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  • Aymen B. wow !! amazing case with lot of teatching points on how to deal with flush ostial RCA CTO's and with a couple of interresting tips and tricks. It's a good idea to record a case in very friendly envirement congratulation Dr Avran for the nice idea.

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    • Alexandre A. thanks my friend Good to have your feedback, See you for the next episode

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      • Mahmoud S. Great case, thanks alot Avran, thanks Ahmed, very elegant thinking, with alot of tips and tricks,I realy was so impressed the way you deal with the case, big Like

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        • Ahmed E. Magnificent!
          Thanks alot Dr Ahmed and Dr Avran for this great educational idea.
          Amazing case , with many tips and tricks to learn .

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          • Georges E. Amazing case with a lot of teaching points ! Waiting for the next episode. Thanks Dr Avran

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            • v22e V. This comment has been moderated

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              • Akyuz S. Thanks Alex and Ahmed for this didactic case. (Dr. Sukru Akyuz from Turkey)

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                • Mugilan S. Thank you so much Dr Alex and Dr Ahmed. Amazing case with so many learning points. Truly inspiring.

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                  • Baghdasaryan D. Perfect

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                    • Hemn H. Did you re-entered the true lumen or implanted in false lumen? difficult to understand the final steps, thanks

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                      • Rifaie O. Fantastic presentation from Yamane and nice comments from Avram

                        • Alexandre A. thanks for you comment and for following us

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                      • Sergey F. It was a great pleasure to see you Alexandre and Masahisa. Thank you for your work.
                        Sergey Furkalo

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                        • Avanti S. Hello sir,

                          My father is having same issue. Is there any way that we can contact you to understand your opinion

                          • Alexandre A. You can join me by email
                            a.bohor@wanadoo.fr

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                        • Dr. Md. Zillur R. GDMT

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                          • abdul K. Super work

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                            See previous comments (2)
                            • Mohamed H. Thanks for educating presentation

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                            • loic B. Great case!!

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                            • radi C. ????????

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                              • radi C. Great case

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                              • Mohammed A. NICE CASE

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                                • Ahmed M. I cant thanks you enough for a great case and tips prof.
                                  Torque of polymeric wires eg. Feilder XT in which direction
                                  Clockwise or counterclockwise or alternatively?? & Dose the
                                  direction of Torque affect direction of wire tip ?

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                                  • Bimlendu K. it was really a good demonstration of ivus use in proximal cap puncture, good result, congratulations

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                                    • Davor R. Great case and tips for using IVUS for blunt stump occlusion!

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                                      • Aly T. Marvelous Alot of teaching points

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                                      • sina P. Very interesting caseand beautiful IVUS image and final result, congrats.
                                        There is a point I did not unterstand : when your first gladius was in the vessel architecture but outside the true lumen, what was the point of going back and do a Side Base to reach the subintimal space you already reached with the initial puncture ?
                                        Thanks a lot

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                                        • Mohamed A. Thanks alot for the the learning rich case

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                                          • Ahmed M. wonderful result especially first attempt with Gia next!

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                                          • Marin V. Congratulations this is beautiful result. I wonder does the secondary curve changes the the tip load of the GAIA NEXT? And what is your advice in angulation of secondary curve for GAIA family? Thank you for making this videos, and all tactile feedback :-)

                                            • Alexandre A. Dear Marin, the secondary curve doesn't modify the gaia next tip load,, you need to perform this secondary curve 3mm after the first one, ;thanks for following us and you comment. hope to see you at MLCTO Nice

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                                          See previous comments (2)
                                          • george M. Very informative from one of the best!

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                                          • Aymen B. Wow many struggles and complications nicely managed from 2 masters !

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                                          • Marin V. Vauuu... Full house of very nice managed extreme coronary intervention complication! Very useful tips, thank you. Was there any room or need for perinterventional cardiac echo?

                                            • Alexandre A. Yes we did Echo after the case, no effusion,
                                              Thanks for following us

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                                          • Ahmed E. Awesome work by two master operators. A live demo of the various challenges faced during CTO PCI beyond wire crossing. Loved the rota tips. Had the same experience with OPN balloons in a similar scenario where a spike of calcium kept rupturing every other balloon ????????????????

