10:50 ochiai - 10 key points to avoid major complications during cto pci
TRANSCRIPT
10 Key Points to Avoid Major Complications
during CTO PCI
Masahiko Ochiai MD FACC FESC FSCAI
Division of Cardiology and Cardiac Catheterization LaboratoriesShowa University Northern Yokohama Hospital Kanagawa JAPAN
September 26 (Fri)Madrid Spain
1 Definite progress for final success should be accomplished
within fluoroscopy time of 60mim (or skin dose of 5 Gy)
Antegrade approach successful antegrade wire cross
Retrograde approach successful delivery of a retrograde Corsair through collateral channels
What is the Definite Progress
Even after the definite progress more radiation exposure is mandatory for ballooning and stenting etc
Early transient erythema 2 Gy HoursMain erythema 6 ~ 10 dLate erythema 15 ~ 6 ndash 10 wkTemporary epilation 3 ~ 3 wkPermanent epilation 7 ~ 3 wkDry desquamation 14 ~ 4 wkMoist desquamation 18 ~ 4 wkSecondary ulceration 24 gt 6 wkIschemic dermal necrosis 18 gt 10 wkDermal atrophy (1st phase) 10 gt 14 wkDermal atrophy (2nd phase) 10 gt 1 yrTelangiectasia 10 gt 1 yrLate dermal necrosis gt12 gt 1yrSkin cancer Not known 5 yr
Threshold Skin Entrance Dose for Radiation Dermatitis
King SB Yeung AC Interventional Cardiology 2007 The McGraw-Hill Companies
Distribution of the Skin Dose in CTO PCI
Back of a Referred Patient after 2nd Attempt of RCA CTO
Back of a Referred Patient after 2nd Attempt of LCx CTO
2 Prepare detailed PCI strategies based on high quality angiogram without panning
Effort AP DM HL Obesity 57 years male
Effort AP DM HL Obesity 57 years male
Difference between II System and FPD
Comparison of the effect of circumference distortion ( Left II Right FPD)
The Benefits of FPD System
Example of Image Processing on FPD system ( Left Before processing Right After processing )
middot Panning was essential in the era of image intensifiers However current FPD provides clear images of whole coronary arteries in 6 or 7 inch without panning If magnified image is required modern dicom viewer easily provides it
middot Detailed information regarding collateral channels or CTO structure are lost by panning Panning does more harm than good Itrsquos so called masturbation in coronary angiogram
middot In my institution panning is strictly prohibited
Panning
middot 5Fr JL for LCA and 5Fr JR or IM for RCA
middot LCA 35mlsec total 55ml (Assist TM)RAO 30 caudal 20 RAO 30 RAO 30 cranial 20AP cranial 25 AP caudal 25LAO 45 caudal 25 LAO 45 LAO 45 cranial 15
middot RCA 25mllsec total 5ml (Assist TM)LAO 45 AP cranial 25 RAO 30
middot Moderate magnification (6inch) without any panning and collimation
Protocol of Diagnostic CAG at SUNYH
3 Measure ACT and keep it within your target range
Arterial Access in Retrograde Approachmiddot Antegrade 8Fr 45cm long sheath from rt groin amp 8Fr
guiding catheters with side holes
middot Retrograde 8Fr 45cm long sheath from lt groin amp 7Fr guiding catheters with side holes
Blood sample for ACT measurement is taken from the side arm of the 8Fr sheath every 30min It should be 300 sec
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
1 Definite progress for final success should be accomplished
within fluoroscopy time of 60mim (or skin dose of 5 Gy)
Antegrade approach successful antegrade wire cross
Retrograde approach successful delivery of a retrograde Corsair through collateral channels
What is the Definite Progress
Even after the definite progress more radiation exposure is mandatory for ballooning and stenting etc
Early transient erythema 2 Gy HoursMain erythema 6 ~ 10 dLate erythema 15 ~ 6 ndash 10 wkTemporary epilation 3 ~ 3 wkPermanent epilation 7 ~ 3 wkDry desquamation 14 ~ 4 wkMoist desquamation 18 ~ 4 wkSecondary ulceration 24 gt 6 wkIschemic dermal necrosis 18 gt 10 wkDermal atrophy (1st phase) 10 gt 14 wkDermal atrophy (2nd phase) 10 gt 1 yrTelangiectasia 10 gt 1 yrLate dermal necrosis gt12 gt 1yrSkin cancer Not known 5 yr
Threshold Skin Entrance Dose for Radiation Dermatitis
King SB Yeung AC Interventional Cardiology 2007 The McGraw-Hill Companies
Distribution of the Skin Dose in CTO PCI
Back of a Referred Patient after 2nd Attempt of RCA CTO
Back of a Referred Patient after 2nd Attempt of LCx CTO
2 Prepare detailed PCI strategies based on high quality angiogram without panning
Effort AP DM HL Obesity 57 years male
Effort AP DM HL Obesity 57 years male
Difference between II System and FPD
Comparison of the effect of circumference distortion ( Left II Right FPD)
The Benefits of FPD System
Example of Image Processing on FPD system ( Left Before processing Right After processing )
middot Panning was essential in the era of image intensifiers However current FPD provides clear images of whole coronary arteries in 6 or 7 inch without panning If magnified image is required modern dicom viewer easily provides it
middot Detailed information regarding collateral channels or CTO structure are lost by panning Panning does more harm than good Itrsquos so called masturbation in coronary angiogram
middot In my institution panning is strictly prohibited
Panning
middot 5Fr JL for LCA and 5Fr JR or IM for RCA
middot LCA 35mlsec total 55ml (Assist TM)RAO 30 caudal 20 RAO 30 RAO 30 cranial 20AP cranial 25 AP caudal 25LAO 45 caudal 25 LAO 45 LAO 45 cranial 15
middot RCA 25mllsec total 5ml (Assist TM)LAO 45 AP cranial 25 RAO 30
middot Moderate magnification (6inch) without any panning and collimation
Protocol of Diagnostic CAG at SUNYH
3 Measure ACT and keep it within your target range
Arterial Access in Retrograde Approachmiddot Antegrade 8Fr 45cm long sheath from rt groin amp 8Fr
guiding catheters with side holes
middot Retrograde 8Fr 45cm long sheath from lt groin amp 7Fr guiding catheters with side holes
Blood sample for ACT measurement is taken from the side arm of the 8Fr sheath every 30min It should be 300 sec
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
Antegrade approach successful antegrade wire cross
Retrograde approach successful delivery of a retrograde Corsair through collateral channels
What is the Definite Progress
Even after the definite progress more radiation exposure is mandatory for ballooning and stenting etc
Early transient erythema 2 Gy HoursMain erythema 6 ~ 10 dLate erythema 15 ~ 6 ndash 10 wkTemporary epilation 3 ~ 3 wkPermanent epilation 7 ~ 3 wkDry desquamation 14 ~ 4 wkMoist desquamation 18 ~ 4 wkSecondary ulceration 24 gt 6 wkIschemic dermal necrosis 18 gt 10 wkDermal atrophy (1st phase) 10 gt 14 wkDermal atrophy (2nd phase) 10 gt 1 yrTelangiectasia 10 gt 1 yrLate dermal necrosis gt12 gt 1yrSkin cancer Not known 5 yr
Threshold Skin Entrance Dose for Radiation Dermatitis
King SB Yeung AC Interventional Cardiology 2007 The McGraw-Hill Companies
Distribution of the Skin Dose in CTO PCI
Back of a Referred Patient after 2nd Attempt of RCA CTO
Back of a Referred Patient after 2nd Attempt of LCx CTO
2 Prepare detailed PCI strategies based on high quality angiogram without panning
Effort AP DM HL Obesity 57 years male
Effort AP DM HL Obesity 57 years male
Difference between II System and FPD
Comparison of the effect of circumference distortion ( Left II Right FPD)
The Benefits of FPD System
Example of Image Processing on FPD system ( Left Before processing Right After processing )
middot Panning was essential in the era of image intensifiers However current FPD provides clear images of whole coronary arteries in 6 or 7 inch without panning If magnified image is required modern dicom viewer easily provides it
middot Detailed information regarding collateral channels or CTO structure are lost by panning Panning does more harm than good Itrsquos so called masturbation in coronary angiogram
middot In my institution panning is strictly prohibited
Panning
middot 5Fr JL for LCA and 5Fr JR or IM for RCA
