Antegrade / Retrograde

A novel approache: Antegrade Wire-based Fenestration and Chanal Tracking technique (AWF-CT)
A novel approache: Antegrade Wire-based Fenestration and Chanal Tracking technique (AWF-CT) 1920 1080 MLCTO Academy
This short presentation demonstrates two problems which can occur during retrograde septal approach. _x000D_ _x000D_ First, I am showing a case where reverse wiring access into a septal resulted in a tight 360° microcatheter loop. This loop led to destruction of multiple wires which was realised only after some time when repeatedly missing control of the distal wire tip was noticed. A simple bench side model video demonstrates the difference between a straight mc and a looped mc and its impact on wire control and the effect on the wire shaft. _x000D_ _x000D_ Second case demonstrates a septal branch perforation due to probable cheese wiring effect of a wire during a rCART case when the retrograde mc was changed to a stiffer low profile mc while the retrograde gaia 3 wire tip was left in the antegrade guide extension catheter and the wire shaft unprotected in the septal. Interesting angiographic plus acute as well as follow up echocardiographic images complete the case._x000D_ _x000D_ I believe that both cases are very educational and worth to promote to the CTO community to raise awareness of these two specific complications._x000D_ If accepted, more video loops would be provided (limited file size for the online uploading process). read more

ANTEGRADE RCA CTO & BIFURCATION CASE
ANTEGRADE RCA CTO & BIFURCATION CASE 1920 1080 MLCTO Academy
This short presentation demonstrates two problems which can occur during retrograde septal approach. _x000D_ _x000D_ First, I am showing a case where reverse wiring access into a septal resulted in a tight 360° microcatheter loop. This loop led to destruction of multiple wires which was realised only after some time when repeatedly missing control of the distal wire tip was noticed. A simple bench side model video demonstrates the difference between a straight mc and a looped mc and its impact on wire control and the effect on the wire shaft. _x000D_ _x000D_ Second case demonstrates a septal branch perforation due to probable cheese wiring effect of a wire during a rCART case when the retrograde mc was changed to a stiffer low profile mc while the retrograde gaia 3 wire tip was left in the antegrade guide extension catheter and the wire shaft unprotected in the septal. Interesting angiographic plus acute as well as follow up echocardiographic images complete the case._x000D_ _x000D_ I believe that both cases are very educational and worth to promote to the CTO community to raise awareness of these two specific complications._x000D_ If accepted, more video loops would be provided (limited file size for the online uploading process). read more

DRUG-COATEDBALLOON, A NOVELTOOL IN SCAD TYPE 4 PATIENT, TREATED BY CTO LIKE APPROACHE
DRUG-COATEDBALLOON, A NOVELTOOL IN SCAD TYPE 4 PATIENT, TREATED BY CTO LIKE APPROACHE 1920 1080 MLCTO Academy
This short presentation demonstrates two problems which can occur during retrograde septal approach. _x000D_ _x000D_ First, I am showing a case where reverse wiring access into a septal resulted in a tight 360° microcatheter loop. This loop led to destruction of multiple wires which was realised only after some time when repeatedly missing control of the distal wire tip was noticed. A simple bench side model video demonstrates the difference between a straight mc and a looped mc and its impact on wire control and the effect on the wire shaft. _x000D_ _x000D_ Second case demonstrates a septal branch perforation due to probable cheese wiring effect of a wire during a rCART case when the retrograde mc was changed to a stiffer low profile mc while the retrograde gaia 3 wire tip was left in the antegrade guide extension catheter and the wire shaft unprotected in the septal. Interesting angiographic plus acute as well as follow up echocardiographic images complete the case._x000D_ _x000D_ I believe that both cases are very educational and worth to promote to the CTO community to raise awareness of these two specific complications._x000D_ If accepted, more video loops would be provided (limited file size for the online uploading process). read more

