Vein graft PCI: Focus on distal embolic protection-how, when, pitfalls, troubleshooting- Elias Hanna
Автор: Elias Hanna
Загружено: 2023-06-23
Просмотров: 6657
0:00 Basic description of Spiderwire and Filterwire wires and catheters, dimensions, profile, and landing zone
05:22 Spiderwire: detailed technical deployment with videos- + Basic troubleshooting.
18:24 Filter EZ technical deployment
22:42 Brief on guides, Guideliner, radial access. See also my graft engagement talks
• Grafts engagement (femoral+radial): detail...
For AL maneuvering: • Grafts engagement (femoral+radial): detail... Minute 17:40
28:16 Data and guidelines
31:00 Limitations and technical pitfalls of distal embolic protection- Focus on proximal left graft disease- Value of buddy wire
36:57 Limitations of landing zone in distal disease
38:00 Troubleshooting (unable to advance spider catheter, unable to advance stent, unable to advance retrieval catheter 40:00)
42:20 and 43:32 Summary: when to consider embolic protection and when to avoid it
46:12 Troubleshooting when filter is full and flow is impaired- Thrombectomy and Guideliner suction- Case illustration- IIb/IIIa inhibitors? (49:28)
53:18 Other strategies to reduce distal embolization, distal vasodilators
56:45 Another case illustration
57:54 Long-term results after SVG-PCI, including for distal vs mid vs proximal SVG.
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