middot LCA 35mlsec total 55ml (Assist TM)RAO 30 caudal 20 RAO 30 RAO 30 cranial 20AP cranial 25 AP caudal 25LAO 45 caudal 25 LAO 45 LAO 45 cranial 15
middot RCA 25mllsec total 5ml (Assist TM)LAO 45 AP cranial 25 RAO 30
middot Moderate magnification (6inch) without any panning and collimation
Protocol of Diagnostic CAG at SUNYH
3 Measure ACT and keep it within your target range
Arterial Access in Retrograde Approachmiddot Antegrade 8Fr 45cm long sheath from rt groin amp 8Fr
guiding catheters with side holes
middot Retrograde 8Fr 45cm long sheath from lt groin amp 7Fr guiding catheters with side holes
Blood sample for ACT measurement is taken from the side arm of the 8Fr sheath every 30min It should be 300 sec
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
Early transient erythema 2 Gy HoursMain erythema 6 ~ 10 dLate erythema 15 ~ 6 ndash 10 wkTemporary epilation 3 ~ 3 wkPermanent epilation 7 ~ 3 wkDry desquamation 14 ~ 4 wkMoist desquamation 18 ~ 4 wkSecondary ulceration 24 gt 6 wkIschemic dermal necrosis 18 gt 10 wkDermal atrophy (1st phase) 10 gt 14 wkDermal atrophy (2nd phase) 10 gt 1 yrTelangiectasia 10 gt 1 yrLate dermal necrosis gt12 gt 1yrSkin cancer Not known 5 yr
Threshold Skin Entrance Dose for Radiation Dermatitis
King SB Yeung AC Interventional Cardiology 2007 The McGraw-Hill Companies
Distribution of the Skin Dose in CTO PCI
Back of a Referred Patient after 2nd Attempt of RCA CTO
Back of a Referred Patient after 2nd Attempt of LCx CTO
2 Prepare detailed PCI strategies based on high quality angiogram without panning
Effort AP DM HL Obesity 57 years male
Effort AP DM HL Obesity 57 years male
Difference between II System and FPD
Comparison of the effect of circumference distortion ( Left II Right FPD)
The Benefits of FPD System
Example of Image Processing on FPD system ( Left Before processing Right After processing )
middot Panning was essential in the era of image intensifiers However current FPD provides clear images of whole coronary arteries in 6 or 7 inch without panning If magnified image is required modern dicom viewer easily provides it
middot Detailed information regarding collateral channels or CTO structure are lost by panning Panning does more harm than good Itrsquos so called masturbation in coronary angiogram
middot In my institution panning is strictly prohibited
Panning
middot 5Fr JL for LCA and 5Fr JR or IM for RCA
middot LCA 35mlsec total 55ml (Assist TM)RAO 30 caudal 20 RAO 30 RAO 30 cranial 20AP cranial 25 AP caudal 25LAO 45 caudal 25 LAO 45 LAO 45 cranial 15
middot RCA 25mllsec total 5ml (Assist TM)LAO 45 AP cranial 25 RAO 30
middot Moderate magnification (6inch) without any panning and collimation
Protocol of Diagnostic CAG at SUNYH
3 Measure ACT and keep it within your target range
Arterial Access in Retrograde Approachmiddot Antegrade 8Fr 45cm long sheath from rt groin amp 8Fr
guiding catheters with side holes
middot Retrograde 8Fr 45cm long sheath from lt groin amp 7Fr guiding catheters with side holes
Blood sample for ACT measurement is taken from the side arm of the 8Fr sheath every 30min It should be 300 sec
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
Distribution of the Skin Dose in CTO PCI
Back of a Referred Patient after 2nd Attempt of RCA CTO
Back of a Referred Patient after 2nd Attempt of LCx CTO
2 Prepare detailed PCI strategies based on high quality angiogram without panning
Effort AP DM HL Obesity 57 years male
Effort AP DM HL Obesity 57 years male
Difference between II System and FPD
Comparison of the effect of circumference distortion ( Left II Right FPD)
The Benefits of FPD System
Example of Image Processing on FPD system ( Left Before processing Right After processing )
middot Panning was essential in the era of image intensifiers However current FPD provides clear images of whole coronary arteries in 6 or 7 inch without panning If magnified image is required modern dicom viewer easily provides it
middot Detailed information regarding collateral channels or CTO structure are lost by panning Panning does more harm than good Itrsquos so called masturbation in coronary angiogram
middot In my institution panning is strictly prohibited
Panning
middot 5Fr JL for LCA and 5Fr JR or IM for RCA
middot LCA 35mlsec total 55ml (Assist TM)RAO 30 caudal 20 RAO 30 RAO 30 cranial 20AP cranial 25 AP caudal 25LAO 45 caudal 25 LAO 45 LAO 45 cranial 15
middot RCA 25mllsec total 5ml (Assist TM)LAO 45 AP cranial 25 RAO 30
middot Moderate magnification (6inch) without any panning and collimation
Protocol of Diagnostic CAG at SUNYH
3 Measure ACT and keep it within your target range
Arterial Access in Retrograde Approachmiddot Antegrade 8Fr 45cm long sheath from rt groin amp 8Fr
guiding catheters with side holes
middot Retrograde 8Fr 45cm long sheath from lt groin amp 7Fr guiding catheters with side holes
Blood sample for ACT measurement is taken from the side arm of the 8Fr sheath every 30min It should be 300 sec
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
Back of a Referred Patient after 2nd Attempt of RCA CTO
Back of a Referred Patient after 2nd Attempt of LCx CTO
2 Prepare detailed PCI strategies based on high quality angiogram without panning
Effort AP DM HL Obesity 57 years male
Effort AP DM HL Obesity 57 years male
Difference between II System and FPD
Comparison of the effect of circumference distortion ( Left II Right FPD)
The Benefits of FPD System
Example of Image Processing on FPD system ( Left Before processing Right After processing )
middot Panning was essential in the era of image intensifiers However current FPD provides clear images of whole coronary arteries in 6 or 7 inch without panning If magnified image is required modern dicom viewer easily provides it
middot Detailed information regarding collateral channels or CTO structure are lost by panning Panning does more harm than good Itrsquos so called masturbation in coronary angiogram
middot In my institution panning is strictly prohibited
Panning
middot 5Fr JL for LCA and 5Fr JR or IM for RCA
middot LCA 35mlsec total 55ml (Assist TM)RAO 30 caudal 20 RAO 30 RAO 30 cranial 20AP cranial 25 AP caudal 25LAO 45 caudal 25 LAO 45 LAO 45 cranial 15
middot RCA 25mllsec total 5ml (Assist TM)LAO 45 AP cranial 25 RAO 30
middot Moderate magnification (6inch) without any panning and collimation
Protocol of Diagnostic CAG at SUNYH
3 Measure ACT and keep it within your target range
Arterial Access in Retrograde Approachmiddot Antegrade 8Fr 45cm long sheath from rt groin amp 8Fr
guiding catheters with side holes
middot Retrograde 8Fr 45cm long sheath from lt groin amp 7Fr guiding catheters with side holes
Blood sample for ACT measurement is taken from the side arm of the 8Fr sheath every 30min It should be 300 sec
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
Back of a Referred Patient after 2nd Attempt of LCx CTO
2 Prepare detailed PCI strategies based on high quality angiogram without panning
Effort AP DM HL Obesity 57 years male
Effort AP DM HL Obesity 57 years male
Difference between II System and FPD
Comparison of the effect of circumference distortion ( Left II Right FPD)
The Benefits of FPD System
Example of Image Processing on FPD system ( Left Before processing Right After processing )
middot Panning was essential in the era of image intensifiers However current FPD provides clear images of whole coronary arteries in 6 or 7 inch without panning If magnified image is required modern dicom viewer easily provides it
middot Detailed information regarding collateral channels or CTO structure are lost by panning Panning does more harm than good Itrsquos so called masturbation in coronary angiogram
middot In my institution panning is strictly prohibited
Panning
middot 5Fr JL for LCA and 5Fr JR or IM for RCA
middot LCA 35mlsec total 55ml (Assist TM)RAO 30 caudal 20 RAO 30 RAO 30 cranial 20AP cranial 25 AP caudal 25LAO 45 caudal 25 LAO 45 LAO 45 cranial 15
