept about interventional and general cardiology has been changed and learned many useful tips from you. I really appreciate. Hope someday see you.
Dear Dr. Hanna, Always a pleasure to watch your videos. I have accompanied you since i was a general cardio fellow up till now in my structural fellowship. I even sent u regards with ur students from conferences. For that i will always be greatful and proud of you since you represent the beautiful image of our country Lebanon. I would like to kindly ask you for a detailed video with similar step by step cases and detailed movements on how to improve support during PCI. This is an aspect that i find very lacking in the medical literature and a lot of maneuvers are passed over quickly. I think coming from someone like you, it would change the career of many cardiologists. Thank you
Incredible lecture. I am a fellow in South Korea. When I see these videos I always think that I want to go to USA and learn from professor directly Allways thank you so much
Thanks alot "Dr. Elias, sometimes it’s challenging to transition the JL catheter from the right cusp to the left cusp. If I pull, the catheter tends to fly upward (with or without a deep breath). If I push, it doesn't make the jump. Do you have any tips or tricks to overcome this issue?
Deep breath while pulling and torquing generally works. If it's not, you need a smaller curve catheter like JL3. 0. Another option is to use Jacky which you can push up in the left cusp. Tig may not work as it has a longer arm..
"Thanks, @DocSammy. Currently, neither the Jaky nor Tiger catheter is available, so I’m working with just a JL catheter. I’ve tried using a deep breath technique with torque and pull maneuvers, but the catheter keeps slipping upward. Pushing the JL catheter from the right cusp also doesn’t seem to work-it doesn’t reach the target. In general you tourque clcok or anticlock? So the key using a smaller JL 3?? catheter?
I have a detailed video regarding this, which I indicate in the links below the talk. Also, several other LCA engagement videos under my playlist LCA engagement: ruclips.net/video/Bn2rLN_FqsE/видео.html
Thank you. This video complements my prior, more comprehensive talks, where I detail this situation and provide 5 techniques for LAD to LCx and the reverse, LCx to LAD. In brief, to go from LAD to LCx, you may need a larger JL arm (eg, JL4 instead of JL3.5). Also, you may do the opposite maneuver: disengage then re-engage while the patient is holding his breath in deep exhalation (rather than inspiration), which will bring the LCx up, along with slight counterclock. Those are some links, and the time stamps will indicate where I address this issue: ruclips.net/video/COFbu02J2Xs/видео.html ruclips.net/video/iCG9Xb8FNdQ/видео.html
Since I've been watching your videos my consept about interventional and general cardiology has been changed and learned many useful tips from you.
I really appreciate.
Hope someday see you.
Dear Dr. Hanna,
Always a pleasure to watch your videos. I have accompanied you since i was a general cardio fellow up till now in my structural fellowship. I even sent u regards with ur students from conferences. For that i will always be greatful and proud of you since you represent the beautiful image of our country Lebanon.
I would like to kindly ask you for a detailed video with similar step by step cases and detailed movements on how to improve support during PCI. This is an aspect that i find very lacking in the medical literature and a lot of maneuvers are passed over quickly. I think coming from someone like you, it would change the career of many cardiologists.
Thank you
Incredible lecture.
I am a fellow in South Korea. When I see these videos I always think that I want to go to USA and learn from professor directly
Allways thank you so much
Thank you so much, sir, for creating these videos that are incredibly helpful and perfectly suited for new interventional cardiology fellows like me!
Incredible lecture as usual
Much appreciated, as usual.
Thanks alot
"Dr. Elias, sometimes it’s challenging to transition the JL catheter from the right cusp to the left cusp. If I pull, the catheter tends to fly upward (with or without a deep breath). If I push, it doesn't make the jump.
Do you have any tips or tricks to overcome this issue?
@eliashanna8248
Deep breath while pulling and torquing generally works. If it's not, you need a smaller curve catheter like JL3. 0. Another option is to use Jacky which you can push up in the left cusp. Tig may not work as it has a longer arm..
"Thanks, @DocSammy.
Currently, neither the Jaky nor Tiger catheter is available, so I’m working with just a JL catheter.
I’ve tried using a deep breath technique with torque and pull maneuvers, but the catheter keeps slipping upward. Pushing the JL catheter from the right cusp also doesn’t seem to work-it doesn’t reach the target.
In general you tourque clcok or anticlock?
So the key using a smaller JL 3?? catheter?
Need similar tips to engage LMCA with XB/EBU Catheter
I have a detailed video regarding this, which I indicate in the links below the talk. Also, several other LCA engagement videos under my playlist LCA engagement:
ruclips.net/video/Bn2rLN_FqsE/видео.html
Thank you so much, you Videos are very educational
Great lecture as usual professor😊
may I ask how to deal with selectively engagement to LCX in separate Ostia or short LM cases?
Thank you. This video complements my prior, more comprehensive talks, where I detail this situation and provide 5 techniques for LAD to LCx and the reverse, LCx to LAD. In brief, to go from LAD to LCx, you may need a larger JL arm (eg, JL4 instead of JL3.5). Also, you may do the opposite maneuver: disengage then re-engage while the patient is holding his breath in deep exhalation (rather than inspiration), which will bring the LCx up, along with slight counterclock.
Those are some links, and the time stamps will indicate where I address this issue:
ruclips.net/video/COFbu02J2Xs/видео.html
ruclips.net/video/iCG9Xb8FNdQ/видео.html
@eliashanna8248 thank you so much professor 😊