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                                            • ahmed B. A very tough case & elegant performance. Also very unusual mishap regarding the wasted ballons, and the damaged Burr.
                                              Finally the CX lookks amazing at the end
                                              Very happy to see both of you scrubbed on a case
                                              It really has to be undoubtly tough since you both there.
                                              Yours
                                              A fond fan of you

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                                              • Mohamed R. Very informative case with lots of well managed complications, some questions if I may, retrospectively was using IVL before rota or even after stenting of LCx ostium a good option, then how is LAD flow restored despite using a covered stent from LM to LCx ?

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                                                • Bimlendu K. marvellous case, good teaching points, fair enough retrograde trial, very good demonstration of ivus guided puncture

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                                                  • Denis C. Nice cas, when the first angio is there necesary to need a good anatomy to work

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                                                    • Bimlendu K. nice case, good demonstration of wire ,guide ,balloon selection, wire surfing ,and minimal contrast usage , and ivus images

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                                                      • loic B. Great Case !

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                                                        • loic B. Great Result

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                                                          • Alexandre P. Very interesting!

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                                                            See previous comments (2)
                                                            • Al fazir O. beautiful case

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                                                              • Arun K. Nicely executed!

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                                                                • Yasser H. Great job team

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                                                                  • Benjamin F. Thank you for your feed-back!

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                                                                    • ahmed B. Nice duoet

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                                                                      • Eli P. Very interesting!

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                                                                        See previous comments (4)
                                                                        • Mohamed M. Good job

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                                                                          • Rohit M. Good discuss so far

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                                                                            • Hatem E. Very nice

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                                                                              • Leonid G. Excellent and rational

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                                                                                • Tameka C. Very informative. New to CTO procedures..

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                                                                                  • Denis Nikolov D. Good job ;)

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                                                                                    • Mohamed M. Good

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                                                                                      • Alexandre P. Very nice case

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                                                                                        • Stefan H. What a joyous and educational cooperation, Alexandre & Roberto!
                                                                                          Great strategy, and efficient use of IVUS

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                                                                                          • Aly T. Very nice teaching case thank you both

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                                                                                            • Pavel S. Thank you for this theaching point with ivus!
                                                                                              Great case and result!

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                                                                                              • Nair V. Thank you both for this excellent case and commentary on best practices during the procedure.

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                                                                                                • Bozinovic N.

                                                                                                  Exelent meeting with educational lectures and very challenging live cases

                                                                                                  Thanks to Dr Avran, Dr Amor, Dr Rinfret

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                                                                                                  • Alexandre P. I can't see the Replay, where is it please ?

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                                                                                                    • Vural M. Very good design for LM to LAD crossover stenting

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                                                                                                      • giulio P. Did you use Dual lumen microcathter for parallell wire Technique"?

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                                                                                                        • hashemi fard O. excellent presentation

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                                                                                                          • Mohamed A. Interesting

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                                                                                                            • Rotar M. Nightmare procedure. Antegrade would have been safer and shorter with a little bit of patience.

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                                                                                                              • Kambis M. Thank you for your wise comment!

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                                                                                                                • Nazar N. Amazing.....

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                                                                                                                  Nans S.

                                                                                                                  Video : Intensive plaque modification with rotational atherectomy and cutting balloon before DES implantation

                                                                                                                  https://www.incathlab.com/en/lives/1-coronary/71-pci/1976-intensive-plaque-modification-with-rotational-atherectomy-and-cutting-balloon-before-des-implantation

                                                                                                                  Video : Intensive plaque modification with rotational atherectomy and cutting balloon before DES implantation

                                                                                                                  Comments : Video : Intensive plaque modification with rotational atherectomy and cutting balloon before DES implantation

                                                                                                                  See previous comments (4)
                                                                                                                  • Vu V. Did you use IVUS before PCI?

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                                                                                                                    • Akondi A. Why dynaglide while introducing burr into catheter

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                                                                                                                      • Marcel G. great case... !

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                                                                                                                        • Pecheux M. What about à 1.5 mm Burr first?

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                                                                                                                          • Vardan K. I can't watch your videos

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                                                                                                                            • venkatesa reddy D. LOT'S OF LEARNING POINTS IN THIS CASE
                                                                                                                              THANK YOU

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                                                                                                                              • Venkatesa R. very good case

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                                                                                                                                • Mohammed H. Excellent case
                                                                                                                                  but the left main and LCX looks very tight and need revascularization
                                                                                                                                  if you did iFR for the left main , it will reveal the significance of the its lesion

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                                                                                                                                  See previous comments (7)
                                                                                                                                  • Burhonzoda Y. When will start?