middot RCA 25mllsec total 5ml (Assist TM)LAO 45 AP cranial 25 RAO 30
middot Moderate magnification (6inch) without any panning and collimation
Protocol of Diagnostic CAG at SUNYH
3 Measure ACT and keep it within your target range
Arterial Access in Retrograde Approachmiddot Antegrade 8Fr 45cm long sheath from rt groin amp 8Fr
guiding catheters with side holes
middot Retrograde 8Fr 45cm long sheath from lt groin amp 7Fr guiding catheters with side holes
Blood sample for ACT measurement is taken from the side arm of the 8Fr sheath every 30min It should be 300 sec
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
2 Prepare detailed PCI strategies based on high quality angiogram without panning
Effort AP DM HL Obesity 57 years male
Effort AP DM HL Obesity 57 years male
Difference between II System and FPD
Comparison of the effect of circumference distortion ( Left II Right FPD)
The Benefits of FPD System
Example of Image Processing on FPD system ( Left Before processing Right After processing )
middot Panning was essential in the era of image intensifiers However current FPD provides clear images of whole coronary arteries in 6 or 7 inch without panning If magnified image is required modern dicom viewer easily provides it
middot Detailed information regarding collateral channels or CTO structure are lost by panning Panning does more harm than good Itrsquos so called masturbation in coronary angiogram
middot In my institution panning is strictly prohibited
Panning
middot 5Fr JL for LCA and 5Fr JR or IM for RCA
middot LCA 35mlsec total 55ml (Assist TM)RAO 30 caudal 20 RAO 30 RAO 30 cranial 20AP cranial 25 AP caudal 25LAO 45 caudal 25 LAO 45 LAO 45 cranial 15
middot RCA 25mllsec total 5ml (Assist TM)LAO 45 AP cranial 25 RAO 30
middot Moderate magnification (6inch) without any panning and collimation
Protocol of Diagnostic CAG at SUNYH
3 Measure ACT and keep it within your target range
Arterial Access in Retrograde Approachmiddot Antegrade 8Fr 45cm long sheath from rt groin amp 8Fr
guiding catheters with side holes
middot Retrograde 8Fr 45cm long sheath from lt groin amp 7Fr guiding catheters with side holes
Blood sample for ACT measurement is taken from the side arm of the 8Fr sheath every 30min It should be 300 sec
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
Effort AP DM HL Obesity 57 years male
Effort AP DM HL Obesity 57 years male
Difference between II System and FPD
Comparison of the effect of circumference distortion ( Left II Right FPD)
The Benefits of FPD System
Example of Image Processing on FPD system ( Left Before processing Right After processing )
middot Panning was essential in the era of image intensifiers However current FPD provides clear images of whole coronary arteries in 6 or 7 inch without panning If magnified image is required modern dicom viewer easily provides it
middot Detailed information regarding collateral channels or CTO structure are lost by panning Panning does more harm than good Itrsquos so called masturbation in coronary angiogram
middot In my institution panning is strictly prohibited
Panning
middot 5Fr JL for LCA and 5Fr JR or IM for RCA
middot LCA 35mlsec total 55ml (Assist TM)RAO 30 caudal 20 RAO 30 RAO 30 cranial 20AP cranial 25 AP caudal 25LAO 45 caudal 25 LAO 45 LAO 45 cranial 15
middot RCA 25mllsec total 5ml (Assist TM)LAO 45 AP cranial 25 RAO 30
middot Moderate magnification (6inch) without any panning and collimation
Protocol of Diagnostic CAG at SUNYH
3 Measure ACT and keep it within your target range
Arterial Access in Retrograde Approachmiddot Antegrade 8Fr 45cm long sheath from rt groin amp 8Fr
guiding catheters with side holes
middot Retrograde 8Fr 45cm long sheath from lt groin amp 7Fr guiding catheters with side holes
Blood sample for ACT measurement is taken from the side arm of the 8Fr sheath every 30min It should be 300 sec
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
Effort AP DM HL Obesity 57 years male
Difference between II System and FPD
Comparison of the effect of circumference distortion ( Left II Right FPD)
The Benefits of FPD System
Example of Image Processing on FPD system ( Left Before processing Right After processing )
middot Panning was essential in the era of image intensifiers However current FPD provides clear images of whole coronary arteries in 6 or 7 inch without panning If magnified image is required modern dicom viewer easily provides it
middot Detailed information regarding collateral channels or CTO structure are lost by panning Panning does more harm than good Itrsquos so called masturbation in coronary angiogram
middot In my institution panning is strictly prohibited
Panning
middot 5Fr JL for LCA and 5Fr JR or IM for RCA
middot LCA 35mlsec total 55ml (Assist TM)RAO 30 caudal 20 RAO 30 RAO 30 cranial 20AP cranial 25 AP caudal 25LAO 45 caudal 25 LAO 45 LAO 45 cranial 15
middot RCA 25mllsec total 5ml (Assist TM)LAO 45 AP cranial 25 RAO 30
middot Moderate magnification (6inch) without any panning and collimation
Protocol of Diagnostic CAG at SUNYH
3 Measure ACT and keep it within your target range
Arterial Access in Retrograde Approachmiddot Antegrade 8Fr 45cm long sheath from rt groin amp 8Fr
guiding catheters with side holes
middot Retrograde 8Fr 45cm long sheath from lt groin amp 7Fr guiding catheters with side holes
Blood sample for ACT measurement is taken from the side arm of the 8Fr sheath every 30min It should be 300 sec
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
Difference between II System and FPD
Comparison of the effect of circumference distortion ( Left II Right FPD)
The Benefits of FPD System
Example of Image Processing on FPD system ( Left Before processing Right After processing )
middot Panning was essential in the era of image intensifiers However current FPD provides clear images of whole coronary arteries in 6 or 7 inch without panning If magnified image is required modern dicom viewer easily provides it
middot Detailed information regarding collateral channels or CTO structure are lost by panning Panning does more harm than good Itrsquos so called masturbation in coronary angiogram
middot In my institution panning is strictly prohibited
Panning
middot 5Fr JL for LCA and 5Fr JR or IM for RCA
middot LCA 35mlsec total 55ml (Assist TM)RAO 30 caudal 20 RAO 30 RAO 30 cranial 20AP cranial 25 AP caudal 25LAO 45 caudal 25 LAO 45 LAO 45 cranial 15
middot RCA 25mllsec total 5ml (Assist TM)LAO 45 AP cranial 25 RAO 30
middot Moderate magnification (6inch) without any panning and collimation
Protocol of Diagnostic CAG at SUNYH
3 Measure ACT and keep it within your target range
Arterial Access in Retrograde Approachmiddot Antegrade 8Fr 45cm long sheath from rt groin amp 8Fr
guiding catheters with side holes
middot Retrograde 8Fr 45cm long sheath from lt groin amp 7Fr guiding catheters with side holes
Blood sample for ACT measurement is taken from the side arm of the 8Fr sheath every 30min It should be 300 sec
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
The Benefits of FPD System
Example of Image Processing on FPD system ( Left Before processing Right After processing )
middot Panning was essential in the era of image intensifiers However current FPD provides clear images of whole coronary arteries in 6 or 7 inch without panning If magnified image is required modern dicom viewer easily provides it
middot Detailed information regarding collateral channels or CTO structure are lost by panning Panning does more harm than good Itrsquos so called masturbation in coronary angiogram
middot In my institution panning is strictly prohibited
Panning
middot 5Fr JL for LCA and 5Fr JR or IM for RCA
middot LCA 35mlsec total 55ml (Assist TM)RAO 30 caudal 20 RAO 30 RAO 30 cranial 20AP cranial 25 AP caudal 25LAO 45 caudal 25 LAO 45 LAO 45 cranial 15
