RCA CTO w/ ambiguous proximal cap. Knuckle wire advanced subintimally and probably inadvertently tracked an RV marginal branch, exploding... Luckily, perforation was into the RV cavity. No pericardial effusion, no tamponade.
No need this time but always have echo + pericardiocentesis kit ready.
Understanding Angiographic Views for Left Coronary Artery (LCA):
Proper angiographic projections are key to visualizing coronary anatomy. Here's how different views help evaluate segments of the Left Main (LM), LAD, and Circumflex (Cx) arteries:
1️⃣ LAO Caudal:
"Spider view" best for LM bifurcation, proximal LAD, and Cx.
2️⃣ RAO Caudal:
Good separation of LAD & Cx; visualizes mid/distal LAD and OM branches.
3️⃣ LAO Cranial:
Best for entire LAD course, septals (S), diagonals (D), and LM.
4️⃣ RAO Cranial:
Excellent for LAD and diagonal visualization with clear proximal Cx.
These views guide precise intervention planning.
Image credit: Dr. Annapoorna Kini, Icahn School of Medicine at Mount Sinai, NY
18th European #Bifurcation Club Consensus
This expert document outlined a refined framework for optimising angiography-guided PCI in coronary bifurcation lesions—focusing on meticulous pre-PCI imaging review, accurate bifurcation sizing, strict adherence to technical steps (incl. POT, DOT, rewiring strategy), and systematic use of stent-enhancement tools to ensure optimal stent expansion and apposition.
#EIJBestOf
https://t.co/4J1ii0ziv7
@BURZOTTA_F@GoranEBC@flensted_jens@ColletCarlos@YChatzizisis
🔴 Classification of Ventricular Septal Defects for the Eleventh Iteration of the International Classification of Diseases—Striving for Consensus #openaccess
https://t.co/MJ46P7AbhJ
#CardioEd#CardioTwitter#cardiology
This clinical consensus statement proposed a rationale for the diagnostic evaluation and indications for percutaneous revascularisation of CAD in patients with severe aortic stenosis undergoing transcatheter treatment. #EIJBestOf https://t.co/2pJzl6z7eS
Fasciculo-Ventricular Pathways As A Mechanism Of Bundle Branch Block Correction: An Intriguing But Not Unfalsifiable Hypothesis
https://t.co/R9GZQ8mkrS