Explained in a very easy demonstration. Jazaak Allah. No next video option is highlighted. Will wait for more video to learn. Very grateful for such simplied explanation of complex procedures
its better if you cannot cross and would be a modification of this technique however the original technique did not have that because they were using it for left main and the vessel was large. You are absolutely right that in real life you have to dilate the ostium
Hello sir, nice explanation, so in minicrush the recrossing of the side branch is through the distal strut on contrary to the proximal struts in dk crush... Isn't sir..
Its to keep the carina preserved. You can do separately as well. however more angulated vessels and very athereomatous plaques will have carina shift as well as plaque shift that distorts the carina leading to much difficulty in later steps
# I cannot understand why a few surgeons of corporate hospitals speaks out " your patient will die " only at the last and critical moments when departing the hospital is nearest to impossible. ## I cannot understand what the problem is to disclose the risk factors at the first sitting or well in advance in the cases of fatal or high risk surgeries despite knowing the impending facts. The victim families of India feel how devastating is to lose both life and money.. Please forgive if I am wrong.
I will like to know more about your comments. I apologize for your experience. I think there are two fold issues 1. We doctors are not trained formally in explaining the family about risks and benefits. However with increasing knowledge through internet, it has become more and more important to communicate with our patients and their families 2. We tend to be optimistic in our approaches and sometimes overestimate our success rate. Unfortunately, sometimes it is not possible to predict the outcome. Again I am sorry to hear about your experience. An important step what I suggest my patient's and their families is to write up notes about what the doctor is saying and also ask them the questions. It is our duty to answer your questions.
@@highriskpci5004 I had a very strange and tragic experience in a South Indian corporate hospital. 1. The renowned surgeon left no words to instill confidence in the patient for the most fatal recommendation of double open surgeries of abdominal aerotic aneurysm and bypass together on 19/10/2019 . But he spoke the truth on 11/11/2019 at the last moment leaving no scope to depart the hospital. Amazingly the doctor had to take nearly a month to disclose the truth. 2. Secondly, at 10 am on 13/11/2019 when I entered the ventilation room all the doctors in charge of the room rushed to me to telll that another operation of Cholestomy would've to be done because my father had gangrene in the intestines though there was no trace of gangrene in their own multiple test reports, neither had any pain and discomfort in my father's abdomen. After 22 days of the operation they returned my father's body with the wounds of five surgeries AAA, CABG, CHOLESTOMY ,TREAKESTOMY and THORACENTESIS. My family and friends are quite shocked at the whimsical botched up multiple surgeries on a strong and stable 75 yr old patient in a renowned corporate hospital of Bangalore where many like us visit every day from Bengal. I had no previous idea that a doctor may misguide an innocent patient so brazenly. I am not successful to take home my father alive , but learnt an expensive lesson by trusting a doctor whom many common patients regard as God .
true. My practice has changed since the last 3 years. POT should be performed as you suggested. POT is not being advised more and more and I probably will need to make another video with it.
true. My practice has changed since the last 3 years. POT should be performed as you suggested. POT is not being advised more and more and I probably will need to make another video with it.
Explained in a very easy demonstration. Jazaak Allah.
No next video option is highlighted. Will wait for more video to learn. Very grateful for such simplied explanation of complex procedures
Will upload soon
Thank you for your kind words. Appreciate it. What kind of video are you looking for?
Very useful video! Very easy demonstrated
Glad it was helpful!
Excellent description 👌
Good demonstration sir
Thank you
Nicely explained, specially the drawings. Thank you so much. Expecting more and more from you. Zajakallah.
Thank you for your nice comment
Nicely explained sir😊
Thanks for liking
Thank you very much.
Where is the place for POT.
Perfect!