RETROGRADE AMBIGUOUS OSTIUM CTO
RETROGRADE AMBIGUOUS OSTIUM CTO 1920 1080 MLCTO Academy
This short presentation demonstrates two problems which can occur during retrograde septal approach. _x000D_ _x000D_ First, I am showing a case where reverse wiring access into a septal resulted in a tight 360° microcatheter loop. This loop led to destruction of multiple wires which was realised only after some time when repeatedly missing control of the distal wire tip was noticed. A simple bench side model video demonstrates the difference between a straight mc and a looped mc and its impact on wire control and the effect on the wire shaft. _x000D_ _x000D_ Second case demonstrates a septal branch perforation due to probable cheese wiring effect of a wire during a rCART case when the retrograde mc was changed to a stiffer low profile mc while the retrograde gaia 3 wire tip was left in the antegrade guide extension catheter and the wire shaft unprotected in the septal. Interesting angiographic plus acute as well as follow up echocardiographic images complete the case._x000D_ _x000D_ I believe that both cases are very educational and worth to promote to the CTO community to raise awareness of these two specific complications._x000D_ If accepted, more video loops would be provided (limited file size for the online uploading process). read more

NEVER CELEBRATE SO EARLY
NEVER CELEBRATE SO EARLY 1920 1080 MLCTO Academy
This short presentation demonstrates two problems which can occur during retrograde septal approach. _x000D_ _x000D_ First, I am showing a case where reverse wiring access into a septal resulted in a tight 360° microcatheter loop. This loop led to destruction of multiple wires which was realised only after some time when repeatedly missing control of the distal wire tip was noticed. A simple bench side model video demonstrates the difference between a straight mc and a looped mc and its impact on wire control and the effect on the wire shaft. _x000D_ _x000D_ Second case demonstrates a septal branch perforation due to probable cheese wiring effect of a wire during a rCART case when the retrograde mc was changed to a stiffer low profile mc while the retrograde gaia 3 wire tip was left in the antegrade guide extension catheter and the wire shaft unprotected in the septal. Interesting angiographic plus acute as well as follow up echocardiographic images complete the case._x000D_ _x000D_ I believe that both cases are very educational and worth to promote to the CTO community to raise awareness of these two specific complications._x000D_ If accepted, more video loops would be provided (limited file size for the online uploading process). read more

LAD AND RCA CTO LESIONS IN HIGHLY SYMPTOMATIC PATIENT: DECISION MAKING AND PCI
LAD AND RCA CTO LESIONS IN HIGHLY SYMPTOMATIC PATIENT: DECISION MAKING AND PCI 1920 1080 MLCTO Academy
This short presentation demonstrates two problems which can occur during retrograde septal approach. _x000D_ _x000D_ First, I am showing a case where reverse wiring access into a septal resulted in a tight 360° microcatheter loop. This loop led to destruction of multiple wires which was realised only after some time when repeatedly missing control of the distal wire tip was noticed. A simple bench side model video demonstrates the difference between a straight mc and a looped mc and its impact on wire control and the effect on the wire shaft. _x000D_ _x000D_ Second case demonstrates a septal branch perforation due to probable cheese wiring effect of a wire during a rCART case when the retrograde mc was changed to a stiffer low profile mc while the retrograde gaia 3 wire tip was left in the antegrade guide extension catheter and the wire shaft unprotected in the septal. Interesting angiographic plus acute as well as follow up echocardiographic images complete the case._x000D_ _x000D_ I believe that both cases are very educational and worth to promote to the CTO community to raise awareness of these two specific complications._x000D_ If accepted, more video loops would be provided (limited file size for the online uploading process). read more

AN AJAR DOOR WILL SOLVE THE CASE…
AN AJAR DOOR WILL SOLVE THE CASE… 1920 1080 MLCTO Academy
This short presentation demonstrates two problems which can occur during retrograde septal approach. _x000D_ _x000D_ First, I am showing a case where reverse wiring access into a septal resulted in a tight 360° microcatheter loop. This loop led to destruction of multiple wires which was realised only after some time when repeatedly missing control of the distal wire tip was noticed. A simple bench side model video demonstrates the difference between a straight mc and a looped mc and its impact on wire control and the effect on the wire shaft. _x000D_ _x000D_ Second case demonstrates a septal branch perforation due to probable cheese wiring effect of a wire during a rCART case when the retrograde mc was changed to a stiffer low profile mc while the retrograde gaia 3 wire tip was left in the antegrade guide extension catheter and the wire shaft unprotected in the septal. Interesting angiographic plus acute as well as follow up echocardiographic images complete the case._x000D_ _x000D_ I believe that both cases are very educational and worth to promote to the CTO community to raise awareness of these two specific complications._x000D_ If accepted, more video loops would be provided (limited file size for the online uploading process). read more