middot RCA 25mllsec total 5ml (Assist TM)LAO 45 AP cranial 25 RAO 30
middot Moderate magnification (6inch) without any panning and collimation
Protocol of Diagnostic CAG at SUNYH
3 Measure ACT and keep it within your target range
Arterial Access in Retrograde Approachmiddot Antegrade 8Fr 45cm long sheath from rt groin amp 8Fr
guiding catheters with side holes
middot Retrograde 8Fr 45cm long sheath from lt groin amp 7Fr guiding catheters with side holes
Blood sample for ACT measurement is taken from the side arm of the 8Fr sheath every 30min It should be 300 sec
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
middot Panning was essential in the era of image intensifiers However current FPD provides clear images of whole coronary arteries in 6 or 7 inch without panning If magnified image is required modern dicom viewer easily provides it
middot Detailed information regarding collateral channels or CTO structure are lost by panning Panning does more harm than good Itrsquos so called masturbation in coronary angiogram
middot In my institution panning is strictly prohibited
Panning
middot 5Fr JL for LCA and 5Fr JR or IM for RCA
middot LCA 35mlsec total 55ml (Assist TM)RAO 30 caudal 20 RAO 30 RAO 30 cranial 20AP cranial 25 AP caudal 25LAO 45 caudal 25 LAO 45 LAO 45 cranial 15
middot RCA 25mllsec total 5ml (Assist TM)LAO 45 AP cranial 25 RAO 30
middot Moderate magnification (6inch) without any panning and collimation
Protocol of Diagnostic CAG at SUNYH
3 Measure ACT and keep it within your target range
Arterial Access in Retrograde Approachmiddot Antegrade 8Fr 45cm long sheath from rt groin amp 8Fr
guiding catheters with side holes
middot Retrograde 8Fr 45cm long sheath from lt groin amp 7Fr guiding catheters with side holes
Blood sample for ACT measurement is taken from the side arm of the 8Fr sheath every 30min It should be 300 sec
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
middot 5Fr JL for LCA and 5Fr JR or IM for RCA
middot LCA 35mlsec total 55ml (Assist TM)RAO 30 caudal 20 RAO 30 RAO 30 cranial 20AP cranial 25 AP caudal 25LAO 45 caudal 25 LAO 45 LAO 45 cranial 15
middot RCA 25mllsec total 5ml (Assist TM)LAO 45 AP cranial 25 RAO 30
middot Moderate magnification (6inch) without any panning and collimation
Protocol of Diagnostic CAG at SUNYH
3 Measure ACT and keep it within your target range
Arterial Access in Retrograde Approachmiddot Antegrade 8Fr 45cm long sheath from rt groin amp 8Fr
guiding catheters with side holes
middot Retrograde 8Fr 45cm long sheath from lt groin amp 7Fr guiding catheters with side holes
Blood sample for ACT measurement is taken from the side arm of the 8Fr sheath every 30min It should be 300 sec
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
3 Measure ACT and keep it within your target range
Arterial Access in Retrograde Approachmiddot Antegrade 8Fr 45cm long sheath from rt groin amp 8Fr
guiding catheters with side holes
middot Retrograde 8Fr 45cm long sheath from lt groin amp 7Fr guiding catheters with side holes
Blood sample for ACT measurement is taken from the side arm of the 8Fr sheath every 30min It should be 300 sec
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
Arterial Access in Retrograde Approachmiddot Antegrade 8Fr 45cm long sheath from rt groin amp 8Fr
guiding catheters with side holes
middot Retrograde 8Fr 45cm long sheath from lt groin amp 7Fr guiding catheters with side holes
Blood sample for ACT measurement is taken from the side arm of the 8Fr sheath every 30min It should be 300 sec
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
4 Everything (guiding catheters and wires) should be on the same screen
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt Sinus of Valsalva
8Fr Mach 1CLS35-SH
7Fr Mach1JL40-SH
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
5 Use guiding catheters 7Fr without a stiff and tapered tip
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
＜ A① ＞
＜ E① ＞ ＜ E② ＞Distal tip area 0603mm2
Distal tip area 0320mm2
＜ C ＞Distal tip area 0957mm2 Distal tip area 0730mm2
＜ B ＞Distal tip area 0717mm2
＜ A② ＞Distal tip area 0672mm2
＜ D ＞Distal tip area 0766mm2
200 Times Microscopic Examinationof Various Guiding Catheters
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
6 Do your best to identify the entry point into CTO
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
Effort AP 71 years male Mid LCx CTO
8Fr Brite-tipXB40-SH
6Fr diagnosticIM
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
IVUS Examination from the LA Branch
larr
larr
Gaia 1st with Crusade
Crusade was Replaced by IVUS with Trapping Technique
Crusade was Replaced by IVUS with Trapping Technique
Gaia 1st with Crusade
Crusade was Replaced by IVUS with Trapping Technique
Crusade was Replaced by IVUS with Trapping Technique
Crusade was Replaced by IVUS with Trapping Technique
Crusade was Replaced by IVUS with Trapping Technique
Crusade was Replaced by IVUS with Trapping Technique
Crusade was Replaced by IVUS
larr
IVUS was Replaced by Crusade with Trapping Technique
Leaving Gaia 1st as a Landmark on Fluoroscopy
Gaia 2nd with Crusade
Crusade was Replaced by IVUS with Trapping Technique
Crusade was Replaced by IVUS with Trapping Technique
IVUS was Replaced by Crusade with Trapping Technique
Leaving Gaia 1st as a Landmark on Fluoroscopy
Gaia 2nd with Crusade
Crusade was Replaced by IVUS with Trapping Technique
Crusade was Replaced by IVUS with Trapping Technique
Gaia 2nd with Crusade
Crusade was Replaced by IVUS with Trapping Technique
Crusade was Replaced by IVUS with Trapping Technique
Crusade was Replaced by IVUS with Trapping Technique
Crusade was Replaced by IVUS with Trapping Technique
Crusade was Replaced by IVUS with Trapping Technique
Crusade was Replaced by IVUS with Trapping Technique
larr
IVUS was Replaced by Corsair with Trapping Technique
IVUS was Replaced by Corsair with Trapping Technique
Gaia 2nd was Stepped Down to Gaia 1st
Gaia 2nd Gaia 1st
Gaia 1st was Advanced Little by Little
Gaia 1st was Advanced Little by Little
Gaia 1st Reached Distal True Lumen
Gaia 1st Reached Distal True Lumen
Corsair Passed through the Occlusion
Sion
Final Results after Implantation of 3 Xience Xpedition Stents
Final Results after Implantation of 3 Xience Xpedition Stents
7 IVUS examination should be done when an antegrade wire passes the occlusion
into a distal side branch
Effort AP 74 years male Mid LAD CTO
IVUS was Replaced by Corsair with Trapping Technique
IVUS was Replaced by Corsair with Trapping Technique
Gaia 2nd was Stepped Down to Gaia 1st
Gaia 2nd Gaia 1st
Gaia 1st was Advanced Little by Little
Gaia 1st was Advanced Little by Little
Gaia 1st Reached Distal True Lumen
Gaia 1st Reached Distal True Lumen
Corsair Passed through the Occlusion
Sion
Final Results after Implantation of 3 Xience Xpedition Stents
Final Results after Implantation of 3 Xience Xpedition Stents
7 IVUS examination should be done when an antegrade wire passes the occlusion
into a distal side branch
Effort AP 74 years male Mid LAD CTO
IVUS was Replaced by Corsair with Trapping Technique
Gaia 2nd was Stepped Down to Gaia 1st
Gaia 2nd Gaia 1st
Gaia 1st was Advanced Little by Little
Gaia 1st was Advanced Little by Little
Gaia 1st Reached Distal True Lumen
Gaia 1st Reached Distal True Lumen
Corsair Passed through the Occlusion
Sion
Final Results after Implantation of 3 Xience Xpedition Stents
Final Results after Implantation of 3 Xience Xpedition Stents
7 IVUS examination should be done when an antegrade wire passes the occlusion
into a distal side branch
Effort AP 74 years male Mid LAD CTO
Gaia 2nd was Stepped Down to Gaia 1st
Gaia 2nd Gaia 1st
Gaia 1st was Advanced Little by Little
Gaia 1st was Advanced Little by Little
Gaia 1st Reached Distal True Lumen
Gaia 1st Reached Distal True Lumen
Corsair Passed through the Occlusion
Sion
