Скачать с ютуб Case 152: PCI Manual - Reversed guidewire в хорошем качестве

Case 152: PCI Manual - Reversed guidewire

A patient was referred for PCI of an LAD/diagonal bifurcation lesion. Wiring of the LAD was challenging, as the guidewires preferentially entered in to the diagonal. Wiring attempts resulted in acute vessel closure, likely due to dissection. Wiring of the LAD failed despite using various guidewires through a Corsair and a Sasuke microcatheter. We used the reversed guidewire technique with a Sion black bent 3 cm from the tip and delivered to the diagonal with the help of the Sasuke microcatheter. Upon withdrawal the Sion black wire successfully entered the LAD. Provisional stenting of the LAD/diagonal bifurcation was performed, but a severe lesion remained in the diagonal. The diagonal was stented using the culotte technique with an excellent final result. Link to the original reversed guidewire publication by Kawasaki: https://pubmed.ncbi.nlm.nih.gov/17932... How to do culotte bifurcation stenting:    • How to do culotte bifurcation stenting   How to do provisional bifurcation stenting:    • 16.2 Provisional bifurcation stenting...