Guide dissection: cases and management

+ Review general dissection classification and management at 24:07 and at • Interesting coronary a...
0:00 Case 1 and guide dissection causes
03:17 Proper AL1 engagement technique
05:09 General approach to guide dissection. Stent proximally vs distally. Proximal stenting most important and sometimes enough
10:06 Approach if you don’t have a wire across
12:20 and 13:05 How to wire in case of dissection
14:24 and 24:04 IVUS features of false lumen/intramural hematoma
15:24 Advanced tips for when you fail to wire true lumen (parallel wire, STRAW)
17:37 Role of IIb/IIIa antagonists
19:11 stenting tips
20:51 Case 1 distal stenting: crush stent through Guideliner
24:57 General dissection classification
27:31 Case 2: left main dissection
31:42 Case 3 LIMA dissection. How to treat heavy calcium past the LIMA
37:50 Case scenarios 4: aorto-coronary dissection, cusp dissection and Dunning classification

[@cristianolisi3001]

Thank you Prof.Hanna for this exaustive lesson of iatrogeniic coronary dissections. I think that this lesson will improve our clinical practice. Dr. Cristiano Lisi, Interventional Cardiologist San Luca Hospital, Lucca, Italy. Many thanks

[@user-cf9sm6tx1v]

very nice and educational cases and lecture for us many thanks

[@tom11298]

excellent presentation, the best till date to cover this topic, I would like to add that souh 0.3 wire is very effective in wiring in these cases.

[@petarbeslic991]

You're simply the best!

[@Dr.YudhavirsinghShekhawa-se4iw]

Thank you Dr Hanna sir....

[@zubairwarraich242]

Thank you so much Dr Hanna❤

[@haiderguru7551]

Thank you

[@studentforlife9687]

Thank you so much Pr Hanna !!!

[@pavelsomov8297]

Thank you for such a great presentation! What do you think about suoh 03 wire for iatrogenic dissection? We have some data about this wire - safe and always goes in true lumen!

[@Aliahani1234]

From Egypt 🇪🇬
You are the best teacher ever
I have one question please,
Could we do cutting balloon and observe in your first case?
If we undersized the stent should we take another look one month later?

[@tompagano9015]

AL catheters , especially for the RCA, especially 7 and 8 French , are WEAPONS. I remember being a first/ second year fellow back in ‘80 - ‘81. If Dr. S. , the Chief, had to use a 8 French AL 2 for even the LCA, it was going to be a long day in the lab and the Surgeon was going to be busy! The catheters in those days were a piece of work. Ah, the “ good old days”.

[@vvasavvat]

Thank you 😊

[@violetag.3430]

❤