thanks a lot. all of ur cases are great learning. few points in this case. the first angio cine showed air embolism, air bubble going down the graft and OM. there is a wire like thing just parallel to OM (6:54), what is it?
Great management. In general, i really don’t see a great advantage of this “ping pong “ technique. It is very short time to exchange a balloon for a covered stent and unlikely to cause significant hemodynamic instability. Also, why no one inflate a balloon on a buddy wire then deflate , retract the balloon to a single guide at the time of stent delivery?
Thanks for this case. Very informative. Do you think this was caused by oversizing the stent? My understanding is we normally go 0.5 mm less than what the IVUS tells us i.e. if 4 mm then u pick a 3.5 mm stent.
Probably - choosing stent size depends on what you are measuring: if you are measuring distal lumen size you choose a stent that is 0.25 mm larger - if you are measuring "media to media" you downsize by 0.25 mm.
Excellent educative points,
undersized stents for SVG is a great point to keep in mind.
IS that a small air embolism inthe first shot of the filterwire?
Thank you for this brief for management of SVG perforarion. This was very educative and efficient for me.
Very nice handling of SVG perforation
Thanks for the educative case sharing.
Was there air embolization in the cine after protection device insetion ?
thanks a lot. all of ur cases are great learning. few points in this case. the first angio cine showed air embolism, air bubble going down the graft and OM. there is a wire like thing just parallel to OM (6:54), what is it?
Thank you for share this case, I think if IVUS done post stent inflammation, it could show stent over inflation more than 4.00 mm?.
Great management. In general, i really don’t see a great advantage of this “ping pong “ technique. It is very short time to exchange a balloon for a covered stent and unlikely to cause significant hemodynamic instability. Also, why no one inflate a balloon on a buddy wire then deflate , retract the balloon to a single guide at the time of stent delivery?
Thanks for this case. Very informative. Do you think this was caused by oversizing the stent? My understanding is we normally go 0.5 mm less than what the IVUS tells us i.e. if 4 mm then u pick a 3.5 mm stent.
Probably - choosing stent size depends on what you are measuring: if you are measuring distal lumen size you choose a stent that is 0.25 mm larger - if you are measuring "media to media" you downsize by 0.25 mm.
@3:40 The What? Technique?