Nice video
DK crush is the only 2 stent strategy in which we rewire back into SB through the proximal strut/cell. (not distal strut)
yes
True
Grate
Dear dr rewiring is done through proximal struts or mid struts and not distal
My dear friend for mini crush ...the rewiring is through distal for minicrush and proximal for DK crush
Won’t it be better to dilate the SB Ostia by recrossing , before we put in the MB stent ?
its better if you cannot cross and would be a modification of this technique however the original technique did not have that because they were using it for left main and the vessel was large. You are absolutely right that in real life you have to dilate the ostium
Hello sir, nice explanation, so in minicrush the recrossing of the side branch is through the distal strut on contrary to the proximal struts in dk crush... Isn't sir..
yes thats what is recommended
More teaching v video. Thanks
Please let me know what will you like to watch
Excellent
Thanks
plz .. more videos doctor... thanks
Hi, what kind of videos will you like?
Sir ,shouldn't we reenter the side branch proximally??
so minicrush is distal and DK crush is proximal
Helpful
Glad you think so!
What is the purpose of kiss ballooning in step 2. I usually do not kiss balloon in that step, just dilate individually.
Its to keep the carina preserved. You can do separately as well. however more angulated vessels and very athereomatous plaques will have carina shift as well as plaque shift that distorts the carina leading to much difficulty in later steps
POT after deployed MB stent and final
need or not ?
I would recommend doing a final POT as well
POT is mainly to expand the stent to make sure it is well apposed. If it is well apposed already, it is not really needed.
enter proximal not distal in MB
in DK crush and distal in mini crush
# I cannot understand why a few surgeons of corporate hospitals speaks out " your patient will die " only at the last and critical moments when departing the hospital is nearest to impossible.
## I cannot understand what the problem is to disclose the risk factors at the first sitting or well in advance in the cases of fatal or high risk surgeries despite knowing the impending facts.
The victim families of India feel how devastating is to lose both life and money..
Please forgive if I am wrong.
I will like to know more about your comments. I apologize for your experience.
I think there are two fold issues
1. We doctors are not trained formally in explaining the family about risks and benefits. However with increasing knowledge through internet, it has become more and more important to communicate with our patients and their families
2. We tend to be optimistic in our approaches and sometimes overestimate our success rate. Unfortunately, sometimes it is not possible to predict the outcome.
Again I am sorry to hear about your experience. An important step what I suggest my patient's and their families is to write up notes about what the doctor is saying and also ask them the questions. It is our duty to answer your questions.
@@highriskpci5004
I had a very strange and tragic experience in a South Indian corporate hospital.
1. The renowned surgeon left no words to instill confidence in the patient for the most fatal recommendation of double open surgeries of abdominal aerotic aneurysm and bypass together on 19/10/2019 . But he spoke the truth on 11/11/2019 at the last moment leaving no scope to depart the hospital. Amazingly the doctor had to take nearly a month to disclose the truth.
2. Secondly, at 10 am on 13/11/2019 when I entered the ventilation room all the doctors in charge of the room rushed to me to telll that another operation of Cholestomy would've to be done because my father had gangrene in the intestines though there was no trace of gangrene in their own multiple test reports, neither had any pain and discomfort in my father's abdomen.
After 22 days of the operation they returned my father's body with the wounds of five surgeries AAA, CABG, CHOLESTOMY ,TREAKESTOMY and THORACENTESIS.
My family and friends are quite shocked at the whimsical botched up multiple surgeries on a strong and stable 75 yr old patient in a renowned corporate hospital of Bangalore where many like us visit every day from Bengal.
I had no previous idea that a doctor may misguide an innocent patient so brazenly.
I am not successful to take home my father alive , but learnt an expensive lesson by trusting a doctor whom many common patients regard as God .
Don't you recross proximally in minicrush
DK crush is proximal crossing
Minicrush is distal crossing
U forgot to add final POT to avoid the neocarina
true. My practice has changed since the last 3 years. POT should be performed as you suggested. POT is not being advised more and more and I probably will need to make another video with it.
U forgot to add final POT to avoid the neocarina
true. My practice has changed since the last 3 years. POT should be performed as you suggested. POT is not being advised more and more and I probably will need to make another video with it.