The CanCTO+ Complex #PCI agenda now includes faculty - Join Ziad Ali, Kate Kearney, Sanjog Kalra & more in Toronto Oct 3–4 👉 cancto.ca
#CardioX #CathLab #CTOPCI

Effects of proton pump inhibitors on gastrointestinal bleeding and cardiovascular outcomes in myocardial infarction patients treated with DAPT Study on the association between proton pump inhibitors and gastrointestinal bleeding in acute myocardial infarction patients on dual antiplatelet therapy.

'In AMI patients undergoing PCI with #DAPT, PPI use was associated with a lower risk of major GI bleeding without increasing cardiovascular events.'
#cardiosky #ctopci
eurointervention.pcronline.com/article/effe...

Webinar 4 | Bifurcation PCI in Cardiogenic Shock and High-Risk PCI

Webinar, Bifurcation PCI in Cardiogenic Shock and High-Risk PCI

@scainews.bsky.social
#pci #cardiosky #cardiology #interventionalcardiology and tagging this to broaden reach: #ctopci
scaipro.scai.org/Listing/Webi...

per Dr Radomski

#HDR #ctopci #cto #pci #cardiosky

#HDR video #CTOPCI intraplaque contrast, microchannels

repost
#contrast1st Dr Mauro Carlino Dr Iqbal Dr Arain
#CTO #cardiosky #medsky

youtu.be/_S81-H9XX68

Clinical expert consensus document on bailout algorithms for complications in percutaneous coronary intervention from the Japanese Association of Cardiovascular Intervention and Therapeutics - Cardiov... The efficacy and safety of percutaneous coronary intervention (PCI) for coronary artery disease has been established, and approximately 250,000 PCI procedures are performed annually in Japan. However,...

#PCI #CTO algorithms bailout procedures

coronary artery dissection perforation rupture, guidewire entrapment or fracture, ivus entrapment, burr entrapment, stent retrieval, entrapped balloon
#CTOPCI #cardiosky #cccsky #interventionalcardiology
link.springer.com/article/10.1...

Dr Iqbal & Arain, Western Canada CTO/ #CHIP rounds, guest speaker Dr Carlino to talk about history of contrast modulation & #HDR in #CTO and #CTOPCI, great discussion about #HDR and #contrast1st #HDRanalysis, #PCI #cardiosky #interventionalcardiology
youtu.be/_S81-H9XX68

Coronary lithotripsy for the treatment of underexpanded stents: the international; multicentre CRUNCH registry This study evaluated the safety and efficacy of intravascular lithotripsy for treating resistant stent underexpansion in 70 patients. IVL significantly increased stent expansion and lumen dimensions w...

'Coronary lithotripsy is safe and effective in increasing lumen and stent dimensions in underexpanded stents secondary to heavily calcified lesions' #IVL #lithotripsy #cardiosky #ctopci
eurointervention.pcronline.com/article/coro...

Dr Arain, #HDR #CTOPCI
'We finally punctured the true cap using an innovative technique:

We blocked the septal with a 2.5 mm balloon + blocked the EP entry with the MC > then used Sasuke + G3 for ‘precision puncture’ into the TL'
#cto #pci #cardiosky

'New CNs developed in untreated, lipid-containing, severely calcified lesions with a larger angiographic hinge motion, compared with lesions without CNs, and were associated with worse clinical outcomes' calcified nodules #CTOPCI #cardiosky #pci #cto eurointervention.pcronline.com/article/natu...

Global Chronic Total Occlusion Crossing Algorithm: JACC State-of-the-Art Review

'unified global CTO crossing algorithm could significantly facilitate decision making and #CTO #PCI teaching across various geographies and improve the safety, reproducibility, and efficiency of the procedure' #ctopci #cardiosky #cccsky #interventionalcardiology
www.jacc.org/doi/10.1016/...

Dr Ochiai via Dr Fujita, is doing retro or retrograde #ctopci and the #HDR master Dr Arain is watching Ochiai's hands work the torque device... apparently something special about it
#interventionalcardiology #cardiosky #cto #pci

HydroDynamic contrast Recanalization (HDR): Description of a new crossing technique for coronary chronic total occlusions Background Intraplaque delivery of contrast has been utilized during percutaneous coronary interventions (PCI) of chronic total occlusions (CTO) to delineate anatomy and to facilitate wire crossing....