Final Results after Implantation of 3 Xience Xpedition Stents
Final Results after Implantation of 3 Xience Xpedition Stents
7 IVUS examination should be done when an antegrade wire passes the occlusion
into a distal side branch
Effort AP 74 years male Mid LAD CTO
Gaia 1st was Advanced Little by Little
Gaia 1st was Advanced Little by Little
Gaia 1st Reached Distal True Lumen
Gaia 1st Reached Distal True Lumen
Corsair Passed through the Occlusion
Sion
Final Results after Implantation of 3 Xience Xpedition Stents
Final Results after Implantation of 3 Xience Xpedition Stents
7 IVUS examination should be done when an antegrade wire passes the occlusion
into a distal side branch
Effort AP 74 years male Mid LAD CTO
Gaia 1st was Advanced Little by Little
Gaia 1st Reached Distal True Lumen
Gaia 1st Reached Distal True Lumen
Corsair Passed through the Occlusion
Sion
Final Results after Implantation of 3 Xience Xpedition Stents
Final Results after Implantation of 3 Xience Xpedition Stents
7 IVUS examination should be done when an antegrade wire passes the occlusion
into a distal side branch
Effort AP 74 years male Mid LAD CTO
Gaia 1st Reached Distal True Lumen
Gaia 1st Reached Distal True Lumen
Corsair Passed through the Occlusion
Sion
Final Results after Implantation of 3 Xience Xpedition Stents
Final Results after Implantation of 3 Xience Xpedition Stents
7 IVUS examination should be done when an antegrade wire passes the occlusion
into a distal side branch
Effort AP 74 years male Mid LAD CTO
Gaia 1st Reached Distal True Lumen
Corsair Passed through the Occlusion
Sion
Final Results after Implantation of 3 Xience Xpedition Stents
Final Results after Implantation of 3 Xience Xpedition Stents
7 IVUS examination should be done when an antegrade wire passes the occlusion
into a distal side branch
Effort AP 74 years male Mid LAD CTO
Corsair Passed through the Occlusion
Sion
Final Results after Implantation of 3 Xience Xpedition Stents
Final Results after Implantation of 3 Xience Xpedition Stents
7 IVUS examination should be done when an antegrade wire passes the occlusion
into a distal side branch
Effort AP 74 years male Mid LAD CTO
Final Results after Implantation of 3 Xience Xpedition Stents
Final Results after Implantation of 3 Xience Xpedition Stents
7 IVUS examination should be done when an antegrade wire passes the occlusion
into a distal side branch
Effort AP 74 years male Mid LAD CTO
Final Results after Implantation of 3 Xience Xpedition Stents
7 IVUS examination should be done when an antegrade wire passes the occlusion
into a distal side branch
Effort AP 74 years male Mid LAD CTO
7 IVUS examination should be done when an antegrade wire passes the occlusion
into a distal side branch
Effort AP 74 years male Mid LAD CTO
Effort AP 74 years male Mid LAD CTO
Effort AP 74 years male Mid LAD CTO
Effort AP 74 years male Mid LAD CTO
Effort AP 74 years male Mid LAD CTO
Effort AP 74 years male Mid LAD CTO
Effort AP 74 years male Mid LAD CTO
7Fr HyperionSPB40
5Fr diagnosticIM
Effort AP 74 years male Mid LAD CTO
7Fr HyperionSPB40
5Fr diagnosticIM
Stenting to the Proximal LAD
7Fr HyperionSPB40
5Fr diagnosticIM
Emerge 225mm
Xience Prime25-23mm
After Implantation of Xience Prime 25-23mm
After Implantation of Xience Prime 25-23mm
Gaia 2nd with Crusade
Parallel Wire Technique with Conquest Pro and Crusade
Parallel Wire Technique with Conquest Pro 12 after Re-mounting of Crusade over Conquest Pro
If an antegrade wire passes into the side branch of the distal vessel IVUS examination should be done
immediately after pre-dilatation with a small balloon
Wire Exchange from Conquest Pro into Sion Blue
IVUS Examination after Pre-dilatation with Emerge 15mm
TerumoNavifocus
IVUS Examination after Pre-dilatation with Emerge 15mm
Wire Exchange from Conquest Pro into Sion Blue
IVUS Examination after Pre-dilatation with Emerge 15mm
TerumoNavifocus
IVUS Examination after Pre-dilatation with Emerge 15mm
IVUS Examination after Pre-dilatation with Emerge 15mm
TerumoNavifocus
IVUS Examination after Pre-dilatation with Emerge 15mm
IVUS Examination after Pre-dilatation with Emerge 15mm
IVUS Examination after Pre-dilatation with Emerge 15mm
LAD
Septal
IVUS Guided Wiring with Conquest Pro 12
IVUS Guided Wiring with Conquest Pro 12
IVUS Guided Wiring with Conquest Pro 12
IVUS Examination from Diagonal Branch
IVUS Examination from Diagonal Branch
LAD
Conquest Pro 12
Wire Exchange from Conquest Pro 12 into Sion
Conquest Pro 12
Sion
IVUS Examination from Distal LAD
IVUS Examination from Distal LAD
Wire Exchange from Conquest Pro 12 into Sion
Conquest Pro 12
Sion
IVUS Examination from Distal LAD
IVUS Examination from Distal LAD
IVUS Examination from Distal LAD
IVUS Examination from Distal LAD
IVUS Examination from Distal LAD
Final Results after Implantation of 2 Promus Element Stents
Final Results after Implantation of 2 Promus Element Stents
8 Use spring coil wires as your 1st choice of collateral channel tracking Donrsquot forget to prepare embolic coils in advance
Effort AP 77 years female Proximal RCA CTO Re-try
8Fr Mach1IM-SH
7Fr Mach1VL35-SH
Effort AP 77 years female Proximal RCA CTO Re-try
8Fr Mach1IM-SH
7Fr Mach1VL35-SH
Effort AP 77 years female Proximal RCA CTO Re-try
8Fr Mach1IM-SH
7Fr Mach1VL35-SH
Tip Injection from 150cm Corsair
Tip Injection from 150cm Corsair
Fielder FC and Corsair were Advanced Alternatively
The patient suddenly complainedof severe chest pain
Perforation of the Epicardial Collateral Channels
Perforation of the Epicardial Collateral Channels
To achieve hemostasis at 2 different sites2 guiding catheter will be required
7Fr IM-SH was Replaced by Another 7Fr VL35-SH
Apex 30-20 mm was Inflated at 3 atm
Corsair was Replaced by Excelsior using Trapping Technique
Tip Injection from Excelsior
Excelsior was Advanced Further Down to the Site of Perforation
Delivery of the 1st Coil
Immediately after the Delivery of the 1st Coil
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Effort AP 77 years female Proximal RCA CTO Re-try
8Fr Mach1IM-SH
7Fr Mach1VL35-SH
Effort AP 77 years female Proximal RCA CTO Re-try
8Fr Mach1IM-SH
7Fr Mach1VL35-SH
Effort AP 77 years female Proximal RCA CTO Re-try
8Fr Mach1IM-SH
7Fr Mach1VL35-SH
Tip Injection from 150cm Corsair
Tip Injection from 150cm Corsair
Fielder FC and Corsair were Advanced Alternatively
The patient suddenly complainedof severe chest pain
Perforation of the Epicardial Collateral Channels
Perforation of the Epicardial Collateral Channels
To achieve hemostasis at 2 different sites2 guiding catheter will be required
7Fr IM-SH was Replaced by Another 7Fr VL35-SH
Apex 30-20 mm was Inflated at 3 atm
Corsair was Replaced by Excelsior using Trapping Technique
Tip Injection from Excelsior
Excelsior was Advanced Further Down to the Site of Perforation
Delivery of the 1st Coil
Immediately after the Delivery of the 1st Coil
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Effort AP 77 years female Proximal RCA CTO Re-try
8Fr Mach1IM-SH
7Fr Mach1VL35-SH
Effort AP 77 years female Proximal RCA CTO Re-try
8Fr Mach1IM-SH
7Fr Mach1VL35-SH
Tip Injection from 150cm Corsair
Tip Injection from 150cm Corsair
Fielder FC and Corsair were Advanced Alternatively
The patient suddenly complainedof severe chest pain
Perforation of the Epicardial Collateral Channels
Perforation of the Epicardial Collateral Channels
To achieve hemostasis at 2 different sites2 guiding catheter will be required
7Fr IM-SH was Replaced by Another 7Fr VL35-SH
Apex 30-20 mm was Inflated at 3 atm
Corsair was Replaced by Excelsior using Trapping Technique
Tip Injection from Excelsior
Excelsior was Advanced Further Down to the Site of Perforation
Delivery of the 1st Coil
Immediately after the Delivery of the 1st Coil
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Effort AP 77 years female Proximal RCA CTO Re-try
