Top Tweets for #Singleaccess
#CTO #HDR #MAT #MHA #singleaccess #EuroCTO #EUROACTOS2025
Live CTO CASE. RCA CTO How to do #HDR .
Pilot 200→HDR→sionblack→HDR→sionblack→HDR→sionblack→CB+Stent+DCB
@realarainmd @cto_chip_japan @DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1 @baijazvascular @ErwMulia @jbspadoni @GTawade84 @drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI @ikki1127 @CtoEuro @SPyxaras @JuradoRomanAl @JiunnWen_Lin @MLCTOAcademy @shci_sec @drdharmarajk @sapporohunt @ogoktekin
LCX #CTO #MHA #Singleaccess #HDR #TDADR #TDHDR #TDAW
Pilot200→HDR(EP)→sionblack KWT→Cross branch→#TDHDR with UB3→HDR(EP)→#TDAW with G2→HDR(EP)→sionblack KWT→#TDADR and #TDAW→Crossed TL
This is a representative example of utilizing #TDADR rescue in situations where #HDR is ineffective. EP staining poses no clinical concern.
@realarainmd @cto_chip_japan @DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1 @baijazvascular @ErwMulia @jbspadoni @GTawade84 @drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI @ikki1127 @CtoEuro @SPyxaras @JuradoRomanAl @JiunnWen_Lin @MLCTOAcademy @shci_sec @drdharmarajk @sapporohunt @ogoktekin
RCA double #CTO very tough case with severe calcium.
#MHA #singleaccess . #HDR #TDADR #TDHDR #TDAW #KWT #Carlino. . all branch are saved. 4hrs wow.
Pilot200→HDR(IP)→sionblack→KWT→#HDR (EP)→#KWT→#Carlino→#TDADR→#TDHDR (IP)→sionblack→#Carlino→KWT failed→UB3→Carlino→KWT (branch)→UB3→#powercarlino→KWT→#TDADR→#TDHDR→sionblack→#TDAW with G2→HDR→sionblack→HDR→sionblack→HDR→XT non tip→HDR (EP)→KWT→#TDADR to PD→HDR→sionblack→DTL→#4AV with DLC
Final CAG shows ugly stains are disappeared, No cardiac effusion.
@realarainmd @cto_chip_japan @DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF
#CTO #MHA #singleaccess #HDR #rota #CB #DCB
Pilot200→HDR→Type1→XT non tip→2nd HDR→Type 2→sionblack→cross→rota1.5→CB2.75→DCB
@realarainmd @cto_chip_japan @DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1 @baijazvascular @ErwMulia @jbspadoni @GTawade84 @drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI @ikki1127 @CtoEuro @SPyxaras @JuradoRomanAl @JiunnWen_Lin @MLCTOAcademy @shci_sec @drdharmarajk @sapporohunt @ogoktekin
LAD #CTO #calcification #singleaccess #MHA
Referal case of failed LAD CTO PCI. #TDADR
Very sever calcification. with#Boston IVUS#TDADR wi
Pilot 200→＃HDR→EP→sionblack #KWT→#TDADR→Swap sionblack→ Stent
@realarainmd @cto_chip_japan @DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1 @baijazvascular @ErwMulia @jbspadoni @GTawade84 @drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI @ikki1127 @CtoEuro @SPyxaras @JuradoRomanAl @JiunnWen_Lin @MLCTOAcademy @shci_sec @drdharmarajk @sapporohunt @ogoktekin
➡️ #ComplexPCI
➡️ #RCA_CTO
➡️ #SingleAccess
➡️ #Bridging_Collaterals
➡️ #RadialFirst
➡️ #AW
#CTOs common in #IHD. #CTO_PCI is the technical challenges Improvements in technique dedicated devices for #CTO_PCI , combined with advances in procedural strategy, have resulted in success and outcomes. #Antegrade_wiring #AW #CTOs #proximal_cap
#COMPLETE #REVASCULARISATION:
