苦行僧

[苦行僧 @buddha_luo]

@Laserrman In IP, straight tip maybe less dissection or false lumen than curved wire?

[苦行僧 @buddha_luo]

CX CTO➡HDR➡AWE（XTA→BR3）➡Side base➡IVUS-SB（GAIA3→CP)➡HDR EP ➡ P200 STAR➡TD-IPT（CP→CP12）➡SBLP

[苦行僧 @buddha_luo]

@Laserrman It is difficult to simultaneously accommodate both a Corsair Pro and an Opticross HD within a 7‑F guiding catheter. This has been our consistent observation in the cath‑lab. Even the 1.9‑F Truecross microcatheter sometimes encounters substantial compatibility issues.

[苦行僧 @buddha_luo]

@Laserrman In my daily practice, there is a substantial difference in HDR success rate and crossing efficiency between minicurved‑tip and straight‑tip guidewires. Why did Professor Carlino previously recommend straight‑tip wires?

[苦行僧 @buddha_luo]

@Laserrman 3. HDR is not a guarantee of CTO recanalization success, but an adjunctive tool to improve procedural yield

[苦行僧 @buddha_luo]

@Laserrman 1. HDR can be used in combination with a variety of CTO‑crossing techniques in a comprehensive strategy.

[苦行僧 @buddha_luo]

@Laserrman CP puncture ，then hdr, maybe more effective and avoid hematoma, however，severe calcification prevents microcatheter advancement just distal to the plaque cap

[苦行僧 @buddha_luo]

@Laserrman Boston

[苦行僧 @buddha_luo]

RCA1 100%-> failed-> CTA long cto body with calcification->CX-PD&PL->ante hdr ep->S-PD CC0->S1&S2&S3 surfing failed->S1 surfing->P200 Tip in->IVUS true-false-true

#CTO #surfing #HDR

[苦行僧 @buddha_luo]

@Laserrman very good model, a bit mind-bending,😇 and I'm learning it right now.

[苦行僧 @buddha_luo]

@Laserrman @ErwMulia @ISIC_Official Thank you for such a wonderful sharing，answered many of my questions.

[苦行僧 @buddha_luo]

CN caused primary hdr strategy failure