8Fr Mach1IM-SH
7Fr Mach1VL35-SH
Tip Injection from 150cm Corsair
Tip Injection from 150cm Corsair
Fielder FC and Corsair were Advanced Alternatively
The patient suddenly complainedof severe chest pain
Perforation of the Epicardial Collateral Channels
Perforation of the Epicardial Collateral Channels
To achieve hemostasis at 2 different sites2 guiding catheter will be required
7Fr IM-SH was Replaced by Another 7Fr VL35-SH
Apex 30-20 mm was Inflated at 3 atm
Corsair was Replaced by Excelsior using Trapping Technique
Tip Injection from Excelsior
Excelsior was Advanced Further Down to the Site of Perforation
Delivery of the 1st Coil
Immediately after the Delivery of the 1st Coil
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Tip Injection from 150cm Corsair
Tip Injection from 150cm Corsair
Fielder FC and Corsair were Advanced Alternatively
The patient suddenly complainedof severe chest pain
Perforation of the Epicardial Collateral Channels
Perforation of the Epicardial Collateral Channels
To achieve hemostasis at 2 different sites2 guiding catheter will be required
7Fr IM-SH was Replaced by Another 7Fr VL35-SH
Apex 30-20 mm was Inflated at 3 atm
Corsair was Replaced by Excelsior using Trapping Technique
Tip Injection from Excelsior
Excelsior was Advanced Further Down to the Site of Perforation
Delivery of the 1st Coil
Immediately after the Delivery of the 1st Coil
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Tip Injection from 150cm Corsair
Fielder FC and Corsair were Advanced Alternatively
The patient suddenly complainedof severe chest pain
Perforation of the Epicardial Collateral Channels
Perforation of the Epicardial Collateral Channels
To achieve hemostasis at 2 different sites2 guiding catheter will be required
7Fr IM-SH was Replaced by Another 7Fr VL35-SH
Apex 30-20 mm was Inflated at 3 atm
Corsair was Replaced by Excelsior using Trapping Technique
Tip Injection from Excelsior
Excelsior was Advanced Further Down to the Site of Perforation
Delivery of the 1st Coil
Immediately after the Delivery of the 1st Coil
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Fielder FC and Corsair were Advanced Alternatively
The patient suddenly complainedof severe chest pain
Perforation of the Epicardial Collateral Channels
Perforation of the Epicardial Collateral Channels
To achieve hemostasis at 2 different sites2 guiding catheter will be required
7Fr IM-SH was Replaced by Another 7Fr VL35-SH
Apex 30-20 mm was Inflated at 3 atm
Corsair was Replaced by Excelsior using Trapping Technique
Tip Injection from Excelsior
Excelsior was Advanced Further Down to the Site of Perforation
Delivery of the 1st Coil
Immediately after the Delivery of the 1st Coil
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Perforation of the Epicardial Collateral Channels
Perforation of the Epicardial Collateral Channels
To achieve hemostasis at 2 different sites2 guiding catheter will be required
7Fr IM-SH was Replaced by Another 7Fr VL35-SH
Apex 30-20 mm was Inflated at 3 atm
Corsair was Replaced by Excelsior using Trapping Technique
Tip Injection from Excelsior
Excelsior was Advanced Further Down to the Site of Perforation
Delivery of the 1st Coil
Immediately after the Delivery of the 1st Coil
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Perforation of the Epicardial Collateral Channels
To achieve hemostasis at 2 different sites2 guiding catheter will be required
7Fr IM-SH was Replaced by Another 7Fr VL35-SH
Apex 30-20 mm was Inflated at 3 atm
Corsair was Replaced by Excelsior using Trapping Technique
Tip Injection from Excelsior
Excelsior was Advanced Further Down to the Site of Perforation
Delivery of the 1st Coil
Immediately after the Delivery of the 1st Coil
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
7Fr IM-SH was Replaced by Another 7Fr VL35-SH
Apex 30-20 mm was Inflated at 3 atm
Corsair was Replaced by Excelsior using Trapping Technique
Tip Injection from Excelsior
Excelsior was Advanced Further Down to the Site of Perforation
Delivery of the 1st Coil
Immediately after the Delivery of the 1st Coil
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Apex 30-20 mm was Inflated at 3 atm
Corsair was Replaced by Excelsior using Trapping Technique
Tip Injection from Excelsior
Excelsior was Advanced Further Down to the Site of Perforation
Delivery of the 1st Coil
Immediately after the Delivery of the 1st Coil
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Corsair was Replaced by Excelsior using Trapping Technique
Tip Injection from Excelsior
Excelsior was Advanced Further Down to the Site of Perforation
Delivery of the 1st Coil
Immediately after the Delivery of the 1st Coil
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Tip Injection from Excelsior
Excelsior was Advanced Further Down to the Site of Perforation
Delivery of the 1st Coil
Immediately after the Delivery of the 1st Coil
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Excelsior was Advanced Further Down to the Site of Perforation
Delivery of the 1st Coil
Immediately after the Delivery of the 1st Coil
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Delivery of the 1st Coil
Immediately after the Delivery of the 1st Coil
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Immediately after the Delivery of the 1st Coil
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Delivery of the 2nd Coil
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Immediately after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Ten Minutes after the Delivery of the 2nd Coil
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Ten Minutes after the Delivery of the 2nd Coil
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
9 Knuckle wiring is the safest when vessel course is not clear at all
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
Effort AP 65 years male Distal RCA CTO
5Fr diagnosticIM
5Fr diagnosticJL50
MSCT
MSCT
Tip Injection from Corsair
7Fr HyperionSAL15-SH
7Fr HyperionSPB40-SH
MSCT
Tip Injection from Corsair
7Fr HyperionSAL15-SH
7Fr HyperionSPB40-SH
Tip Injection from Corsair
7Fr HyperionSAL15-SH
7Fr HyperionSPB40-SH
Repeated Tip Injection from Corsair
7Fr HyperionSAL15-SH
7Fr HyperionSPB40-SH
Retrograde Channel Tracking with Sion (Cranial 40ordm)
Retrograde Channel Tracking with Sion (Cranial 40ordm)
Retrograde Channel Tracking with Sion (Cranial 40ordm)
Bilateral Injection with Corsair
Puncture of the Distal Cap with Conquest Pro
Retrograde Knuckle Wire Technique with Gaia 2nd
larr
Retrograde Knuckle Wire Technique with Gaia 2nd
Retrograde Knuckle Wire Technique with Gaia 2nd
Retrograde Knuckle Wire Technique with Gaia 2nd
Retrograde Corsair Followed the Knuckled Gaia 2nd
Retrograde Corsair Followed the Knuckled Gaia 2nd
IVUS Examination from the 2nd RV Branch (Navifocus)
Antegrade Wiring with Gaia 3rd and Crusade
larr
Antegrade Wiring with Gaia 3rd and Crusade
larr
Antegrade Knuckle Wiring with Gaia 3rd and Corsair
Antegrade Wiring with Gaia 3rd and Crusade
larr
Antegrade Wiring with Gaia 3rd and Crusade
larr
Antegrade Knuckle Wiring with Gaia 3rd and Corsair
Antegrade Wiring with Gaia 3rd and Crusade
larr
Antegrade Knuckle Wiring with Gaia 3rd and Corsair
Antegrade Knuckle Wiring with Gaia 3rd and Corsair
Antegrade Wiring with Gaia 3rd and Crusade
Pre-dilatation with Kamuui 20mm14atm
Successful Reverse CART with Sion
Pre-dilatation with Kamuui 20mm14atm
Successful Reverse CART with Sion
Successful Reverse CART with Sion
Final Results after Implantation of 2 Xience Xpedition Stents
Final Results after Implantation of 2 Xience Xpedition Stents
10 Ostial LAD CTO has the highest risk of serious complications Stent delivery into LCx should be
guaranteed just in case
Effort AP 69 years male LAD Ostial CTO
Effort AP 69 years male LAD Ostial CTO
Effort AP 69 years male LAD Ostial CTO