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                                                                                                                                    • Serob M. qu'est ce que vous pensez de ADR technique?

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                                                                                                                                      • Serob M. Why haven't you considered antegrade dissection technique?

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                                                                                                                                        • Kosta N. Any role for parallel wire antegrade?

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                                                                                                                                          • Maged R. Only option is miniSTAR

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                                                                                                                                            • elyes K. may be AL2 +Guidezella2+ BASE

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                                                                                                                                              • Maged R. Would not balloon since dissection all the way to the tip

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                                                                                                                                                • Kosta N. Any role for IVUS guided reentry?

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                                                                                                                                                  • Hung Q. L. Great case! Thank you for the teaching points. After this investment procedure, when is your timeline to bring the patient back&

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                                                                                                                                                    • Ilaria P. Very interesting case!

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                                                                                                                                                      • Tekten T.

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                                                                                                                                                        See previous comments (1)
                                                                                                                                                        • Ahmed B. Nice illustrations, thanks for everyone

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                                                                                                                                                          • Ibrahim A. Excellent case

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                                                                                                                                                            • Saif A. As usual, Dr Alexandre amazing explanation and excellent Bioss stent placement technique.
                                                                                                                                                              Always we have problem with timing of presentation.
                                                                                                                                                              As difference in timing but any way wonderful outcome

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                                                                                                                                                              • Ahmed S. Excellent presentations and many thanks for the panel especially Dr. Avran. I`d like ask about the length of the BIOSS stent, is the central black dot is exactly positioned at the half length of the stent or i can choose different lengths for the proximal and distal parts of the stent.

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                                                                                                                                                                • Venkatesa R. excellent

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                                                                                                                                                                  • Amir ali M. good job

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                                                                                                                                                                    See previous comments (3)
                                                                                                                                                                    • Amir Aziz A. IVUS-guided antegradely?

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                                                                                                                                                                      • Amir Aziz A. No ivus??

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                                                                                                                                                                        • Honnert E. Bravo pour cette procédure, ce fût très intéressant. Congrats !

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                                                                                                                                                                          • Aydın B. Nice case
                                                                                                                                                                            Thanks

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                                                                                                                                                                            • Alexander P. The Best !

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                                                                                                                                                                              • venkatesa reddy D. VERY GOOD RESULT AFTER LONG STRUGLE

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                                                                                                                                                                                • Mahmoud E. nice case

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                                                                                                                                                                                  Nans S.

                                                                                                                                                                                  Video : Treatment of a very large calcified ostial RCA stenosis, with rotational atherectomy, supported by HD IVUS and implantation of a large 4.5/5.0mm BP-DES

                                                                                                                                                                                  https://www.incathlab.com/en/lives/1-coronary/71-pci/2077-treatment-of-a-very-large-calcified-ostial-rca-stenosis-with-rotational-atherectomy-supported-by-hd-ivus-and-implantation-of-a-large-4.55.0mm-bp-des

                                                                                                                                                                                  Video : Treatment of a very large calcified ostial RCA stenosis, with rotational atherectomy, supported by HD IVUS and implantation of a large 4.5/5.0mm BP-DES

                                                                                                                                                                                  Comments : Video : Treatment of a very large calcified ostial RCA stenosis, with rotational atherectomy, supported by HD IVUS and implantation of a large 4.5/5.0mm BP-DES

                                                                                                                                                                                  See previous comments (7)
                                                                                                                                                                                  • Andrei P. Congratulations on your success!

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                                                                                                                                                                                    • Phung H. Bravo!

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                                                                                                                                                                                      • mohamed N. Great work, great operators. Congratulations.

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                                                                                                                                                                                        • ahmed S. excellent

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                                                                                                                                                                                          • cosmin M. le

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                                                                                                                                                                                            • Wong A. Video was stopped after 9 min.playback

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                                                                                                                                                                                              • Maher J. Congratulations

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                                                                                                                                                                                                • Teh T. not playing after a few min, please upload again

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                                                                                                                                                                                                  • Pecheux M.
                                                                                                                                                                                                    Coucou

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                                                                                                                                                                                                    • Usman K. Not playing

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                                                                                                                                                                                                      • venkatesa reddy D. very well done

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                                                                                                                                                                                                        See previous comments (1)
                                                                                                                                                                                                        • Liam M. Cases 6 and 9 both interesting. Is it possible to get Case 8 also?

