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25.2 How to prevent and treat coronary dissections 

Manos Brilakis
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Step-by-step description of how to prevent and treat coronary dissections

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20 ноя 2020

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Комментарии : 13   
@Ashmisf
@Ashmisf 11 месяцев назад
Good presentation and easily understand
@shangz0216
@shangz0216 3 года назад
Thanks for your educative presentation.
@Kulseref
@Kulseref 3 года назад
Thank you for the great education Dear Brilakis. I have 2 questions: 1. What is the best wire passing to true lumen for the iatrogenic coronary diseections (workhorse/ hydophilic/polimer jacketed/ stiff or escalating)? 2. If the imaging (IVUS/OCT) is not possible, would it be appropriate to use microcatheter to confirm the true lumen (contrast injection via micro after pass the dissection)?
@manosbrilakis
@manosbrilakis 3 года назад
1. Workhorse wire 2. Would advise against injecting contrast, as it will make things much worse if you are in the subintimal space.
@yyshiao
@yyshiao 2 года назад
Dr. Brilakis, Thanks for sharing this lecture. I have a question, what kind of post intervention coronary dissection is better observed rather than treated? same algorithm as SCAD?
@manosbrilakis
@manosbrilakis 2 года назад
Small, non-flow limiting dissections can sometimes be left untreated unless they involve a major vessel, such as the left main.
@yyshiao
@yyshiao 2 года назад
@@manosbrilakis thanks~
@mohammedelbarbary8708
@mohammedelbarbary8708 3 года назад
nice video
@rajmaster0
@rajmaster0 3 года назад
how did you advance the guidewire for the case at 4:56 knowing it was in true lumen?
@manosbrilakis
@manosbrilakis Год назад
Contralateral injection was the key for confirming that that guidewire was inside the distal true lumen.
@mohamedaymenbenabdessalem1160
Thanks for this great lecture. A question please : Any experience with type E dissection, and how to deal with ?
@manosbrilakis
@manosbrilakis Год назад
Stenting is the solution for such dissections.
@mohamedaymenbenabdessalem1160
@@manosbrilakis thanks for your answer.
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