- For patients with #MyocardialInfarction and #multivessel #CAD, adopting the #SingleAccess #RadialFirst approach for routine nonculprit-lesion #PCI can aim for #completeRevascularization. This strategy, whether executed during the initial #hospital stay or shortly after discharge, has shown potential benefits over a #culprit-lesion-only #PCI method. It has the potential to reduce the #risk of #death from #cardiovascular causes or #New #MI , along with lowering the risk of #CV -related #mortality, new myocardial infarction, or #ischemia-driven #revascularization
#MI #Heartattack #PCR #TCT2025 #EuroPCR #EuroPCR2025
➡️ #RCA_CTO
➡️ #SingleAccess
➡️ #RadialFirst
#AntegradeWiring is the prevailing #CTO crossing technique. Most #ProximalCaps have a clear tapered stump & can be wired by intermediate penetration force wires
#Cardiology #AIIMS #Raebareli
LAD #CTO #HDR #MHA #singleaccess. . #rota
Sionblack was not crossed →#HDR→IP #passiveinjection shows TL→Sionblack easily to cross→#rota
A challenging case in which the guidewire could not cross the lesion initially, but following successful #HDR , guidewire passage was facilitated without difficulty.
@realarainmd @cto_chip_japan @DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1 @baijazvascular @ErwMulia @jbspadoni @GTawade84 @drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI @ikki1127 @CtoEuro @SPyxaras @JuradoRomanAl @JiunnWen_Lin @MLCTOAcademy @shci_sec @drdharmarajk @sapporohunt @ogoktekin
LAD #CTO #MHA #singleaccess #HDR
Pilot200→HDR→EPand IP→XT nontip→HDR→EP & TL→Corsair pull back during passive injection→TL→sionblack→TL
IVUS shows GW is in all IP.
@realarainmd @cto_chip_japan @DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1 @baijazvascular @ErwMulia @jbspadoni @GTawade84 @drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI @ikki1127 @CtoEuro @SPyxaras @JuradoRomanAl @JiunnWen_Lin @MLCTOAcademy @shci_sec @drdharmarajk @sapporohunt @ogoktekin
LAD #CTO #HDR #TDHDR #MHA #singleaccess
TDHDR with ST→PC punctured→HDR→#starrysky→XT non tip buckled→2nd HDR→XTnon tip was buckled at same point→3rd HDR→Sionblack→TL→GW is in all IP
CB failed→stent
@realarainmd @cto_chip_japan @DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1 @baijazvascular @ErwMulia @jbspadoni @GTawade84 @drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI @ikki1127 @CtoEuro @SPyxaras @JuradoRomanAl @JiunnWen_Lin @MLCTOAcademy @shci_sec @drdharmarajk @sapporohunt @ogoktekin
RCA #CTO #HDR #singleaccess 7Fr
G2 punctured→HDR→XTnontip→2nd HDR→XTnon tip backled→sionblack buckled→3rd HDR→Gradius advancing→4th HDR→XT non tip advancing→5th HDR→Type2A→sioblack→TL
@realarainmd @cto_chip_japan @DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1 @baijazvascular @ErwMulia @jbspadoni @GTawade84 @drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI @ikki1127 @CtoEuro @SPyxaras @JuradoRomanAl @JiunnWen_Lin @MLCTOAcademy @shci_sec @drdharmarajk @sapporohunt @ogoktekin
#LCX #CTO #MHA #singleaccess #HDR #TDADR #TDHDR #TDAW
I got TL with using #TDAW finally .