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                                                                                                                                                                                                          • Evandro E. Very nice case! congratulations

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                                                                                                                                                                                                            • Cyruz G. What is the role of the Radioagrapher in your CathLab?

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                                                                                                                                                                                                              • Muhammad Bilal K. Excellent Case, Congratulations

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                                                                                                                                                                                                                • venkatesa reddy D. VERY ELEGANLTY DEMONSTRATED ADR

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                                                                                                                                                                                                                  • Basel S. Why you didnt do final POT?

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                                                                                                                                                                                                                    • venkatesa reddy D. very nice results

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                                                                                                                                                                                                                      See previous comments (1)
                                                                                                                                                                                                                      • michele E. No

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                                                                                                                                                                                                                        • Alexander P. The best

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                                                                                                                                                                                                                          • Ulises L. Great result. Just 1 question, any reason not to perform it through radial approach using a slender sheath?

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                                                                                                                                                                                                                            • venkatesa reddy D. very well done

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                                                                                                                                                                                                                              • venkatesa reddy D. excellent results , perfect stent positioning at diagonal

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                                                                                                                                                                                                                                • hazem E. Leave a new comment to the discussion

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                                                                                                                                                                                                                                  • Vinod N. Great case

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                                                                                                                                                                                                                                    • chengchun W. how to identify the collatreals are bridge collaterals or microchannels?

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                                                                                                                                                                                                                                      • Vinod N. Great case

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                                                                                                                                                                                                                                        See previous comments (1)
                                                                                                                                                                                                                                        • Sajan N. any role for aspirin desensitisation in this case before proceeding to PCI? especially since patient is stable

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                                                                                                                                                                                                                                          • Veselin B. The diagonals are below 2mm,there should be no plan for bifurcational stenting

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                                                                                                                                                                                                                                            • Mohamed A. Very interesting discussion and Good results

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                                                                                                                                                                                                                                              • Ahmed S. Is there any study comparing Synergy vs Bio-freedom stents

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                                                                                                                                                                                                                                                • Giedre G. What about the Idea to repeat FFR after PCI?

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                                                                                                                                                                                                                                                  • Mohamed M. Tough case

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                                                                                                                                                                                                                                                    • Georgi G. Leave a new comment to the discussion

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                                                                                                                                                                                                                                                      See previous comments (4)
                                                                                                                                                                                                                                                      • Amir Aziz A. It's a small diagonal at mid LAD. Any rational to protect less than 2mm diagonal branch?

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                                                                                                                                                                                                                                                        • Felix V. i get always Problems with Audio while watching incathlabLeave a new comment to the discussion

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                                                                                                                                                                                                                                                          • Michel P. hello Amir,
                                                                                                                                                                                                                                                            If you talk about the live case, we could see it was a big diagonal branch , narrowed at its origin,

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                                                                                                                                                                                                                                                            • Michel P. At least 2.5 mm. So you have to protect it and to treat it.

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                                                                                                                                                                                                                                                              • ersan T. Can we choose mini crush stenting as a first ?

                                                                                                                                                                                                                                                                • Michel P. Yes, you can but we tried in this live case to do a single stent strategy T provisional . For a two stent strategy, we prefer TAP technique

                                                                                                                                                                                                                                                                • Laurent D. I total agree with michel. in this case with a very short ostial lesion the provisional stenting technique is the best strategy.
                                                                                                                                                                                                                                                                  in the case of a two stents strategy the choice between crush, mini crush, T, culotte depend on the difference of diameter between main and side branch and of the angle of the bifurcation

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                                                                                                                                                                                                                                                              • Plamen K. Very very interesting cases

                                                                                                                                                                                                                                                                • Michel P. Thank tou very much !