Effort AP 69 years male LAD Ostial CTO
Effort AP 69 years male LAD Ostial CTO
Failed Ad-hoc PCI for LAD Ostial CTO
Failed Ad-hoc PCI for LAD Ostial CTO
Ad-hoc PCI for Proximal RCA Lesion
Final Results
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
I Had Reviewed the Previous Angiogram Frame by Frame
Fiedler FC and Corsair were Easily Advancedthrough the Septal Channel
Tip Injection from Corsair
Fielder FC could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Effort AP 69 years male LAD Ostial CTO
Effort AP 69 years male LAD Ostial CTO
Effort AP 69 years male LAD Ostial CTO
Effort AP 69 years male LAD Ostial CTO
Effort AP 69 years male LAD Ostial CTO
Failed Ad-hoc PCI for LAD Ostial CTO
Failed Ad-hoc PCI for LAD Ostial CTO
Ad-hoc PCI for Proximal RCA Lesion
Final Results
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
I Had Reviewed the Previous Angiogram Frame by Frame
Fiedler FC and Corsair were Easily Advancedthrough the Septal Channel
Tip Injection from Corsair
Fielder FC could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Effort AP 69 years male LAD Ostial CTO
Effort AP 69 years male LAD Ostial CTO
Effort AP 69 years male LAD Ostial CTO
Effort AP 69 years male LAD Ostial CTO
Failed Ad-hoc PCI for LAD Ostial CTO
Failed Ad-hoc PCI for LAD Ostial CTO
Ad-hoc PCI for Proximal RCA Lesion
Final Results
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
I Had Reviewed the Previous Angiogram Frame by Frame
Fiedler FC and Corsair were Easily Advancedthrough the Septal Channel
Tip Injection from Corsair
Fielder FC could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Effort AP 69 years male LAD Ostial CTO
Effort AP 69 years male LAD Ostial CTO
Effort AP 69 years male LAD Ostial CTO
Failed Ad-hoc PCI for LAD Ostial CTO
Failed Ad-hoc PCI for LAD Ostial CTO
Ad-hoc PCI for Proximal RCA Lesion
Final Results
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
I Had Reviewed the Previous Angiogram Frame by Frame
Fiedler FC and Corsair were Easily Advancedthrough the Septal Channel
Tip Injection from Corsair
Fielder FC could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Effort AP 69 years male LAD Ostial CTO
Effort AP 69 years male LAD Ostial CTO
Failed Ad-hoc PCI for LAD Ostial CTO
Failed Ad-hoc PCI for LAD Ostial CTO
Ad-hoc PCI for Proximal RCA Lesion
Final Results
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
I Had Reviewed the Previous Angiogram Frame by Frame
Fiedler FC and Corsair were Easily Advancedthrough the Septal Channel
Tip Injection from Corsair
Fielder FC could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Effort AP 69 years male LAD Ostial CTO
Failed Ad-hoc PCI for LAD Ostial CTO
Failed Ad-hoc PCI for LAD Ostial CTO
Ad-hoc PCI for Proximal RCA Lesion
Final Results
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
I Had Reviewed the Previous Angiogram Frame by Frame
Fiedler FC and Corsair were Easily Advancedthrough the Septal Channel
Tip Injection from Corsair
Fielder FC could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Failed Ad-hoc PCI for LAD Ostial CTO
Failed Ad-hoc PCI for LAD Ostial CTO
Ad-hoc PCI for Proximal RCA Lesion
Final Results
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
I Had Reviewed the Previous Angiogram Frame by Frame
Fiedler FC and Corsair were Easily Advancedthrough the Septal Channel
Tip Injection from Corsair
Fielder FC could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Failed Ad-hoc PCI for LAD Ostial CTO
Ad-hoc PCI for Proximal RCA Lesion
Final Results
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
I Had Reviewed the Previous Angiogram Frame by Frame
Fiedler FC and Corsair were Easily Advancedthrough the Septal Channel
Tip Injection from Corsair
Fielder FC could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Ad-hoc PCI for Proximal RCA Lesion
Final Results
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
I Had Reviewed the Previous Angiogram Frame by Frame
Fiedler FC and Corsair were Easily Advancedthrough the Septal Channel
Tip Injection from Corsair
Fielder FC could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Final Results
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
I Had Reviewed the Previous Angiogram Frame by Frame
Fiedler FC and Corsair were Easily Advancedthrough the Septal Channel
Tip Injection from Corsair
Fielder FC could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
I Had Reviewed the Previous Angiogram Frame by Frame
Fiedler FC and Corsair were Easily Advancedthrough the Septal Channel
Tip Injection from Corsair
Fielder FC could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Effort AP 67 years male LAD Ostial CTO Re-try
7Fr Mach1FL35
(lt radial)7Fr Mach1
IM-SH(rt femoral)
I Had Reviewed the Previous Angiogram Frame by Frame
Fiedler FC and Corsair were Easily Advancedthrough the Septal Channel
Tip Injection from Corsair
Fielder FC could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
I Had Reviewed the Previous Angiogram Frame by Frame
Fiedler FC and Corsair were Easily Advancedthrough the Septal Channel
Tip Injection from Corsair
Fielder FC could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Fiedler FC and Corsair were Easily Advancedthrough the Septal Channel
Tip Injection from Corsair
Fielder FC could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Tip Injection from Corsair
Fielder FC could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Fielder FC could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Corsair could be Advanced towards Proximal LAD
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Corsair could be Advanced towards Proximal LAD
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Retrograde Wire Crossing with Ultimate 30
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Retrograde Wire Crossing with Ultimate 30
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
IVUS Examination from LCx
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Ultimate 30
Retrograde Lesion Crossing with Corsair
Fielder FC
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Immediately after Retrograde Wire Externalization with RG3
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Wiring at Septal Bifurcation
Voyager 20mm14atm
Fiedler FCwith Crusade
Fiedler FC
Finecross
Rinato
Voyager 25mm14atm
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
IVUS Findings at LAD Orifice
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Positioning of Xience V 30-28mm
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Positioning of Xience V 30-28mm
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
After Post Dilatation with NC Voyager 35mm 24atm
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
After Post Dilatation with NC Voyager 35mm 24atm
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
IVUS Findings at LAD Orifice
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Immediately after Withdrawal of Both Guide Wires from LAD and LCx
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
We should not Loose LCx
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
IVUS Findings at LCx Orifice
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Confianza Pro 12gr with Finecross
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Immediately after Wire Exchange with Finecross
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Dilatation with NC Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Immedeiately after Dilatation with Voyager 25mm 12atm
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Immedeiately after Dilatation with Voyager 25mm 12atm
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
What should we do next
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Immediately after Kissing Inflation
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Immediately after Kissing Inflation