NAVIGATING THE MAZE! HOW TO MANAGE LONG EPICARDIAL COLLATERAL WITH LOOPS WITH SHORT MICROCATHETER
NAVIGATING THE MAZE! HOW TO MANAGE LONG EPICARDIAL COLLATERAL WITH LOOPS WITH SHORT MICROCATHETER 1920 1080 MLCTO Academy
This short presentation demonstrates two problems which can occur during retrograde septal approach. _x000D_ _x000D_ First, I am showing a case where reverse wiring access into a septal resulted in a tight 360° microcatheter loop. This loop led to destruction of multiple wires which was realised only after some time when repeatedly missing control of the distal wire tip was noticed. A simple bench side model video demonstrates the difference between a straight mc and a looped mc and its impact on wire control and the effect on the wire shaft. _x000D_ _x000D_ Second case demonstrates a septal branch perforation due to probable cheese wiring effect of a wire during a rCART case when the retrograde mc was changed to a stiffer low profile mc while the retrograde gaia 3 wire tip was left in the antegrade guide extension catheter and the wire shaft unprotected in the septal. Interesting angiographic plus acute as well as follow up echocardiographic images complete the case._x000D_ _x000D_ I believe that both cases are very educational and worth to promote to the CTO community to raise awareness of these two specific complications._x000D_ If accepted, more video loops would be provided (limited file size for the online uploading process). read more

IF ONE IS BLIND AND WEAK -> HIT AND RUN…
IF ONE IS BLIND AND WEAK -> HIT AND RUN… 1920 1080 MLCTO Academy
This short presentation demonstrates two problems which can occur during retrograde septal approach. _x000D_ _x000D_ First, I am showing a case where reverse wiring access into a septal resulted in a tight 360° microcatheter loop. This loop led to destruction of multiple wires which was realised only after some time when repeatedly missing control of the distal wire tip was noticed. A simple bench side model video demonstrates the difference between a straight mc and a looped mc and its impact on wire control and the effect on the wire shaft. _x000D_ _x000D_ Second case demonstrates a septal branch perforation due to probable cheese wiring effect of a wire during a rCART case when the retrograde mc was changed to a stiffer low profile mc while the retrograde gaia 3 wire tip was left in the antegrade guide extension catheter and the wire shaft unprotected in the septal. Interesting angiographic plus acute as well as follow up echocardiographic images complete the case._x000D_ _x000D_ I believe that both cases are very educational and worth to promote to the CTO community to raise awareness of these two specific complications._x000D_ If accepted, more video loops would be provided (limited file size for the online uploading process). read more

LCX-CTO VIA IPSILATERALCOLLATERALWITH A SINGLE GUIDE
LCX-CTO VIA IPSILATERALCOLLATERALWITH A SINGLE GUIDE 1920 1080 MLCTO Academy
This short presentation demonstrates two problems which can occur during retrograde septal approach. _x000D_ _x000D_ First, I am showing a case where reverse wiring access into a septal resulted in a tight 360° microcatheter loop. This loop led to destruction of multiple wires which was realised only after some time when repeatedly missing control of the distal wire tip was noticed. A simple bench side model video demonstrates the difference between a straight mc and a looped mc and its impact on wire control and the effect on the wire shaft. _x000D_ _x000D_ Second case demonstrates a septal branch perforation due to probable cheese wiring effect of a wire during a rCART case when the retrograde mc was changed to a stiffer low profile mc while the retrograde gaia 3 wire tip was left in the antegrade guide extension catheter and the wire shaft unprotected in the septal. Interesting angiographic plus acute as well as follow up echocardiographic images complete the case._x000D_ _x000D_ I believe that both cases are very educational and worth to promote to the CTO community to raise awareness of these two specific complications._x000D_ If accepted, more video loops would be provided (limited file size for the online uploading process). read more
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