PC was punctured by ST→#HDR→XT nontip→2nd HDR→IP stains Type 2A&2B→XT & sionblack failed →HDR →EP→#KWT→#TDADR failed→#STAR and crossed DTL→#TDHDR →EP & IP modulation →Sionblack failed→#TDAW with G2→Get TL
@realarainmd @cto_chip_japan @DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1 @baijazvascular @ErwMulia @jbspadoni @GTawade84 @drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI @ikki1127 @CtoEuro @SPyxaras @JuradoRomanAl @JiunnWen_Lin @MLCTOAcademy @shci_sec @drdharmarajk @sapporohunt @ogoktekin
#CTO #MHA #TDHDR #HDR #singleaccess
PC punctured →G2 failed→ST→HDR→EP IP stains→XTnonTIP→buckled→passive injection →IP stains and EP stains→#HDR*3→IP stains→sionblack get TL
#IVUS shows EP and IP stains after crossing GW/
GW is all in IP.
@realarainmd @cto_chip_japan @DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1 @baijazvascular @ErwMulia @jbspadoni @GTawade84 @drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI @ikki1127 @CtoEuro @SPyxaras @JuradoRomanAl @JiunnWen_Lin @MLCTOAcademy @shci_sec @drdharmarajk @sapporohunt @ogoktekin
LCX #CTO #HDR #singleaccess
#IVUS guided G2 punctured for PC→#HDR→EPstains→IVUS shows EP and IP stains→Corsair was pulled back → XT non TIP →TL
If it was EP stains, Corsair was pulled back and Check passive injection during advancing GW, if stain was disappeared , that is good sign for success of IP #contrast modulation.
@realarainmd @cto_chip_japan @DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1 @baijazvascular @ErwMulia @jbspadoni @GTawade84 @drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI @ikki1127 @CtoEuro @SPyxaras @JuradoRomanAl @JiunnWen_Lin @MLCTOAcademy @shci_sec @drdharmarajk @sapporohunt @ogoktekin
LCX #CTO #MHA #HDR planned #singleaccess
Sometimes,It happens.
Sionblack failed→G2 penetrated for PC→Corsair advancing →Corsair happened to go into TL→CB and DCB
@realarainmd @cto_chip_japan @DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1 @baijazvascular @ErwMulia @jbspadoni @GTawade84 @drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI @ikki1127 @CtoEuro @SPyxaras @JuradoRomanAl @JiunnWen_Lin @MLCTOAcademy @shci_sec @drdharmarajk @sapporohunt @ogoktekin
#CTO #HDR #singleaccess #MHA
Gradius→#HDR→XT nontip→no advanced→#HDR→IP or EPlike stain?→sionblack with tip bend→crossed TL
Stain guided retouting
@realarainmd @cto_chip_japan @DaitaroK @calcbreaker @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1 @baijazvascular @ErwMulia @jbspadoni @GTawade84 @drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI @ikki1127 @CtoEuro @SPyxaras @JuradoRomanAl @JiunnWen_Lin @MLCTOAcademy @shci_sec @drdharmarajk @sapporohunt @ogoktekin
#CTO #singleaccess #MHA #IVUS
Sionblack to DX→IVUS confirmed LAD os→POBA2.0 made LAD os cracked→Sionblack crossed to LAD
Sometimes , CTO treatment is simple as this one😘
@realarainmd @cto_chip_japan @DaitaroK @calcbreaker @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1 @baijazvascular @ErwMulia @jbspadoni @GTawade84 @drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI @ikki1127 @CtoEuro @SPyxaras @JuradoRomanAl @JiunnWen_Lin @MLCTOAcademy @shci_sec @drdharmarajk @sapporohunt @ogoktekin
#CTO #HDR #TDADR #TDHDR #singleaccess
LAD CTO with LMT lesion. on IABP. #IVUSguide
G2 punctured→#HDR*2→XT nontip→Crossed to DX→Sionblack and G2 rerouting failed→ #TDADR with ST→TL. 😃IVUS showed GW in all IP😃
@realarainmd @cto_chip_japan @DaitaroK @calcbreaker @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1 @baijazvascular @ErwMulia @jbspadoni @GTawade84 @drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI @ikki1127 @CtoEuro @SPyxaras @JuradoRomanAl @JiunnWen_Lin @MLCTOAcademy @shci_sec @drdharmarajk @sapporohunt @ogoktekin
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