' #HDR is an antegrade crossing method for coronary #CTOs based on the synergistic use of contrast microinjections and polymer jacketed wires. We present a retrospective, first-in-man, case series utilizing HDR for #CTO #PCI' #cardiosky #ctopci
onlinelibrary.wiley.com/doi/10.1002/...).

paradigm shift with #cto #pci #ctopci #adr #td-adr called #hdr, toolbox addition, but they wont teach here.

i highly recommend that interventional cardiologists read all his posts to help save more lives
#cardiosky Dr Arain & Fujita

Side branch preservation using tip detection-antegrade dissection re-entry after failed subintimal tracking and re-entry in chronic total occlusion: a case report AbstractBackground. Techniques for treating difficult chronic total occlusions (CTOs) have evolved with the discovery of the tip detection-antegrade dissec

#CTO difficulties? reposted

'The tip detection-antegrade dissection re-entry ( #TDADR) technique plays an important role in preserving side branches during chronic total occlusion (CTO) percutaneous coronary intervention ( #PCI)' #ctopci #cardiosky #IVUS
academic.oup.com/ehjcr/articl...

American Heart Association Journals

interesting. i like HeartFlow to 'see' soft and calcified 'plaque burden'
.
but here reduced MACE in cabg pts going back for pci:
#cardiosky #ctopci #ctca
www.ahajournals.org/doi/10.1161/...

'clopidogrel monotherapy was associated with a reduction in thrombotic and bleeding risks compared with aspirin, regardless of the presence of high bleeding risk and/or PCI complexity'
#cardiosky #CTOPCI
jamanetwork.com/journals/jam...

Coronary No-Reflow after Primary Percutaneous Coronary Intervention—Current Knowledge on Pathophysiology, Diagnosis, Clinical Impact and Therapy Coronary no-reflow (CNR) is a frequent phenomenon that develops in patients with ST-segment elevation myocardial infarction (STEMI) following reperfusion therapy. CNR is highly dynamic, develops gradu...

Coronary no-reflow, Microvascular obstruction

'early reperfusion by primary PCI remains the only means to stop ongoing ischemia, reduce the infarct size and consequently reduce the occurrence and extent of MVO and CNR'
#CTOPCI #cardiosky
www.mdpi.com/2077-0383/12...

go.bsky.app/VfeyQ5j

Tell me if you’d like to be added.

#idsky #medsky #cardiosky #pocusky #pocus #CTOPCI #critcaresky #ViroSky #immunology #EmImCc #Epeeps
#OMI #EKG #Impella #ECMO

HydroDynamic contrast Recanalization (HDR): Description of a new crossing technique for coronary chronic total occlusions Background Intraplaque delivery of contrast has been utilized during percutaneous coronary interventions (PCI) of chronic total occlusions (CTO) to delineate anatomy and to facilitate wire crossing......

Dr Fujita: Hydro-Dynamic contrast Recanalization (HDR)—a novel technique for treating chronic total occlusions (CTO) during PCI—combines contrast microinjections with polymer-jacketed wires to cross CTOs more effectively. #HDR #CTO #CTOPCI #cardiosky #pci
onlinelibrary.wiley.com/doi/10.1002/...

Equipment for Chronic Total Occlusions Percutaneous Coronary Intervention: Present and Future Chronic total occlusions percutaneous coronary intervention (CTO-PCI) require dedicated equipment with properties that enable special functions. Industry efforts have been focused on developing novel ...

'Equipment for Chronic Total Occlusions Percutaneous Coronary Intervention'
#CTO #PCI #CTOPCI #cardiosky CTO guidewires hardware etc

www.ajconline.org/article/S000...

Side branch preservation using tip detection-antegrade dissection re-entry after failed subintimal tracking and re-entry in chronic total occlusion: a case report AbstractBackground. Techniques for treating difficult chronic total occlusions (CTOs) have evolved with the discovery of the tip detection-antegrade dissec

'Techniques 4 ... chronic total occlusions (CTOs) have evolved... tip detection-antegrade dissection re-entry (TDADR) guided by... IVUS. This case demonstrates TD-ADR as a viable bailout in failed subintimal tracking and re-entry (STAR)'
#CTO #PCI #cardiosky #CTOPCI
academic.oup.com/ehjcr/articl...

#CTOPCI