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Final Results
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Final Results
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-
Final Results
- 10 Key Points to Avoid Major Complications during CTO PCI
- 1 Definite progress for final success should be accomplished
- What is the Definite Progress
- Threshold Skin Entrance Dose for Radiation Dermatitis
- Slide 5
- Back of a Referred Patient after 2nd Attempt of RCA CTO
- Back of a Referred Patient after 2nd Attempt of LCx CTO
- 2 Prepare detailed PCI strategies based on high quality angio
- Effort AP DM HL Obesity 57 years male
- Effort AP DM HL Obesity 57 years male (2)
- Difference between II System and FPD
- The Benefits of FPD System
- Panning
- Protocol of Diagnostic CAG at SUNYH
- 3 Measure ACT and keep it within your target range
- Arterial Access in Retrograde Approach
- 4 Everything (guiding catheters and wires) should be on the s
- Retrograde PCI for Ostial LAD CTO from RCA Originated from Lt
- 5 Use guiding catheters 7Fr without a stiff and tapered tip
- Slide 20
- 6 Do your best to identify the entry point into CTO
- Effort AP 71 years male Mid LCx CTO
- Effort AP 71 years male Mid LCx CTO (2)
- IVUS Examination from the LA Branch
- IVUS Examination from the LA Branch (2)
- IVUS Examination from the LA Branch (3)
- Gaia 1st with Crusade
- Crusade was Replaced by IVUS with Trapping Technique
- Crusade was Replaced by IVUS with Trapping Technique (2)
- Crusade was Replaced by IVUS
- IVUS was Replaced by Crusade with Trapping Technique
- Gaia 2nd with Crusade
- Crusade was Replaced by IVUS with Trapping Technique (3)
- Crusade was Replaced by IVUS with Trapping Technique (4)
- Crusade was Replaced by IVUS with Trapping Technique (5)
- IVUS was Replaced by Corsair with Trapping Technique
- IVUS was Replaced by Corsair with Trapping Technique (2)
- Gaia 2nd was Stepped Down to Gaia 1st
- Gaia 1st was Advanced Little by Little
- Gaia 1st was Advanced Little by Little (2)
- Gaia 1st Reached Distal True Lumen
- Gaia 1st Reached Distal True Lumen (2)
- Corsair Passed through the Occlusion
- Final Results after Implantation of 3 Xience Xpedition Stents
- Final Results after Implantation of 3 Xience Xpedition Stents (2)
- 7 IVUS examination should be done when an antegrade wire pass
- Effort AP 74 years male Mid LAD CTO
- Effort AP 74 years male Mid LAD CTO (2)
- Effort AP 74 years male Mid LAD CTO (3)
- Effort AP 74 years male Mid LAD CTO (4)
- Effort AP 74 years male Mid LAD CTO (5)
- Effort AP 74 years male Mid LAD CTO (6)
- Stenting to the Proximal LAD
- After Implantation of Xience Prime 25-23mm
- Gaia 2nd with Crusade (2)
- Parallel Wire Technique with Conquest Pro and Crusade
- Parallel Wire Technique with Conquest Pro 12 after Re-mounting
- Slide 58
- Wire Exchange from Conquest Pro into Sion Blue
- IVUS Examination after Pre-dilatation with Emerge 15mm
- IVUS Examination after Pre-dilatation with Emerge 15mm (2)
- IVUS Examination after Pre-dilatation with Emerge 15mm (3)
- IVUS Guided Wiring with Conquest Pro 12
- IVUS Guided Wiring with Conquest Pro 12 (2)
- IVUS Examination from Diagonal Branch
- IVUS Examination from Diagonal Branch (2)
- Wire Exchange from Conquest Pro 12 into Sion
- IVUS Examination from Distal LAD
- IVUS Examination from Distal LAD (2)
- Final Results after Implantation of 2 Promus Element Stents
- Final Results after Implantation of 2 Promus Element Stents (2)
- 8 Use spring coil wires as your 1st choice of collateral chan
- Effort AP 77 years female Proximal RCA CTO Re-try
- Effort AP 77 years female Proximal RCA CTO Re-try (2)
- Effort AP 77 years female Proximal RCA CTO Re-try (3)
- Tip Injection from 150cm Corsair
- Tip Injection from 150cm Corsair (2)
- Fielder FC and Corsair were Advanced Alternatively
- Perforation of the Epicardial Collateral Channels
- Perforation of the Epicardial Collateral Channels (2)
- 7Fr IM-SH was Replaced by Another 7Fr VL35-SH
- Apex 30-20 mm was Inflated at 3 atm
- Corsair was Replaced by Excelsior using Trapping Technique
- Tip Injection from Excelsior
- Excelsior was Advanced Further Down to the Site of Perforation
- Slide 86
- Delivery of the 1st Coil
- Immediately after the Delivery of the 1st Coil
- Delivery of the 2nd Coil
- Immediately after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil
- Ten Minutes after the Delivery of the 2nd Coil (2)
- 9 Knuckle wiring is the safest when vessel course is not clea
- Effort AP 65 years male Distal RCA CTO
- Effort AP 65 years male Distal RCA CTO (2)
- Effort AP 65 years male Distal RCA CTO (3)
- Effort AP 65 years male Distal RCA CTO (4)
- MSCT
- MSCT (2)
- Tip Injection from Corsair
- Repeated Tip Injection from Corsair
- Retrograde Channel Tracking with Sion (Cranial 40ordm)
- Retrograde Channel Tracking with Sion (Cranial 40ordm) (2)
- Bilateral Injection with Corsair
- Puncture of the Distal Cap with Conquest Pro
- Retrograde Knuckle Wire Technique with Gaia 2nd
- Retrograde Knuckle Wire Technique with Gaia 2nd (2)
- Retrograde Knuckle Wire Technique with Gaia 2nd (3)
- Retrograde Corsair Followed the Knuckled Gaia 2nd
- Retrograde Corsair Followed the Knuckled Gaia 2nd (2)
- IVUS Examination from the 2nd RV Branch (Navifocus)
- Antegrade Wiring with Gaia 3rd and Crusade
- Antegrade Wiring with Gaia 3rd and Crusade (2)
- Antegrade Knuckle Wiring with Gaia 3rd and Corsair
- Antegrade Wiring with Gaia 3rd and Crusade (3)
- Pre-dilatation with Kamuui 20mm14atm
- Successful Reverse CART with Sion
- Final Results after Implantation of 2 Xience Xpedition Stents
- Final Results after Implantation of 2 Xience Xpedition Stents (2)
- 10 Ostial LAD CTO has the highest risk of serious complication
- Effort AP 69 years male LAD Ostial CTO
- Effort AP 69 years male LAD Ostial CTO (2)
- Effort AP 69 years male LAD Ostial CTO (3)
- Effort AP 69 years male LAD Ostial CTO (4)
- Effort AP 69 years male LAD Ostial CTO (5)
- Failed Ad-hoc PCI for LAD Ostial CTO
- Failed Ad-hoc PCI for LAD Ostial CTO (2)
- Ad-hoc PCI for Proximal RCA Lesion
- Final Results
- Effort AP 67 years male LAD Ostial CTO Re-try
- Effort AP 67 years male LAD Ostial CTO Re-try (2)
- I Had Reviewed the Previous Angiogram Frame by Frame
- Fiedler FC and Corsair were Easily Advanced through the Septal
- Tip Injection from Corsair (2)
- Fielder FC could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD
- Corsair could be Advanced towards Proximal LAD (2)
- Retrograde Wire Crossing with Ultimate 30
- Retrograde Wire Crossing with Ultimate 30 (2)
- Retrograde Wire Crossing with Ultimate 30 (3)
- IVUS Examination from LCx
- Retrograde Lesion Crossing with Corsair
- Immediately after Retrograde Wire Externalization with RG3
- Wiring at Septal Bifurcation
- IVUS Findings at LAD Orifice
- Positioning of Xience V 30-28mm
- Positioning of Xience V 30-28mm (2)
- Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm
- After Post Dilatation with NC Voyager 35mm 24atm (2)
- After Post Dilatation with NC Voyager 35mm 24atm (3)
- IVUS Findings at LAD Orifice (2)
- Immediately after Withdrawal of Both Guide Wires from LAD and L
- Immediately after Withdrawal of Both Guide Wires from LAD and L (2)
- We should not Loose LCx
- IVUS Findings at LCx Orifice
- Confianza Pro 12gr with Finecross
- Immediately after Wire Exchange with Finecross
- Dilatation with NC Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm
- Immedeiately after Dilatation with Voyager 25mm 12atm (2)
- What should we do next
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (2)
- V-Stenting at LMT Bifurcation (Xience V 35-18 30-18) (3)
- Kissing Inflation with NC Voyager 35mm and Hiryu 30mm
- Immediately after Kissing Inflation
- Immediately after Kissing Inflation (2)
- Final Results (2)
- Final Results (3)
- Final Results (4)
-