Alexandre Avran Channel

Aly T. Marvelous Alot of teaching points

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

Mohamed A. Thanks alot for the the learning rich case

v22e V. This comment has been moderated

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

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

Baghdasaryan D. Perfect

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

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

Mohamed H. Thanks for educating presentation

loic B. Great case!!

radi C. ????????

radi C. Great case

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

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

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

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

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

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

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

loic B. Great Case !

loic B. Great Result

Alexandre P. Very interesting!

Yasser H. Great job team

Benjamin F. Thank you for your feed-back!

ahmed B. Nice duoet

Eli P. Very interesting!

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

Denis Nikolov D. Good job ;)

Mohamed M. Good

Alexandre P. Very nice case

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

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

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

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

Aly T. Very nice teaching case thank you both

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

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

Bozinovic N.

Exelent meeting with educational lectures and very challenging live cases

Thanks to Dr Avran, Dr Amor, Dr Rinfret

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

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

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

hashemi fard O. excellent presentation

Mohamed A. Interesting

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

Kambis M. Thank you for your wise comment!

Nazar N. Amazing.....

Vardan K. I can't watch your videos

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

Venkatesa R. very good case

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

Kosta N. Any role for IVUS guided reentry?

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

Ilaria P. Very interesting case!

Tekten T.

Ibrahim A. Excellent case

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

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

Venkatesa R. excellent

Amir ali M. good job

Aydın B. Nice case
Thanks

Alexander P. The Best !

venkatesa reddy D. VERY GOOD RESULT AFTER LONG STRUGLE

Mahmoud E. nice case

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

Pecheux M.
Coucou

Usman K. Not playing

venkatesa reddy D. very well done

Evandro E. Very nice case! congratulations

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

Muhammad Bilal K. Excellent Case, Congratulations

venkatesa reddy D. VERY ELEGANLTY DEMONSTRATED ADR

Basel S. Why you didnt do final POT?

venkatesa reddy D. very nice results

Alexander P. The best

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

venkatesa reddy D. very well done

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

hazem E. Leave a new comment to the discussion

Vinod N. Great case

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

Vinod N. Great case

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

Mohamed A. Very interesting discussion and Good results

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

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

Mohamed M. Tough case

Georgi G. Leave a new comment to the discussion

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

Plamen K. Very very interesting cases

Umar S. Really interesting one

bassem J. good but still stenosis on ostial dg

narayana reddy B. Good case done simplest way

Mohamed M. Good job

Mohamed M. Why scori g ballon and not rota

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

Ademaj F. Great Case Kambis. Congratulations.

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

JOSEPH S. very nice procedure

ali kemal C. great job

Dr. S. V. Excellent demonstration

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

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

prakash H. good one

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

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

Marwan M. Great job,, thanks

Rakhmanov S. Thanks for your case

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

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

Alexandre A. ministar technique

Yahya Y.

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