Thank you for the great education Dear Brilakis. I have 2 questions: 1. What is the best wire passing to true lumen for the iatrogenic coronary diseections (workhorse/ hydophilic/polimer jacketed/ stiff or escalating)? 2. If the imaging (IVUS/OCT) is not possible, would it be appropriate to use microcatheter to confirm the true lumen (contrast injection via micro after pass the dissection)?
Dr. Brilakis, Thanks for sharing this lecture. I have a question, what kind of post intervention coronary dissection is better observed rather than treated? same algorithm as SCAD?
Good presentation and easily understand
Thanks for your educative presentation.
Thanks for this great lecture. A question please : Any experience with type E dissection, and how to deal with ?
Stenting is the solution for such dissections.
@@manosbrilakis thanks for your answer.
Thank you for the great education Dear Brilakis. I have 2 questions:
1. What is the best wire passing to true lumen for the iatrogenic coronary diseections (workhorse/ hydophilic/polimer jacketed/ stiff or escalating)?
2. If the imaging (IVUS/OCT) is not possible, would it be appropriate to use microcatheter to confirm the true lumen (contrast injection via micro after pass the dissection)?
1. Workhorse wire
2. Would advise against injecting contrast, as it will make things much worse if you are in the subintimal space.
Dr. Brilakis, Thanks for sharing this lecture. I have a question, what kind of post intervention coronary dissection is better observed rather than treated? same algorithm as SCAD?
Small, non-flow limiting dissections can sometimes be left untreated unless they involve a major vessel, such as the left main.
@@manosbrilakis thanks~
how did you advance the guidewire for the case at 4:56 knowing it was in true lumen?
Contralateral injection was the key for confirming that that guidewire was inside the distal true lumen.
nice video