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                                                                                                                                                                                                                                                              • Umar S. Really interesting one

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                                                                                                                                                                                                                                                                • bassem J. good but still stenosis on ostial dg

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                                                                                                                                                                                                                                                                  • narayana reddy B. Good case done simplest way

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                                                                                                                                                                                                                                                                    • Mohamed M. Good job

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                                                                                                                                                                                                                                                                      • Mohamed M. Why scori g ballon and not rota

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                                                                                                                                                                                                                                                                        • Mohamed M. Does the left main stent withdraw with the second one and retrieved with the snair leaving the left main with no injury unbelievable

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                                                                                                                                                                                                                                                                          • Ademaj F. Great Case Kambis. Congratulations.

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                                                                                                                                                                                                                                                                            • Georgios S. Hi Alex, Congratulations on the cases and on the discussion.Could you elaborate on trapping with a guide extension in the vessel. George Sitafidis

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                                                                                                                                                                                                                                                                              • JOSEPH S. very nice procedure

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                                                                                                                                                                                                                                                                                • ali kemal C. great job

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                                                                                                                                                                                                                                                                                  • Dr. S. V. Excellent demonstration

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                                                                                                                                                                                                                                                                                    • Ajay G. once we go sub intimally and when we try to redirect the same wire how will we decide, from which point we have to redirect?

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                                                                                                                                                                                                                                                                                      • Nicolaus R. Nice presentation. I only would suggest to promote proper antegrade technique like parralel wire before advocating dissection reentry or retrograde. The procedural times dye consumtion and complications are in favor of chasing antegrade before changing strategy.

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                                                                                                                                                                                                                                                                                        • prakash H. good one

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                                                                                                                                                                                                                                                                                          • chengchun W. any advices about advancing the stent in this very bending vessels?

                                                                                                                                                                                                                                                                                            • Aly T. Gudzilla or guidliner

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                                                                                                                                                                                                                                                                                          • Piotr K. how to assess at this stage that wire is in the true lumen (OTW balloon passed in the lesion but no flow distal to balloon)

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                                                                                                                                                                                                                                                                                            • Marwan M. Great job,, thanks

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                                                                                                                                                                                                                                                                                            • Rakhmanov S. Thanks for your case

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                                                                                                                                                                                                                                                                                              • chengchun W. Crossboss or stingray balloon is not available for our country.
                                                                                                                                                                                                                                                                                                1. what is your suggestion for dissection re-entry method if no reentry device is avaible?
                                                                                                                                                                                                                                                                                                2. can you share some tips for knuckle wire? eg. the loop size, wire...
                                                                                                                                                                                                                                                                                                3. to use knucle wire technique, is it necessary to use microcatheter together?

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                                                                                                                                                                                                                                                                                                • Alexandre A. Dear Chengchun
                                                                                                                                                                                                                                                                                                  first thanks for your active participation in a lot of CTO comments
                                                                                                                                                                                                                                                                                                  I suggest you if you can coming to MLCTO meeting in Nice France the 29 30 june and 01 of July where all yours questions will find a answer
                                                                                                                                                                                                                                                                                                  first it's very difficult to reenter without stingray balloon because this one localise yourself in 3 dimensions
                                                                                                                                                                                                                                                                                                  then you can try with minister technique or with a stiff wire to reenter
                                                                                                                                                                                                                                                                                                  2) best knuckle wires are Fielder XT or Pilot 200 and best curve is the smallest one
                                                                                                                                                                                                                                                                                                  3) it not a mandatory but a good recommandation to use microKT with knuckle technique because sometime and specially at the beginning you need support to get in subintimal space
                                                                                                                                                                                                                                                                                                  hope my answers find you well
                                                                                                                                                                                                                                                                                                  Alexandre Avran

                                                                                                                                                                                                                                                                                                  • chengchun W. thansk for your reply
                                                                                                                                                                                                                                                                                                    to watch your great performance help me clarify the secrets of CTO
                                                                                                                                                                                                                                                                                                    our Taiwanese always watch Japanese performance but i think your strategy is quite comprehensive and straighforward
                                                                                                                                                                                                                                                                                                    thanks you master

                                                                                                                                                                                                                                                                                                    by the way, if possible , i will visit Nice in France this June

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                                                                                                                                                                                                                                                                                                • Alexandre A. ministar technique

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                                                                                                                                                                                                                                                                                                  • Yahya Y.

                                                                                                                                                                                                                                                                                                    Why did you use finecross instead of corsair ? any reason which one is better to use in particular lesion ?

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