Incathlab Summer Festival

Lea L. Very interesting video. Thanks

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

Denis Nikolov D. Good job ;)

Mohamed M. Good

Alexandre P. Very nice case

dramthirugnanam@aol.com D. position is not perfect

dramthirugnanam@aol.com D. 2 mm can be inside

v22e V. Excelent case !

venkatesa reddy D. very good result

Mangesh T. My few questions about about Long Calcified SFA Recanalisation-

1.What was the prime aim of this Interventions to treat Proximal SFA Occlusion with Directional Atherectomy or Short segment occluded SFA?

2.Is Pre-dilatation with Coronary balloons (1.5-3.5mm) always necessary before Debulking of Femoro-Popliteal lesion with Atherectomy device?

3.Exact role of Chocolate Cutting balloon could not be understud? Why so many wires & balloons are used instead of doing Straightforward Hawkone Atherectomy and then Drug coated balloon plasty with In.pact Admiral?

4.Is their any loss of Paclitexel drug while doing Balloon Plasty multiple times?

5. After 'Inline flow' Recanalisation Why not below the knee Popliteo-tibial revascularisation Not attempted in same seating?

6.Does ABI Improved after long SFA Recanalisation & return of triphasic waveform in tibial arteries?

I feel Distal Embolisation protection device has No role in this Atherectomy + DEB Case!

So many hardware material uses is Luxury for IR Consultant!!

Do you agree with my comments?

Mangesh T. Great case done. Amazing results!!

Alexandre P. Interesting, than you

Mangesh T. Very well done BTK & BTA Tibial Arterial DCB Plasty with excellent foot perfusion results.

But Why not use “Phoenix Hybrid (Rotational & Directional) Atherectomy device for debulking heavily calcified distal PTA & dorsal Foot arch or at least Shockwave Lithoplasty balloons to beat Calcium??

v22e V. Excelent case

v22e V. Thanks

WEN C. Wonderful explanation with clear theory and case demonstration! Good job!

Endres J. To push the amplatz guidwire into the carotid bifurcation is a hazardous maneuver!

aksüyek A. is triple therapy routine in your practice?

Milan M. Its a 50% Stenosis!

Mangesh T. Highly impressed with Proper guidance, Good Selection of Hardware materials, devices used & IR Techniques applied for the Re-Vascularisation of Chronically Occluded (Thrombotic) Left ilio-femoral Venous tract. Cause offcourse May-Thurner’s Compression. Few Questions to Main operator Dr. Houman Jalaie Sir are as follows-

1) Why Atlas gold high pressure balloon used in Post Stenting Dilatation when more pressure is needed in Pre-dilatation and breaking of Chronic fibrotic synaechie in Venous lumen?

2) Mustang has 24 atm bursting pressure while Atlas Gold & Conquest PTA Ballons has 30-40 atm bursting pressure.

3) How Vessel preparation prior to Dedicated Venous Stenting matters more?

4) Can we use Popliteal Vein Access site instead of Mid thigh SFV Site? so that 10 Fr Introducer sheath can be easily fixed and Large bore Stent deployment possible with long working shaft.

5) How aggressively , How long Post Venous Stenting Anticoagulation Therapy followed? What about Surviellence & follow up check ups Schedule in this case?

Abdellateef M. Weaiting for us. Impressive #Webinar

aksüyek A. nice save, do u routinely perform the intervention by 8 f cath?

maher T. very useful

maher T. useful

Evandro E. great cases kambis and chris! congratulations

anagha C. Very useful

Gafer A. Hi can I join the discussion

fatih U. Great result.Sometimes ballooning the lateral branch ostium makes the proximal cap and main branch visible .2,0*12 or 15 mm for this case

Tekten T. Ok

Tekten T. Good job

Tekten T.

ahmed B. Nice case, But I have a question regarding the ballon inflation in the ostial lesion with the wired not secured distally. I think if a dissection could have happened it would have turned into disaster with the wire hanging infront of the lesion

Abdulsalam A. Bad, Bad, Bad

Abush A. Hello

Nilay B. Brilliant case and amazing results

Kym M. Could you tell the quality of the channel created?

Ashish G. excellent case with good discussion on approach

Abush A. Hello

Rajesh K. do you regularly land the proximal end of the stent into IVC or try to land it at the confluence? If the external compression is at the confluence then would you be convinced to extend into IVC?

Mangesh T. 1. What was the "Hematological cause" for recurrent bilateral lower limb ilio-femoral DVT? What kind of Hypercoaguble state of the blood causing thrombosis?

2. Where is the Venous access & entry side (Mid-SFV in thigh) or CFV in groin?

3. How to fix up 10Fr large bore sheath in Chronically occluded femoral vein?

4.Venous inflow from Profunda femoris (Deep femoral) is Sufficient even if Common femoral is badly damaged?

5. Incase of "Infra-inguinal ligament" Venous stent extension and keeping it above lesser trochanter bony landmark for SFV-DFV Confluence zone; how much long term patency of 2 stents expected with post Stenting good oral Anticoagulation and Anti-Platelets??

Sameh S. highly educative

yilmaz M. congratulations. the flow of LAD is quite good but there is serious stenosis at the ostium of the Diagonal branch. It is an important branch. therefore it is not appropriate to leave the patient in this way in terms of complete revascularization of the patient. I would open the side branch.

Tekten T.

Sandeep S. why did we have to break the end of Eluvia stent towards the end of deployment.

Georgi G. Leave a new comment to the discussion

Max A. It appears to be more convenient in long ELUVIA stent.

Collu B. Congratulations for very informative case

K R. What about doing plasty of the graft lesion without atherectomy in this case.
Because doing atherectomy of graft disease carries risk of rupture . What is your suggestion

Antoine T. Just learning

Antoine T. Symptoms

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

Shafiq K. Excellent TAVR case. The final valve position was perfect. The left subclavian artery approach was very nteresting. Congratulations to the operators for this beautiful case!
Khalid Shafiq, MD, FACC, FSCAI
Paris, TX
USA.

omer S. perfect.

Harun A. What do you think about putting some coils inside the sac before closing the neck. Because endoleak may persist while the patient using oral anticoagulant.

Milan M. Nice example! According to your experience, how do the Micromash Stents behave in highly calcified lesions? Thank You

Mohammed R. Good

Maher J. Perfect job

Maher J. Nice job

saparmyrat S. Хорошо

Nazar N. Excellent ...

mohammad B. Amazing

onur T. Good job

NAVIN D. Amazing result

Vitaliy L. Good job

ibrahim A. thanks for this nice symposium

marie C. thank you for this nice and difficult case

Mile C. Very nice case and realy god job. How do you manage distal SFA puncture site? When do you expect AV fistula to close or does it need to close at all ?

ibrahim A. thanks

zia ur rehman Z. excellent work done great

Fazlolah S. New approach,good job,fantastic result

Fazlolah S. New approach,good job,fantastic result