RCA. double #CTO CABG failed. Great case sharing. #TDADR,#TDADR,#MHA,#singleaccess,#7Fr PC by ST punctured HDR failed⇨UB3⇨HDR showed EP⇨KWT⇨＃TDHDR ⇨proximal CTO crossed⇨XT⇨＃HDR⇨XTnot advanced⇨KWTto PL branch⇨＃TDHDR⇨#HDR⇨XTcrossed DTL @realarainmd　@DaitaroK

We all know that it's not just mortality though, need to also think about re-infarction and rpt revasc. The most interesting slide was the one of PCI with and without imaging vs cabg

This suggests that, except for special circumstances, a retrograde approach is not necessary. #CTO #HDR #STAR #investment

HDR>>STAR>>investment>>relook>>DCB. This may become a common workflow in the CTO realm. @realarainmd @AnjaKsnes @Laserrman @DrBIqbal #TCT2025

@jl35wilsonMD @lvjulien_md @abadkhan2002 @smbracewell @lvjulien_md @AleksanderStep6 @jedicath @AntoniousAttall @PLooserMD @DrArunKumar2412 @kalazizimd @Sh_Zaynobidinov @GaneshMuthappan @Makoto29710 @drdjyoshinaga @FerdousMisbahul @cardresident @saraceciliamtz @AhmedAlOgaili

#CTOPCI @simonjwilson1 @dr_oss @hwcc0314 @VRejeki28 @jianshanzhiyi1 @MauroCarlino3 @GLGasparini @prof_aaa1 @cghanratty @AEslamiDO @aspergian1 @CatalinPToma @BrianLi_MD @Pardhu6627 @abadkhan2002 @kevinjamescroce @prajith3668 @dautov_MD @jbspadoni @MdM_Ochiai @BakhshiHooman

RCA #CTO 2nd failure case with Huge dissection remained. #TDADR #BostonIVUS #reverseGW Sionblack #KWT→IVUS does not advance→POBA→#TDADR→ST could not be controlled→#GAIA3 could be controlled→#TDADR success to get PD→#reverseGW success to get PL GW manuplation was not

#TCT2025 @TCTConference @crfheart 10 year results of Noble Trial 🧨PCI vs. CABG: similar all-cause mortality 🧨No difference at 0-5 and 5-10 years 🧨In ACS: PCI associated with lower mortality 🧨SYNTAX score: no association with mortality

#STAR is key technique for #CTO

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@jl35wilsonMD @lvjulien_md @abadkhan2002 @smbracewell @lvjulien_md @AleksanderStep6 @jedicath @AntoniousAttall @PLooserMD @DrArunKumar2412 @kalazizimd @Sh_Zaynobidinov @GaneshMuthappan @Makoto29710 @drdjyoshinaga @FerdousMisbahul @cardresident @saraceciliamtz @AhmedAlOgaili

#CTOPCI @simonjwilson1 @dr_oss @hwcc0314 @VRejeki28 @jianshanzhiyi1 @MauroCarlino3 @GLGasparini @prof_aaa1 @cghanratty @AEslamiDO @aspergian1 @CatalinPToma @BrianLi_MD @Pardhu6627 @abadkhan2002 @kevinjamescroce @prajith3668 @dautov_MD @jbspadoni @MdM_Ochiai @BakhshiHooman

LAD #CTO #HDR #HDR????→Tip injection→Type 2A？→Sionblack→several ＃HDR →icebreak→XTA→5th HDR→Lake stain (Type 2A)→XTA #KWT→cross DTL→Stent+ DCB Lake stain is intraplaque stain. @realarainmd　@cto_chip_japan　@DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511

#HDR at #TCT2025 #HDR is one year old! We presented our initial experience at #TCT2024. Now we present our initial ALL COMERS data for #HDR. A 100 consecutive patients where #contrast1st was attempted. Is #HDR really as good as folks claim? Come find out on Sunday Morning!

FFR-guided #PCI using zotarolimus DES provides significantly better long-term value than CABG for treatment of patients with multivessel CAD, with equivalent clinical outcomes at substantially lower cost. https://t.co/eXK1yE4OLF #TCT2025 #JACC #cvCABG #cvCAD @wfearonmd

@smbracewell @lvjulien_md @AleksanderStep6 @jedicath @AntoniousAttall @PLooserMD @DrArunKumar2412 @kalazizimd @Sh_Zaynobidinov @GaneshMuthappan @Makoto29710 @drdjyoshinaga @FerdousMisbahul @cardresident @saraceciliamtz @AhmedAlOgaili @SarahFairley7 @MSundarajoo @vinodnairmd

#CTOPCI @simonjwilson1 @dr_oss @hwcc0314 @VRejeki28 @jianshanzhiyi1 @MauroCarlino3 @GLGasparini @prof_aaa1 @cghanratty @AEslamiDO @aspergian1 @CatalinPToma @BrianLi_MD @Pardhu6627 @abadkhan2002 @kevinjamescroce @prajith3668 @dautov_MD @jbspadoni @MdM_Ochiai @BakhshiHooman

LAD #CTO reattemped case. #HDR would not work in previous failed case. #IVUS guide puncture with G2 using #TD method →#HDR→sionblack→#HDR→EP stain→#KWT→#TDADR→Distal TL and septal branch→Corsair pull back and Sion Black was advanced into distal LAD with #IVUS guide→IVUS

@smbracewell @lvjulien_md @AleksanderStep6 @jedicath @AntoniousAttall @PLooserMD @DrArunKumar2412 @kalazizimd @Sh_Zaynobidinov @GaneshMuthappan @Makoto29710 @drdjyoshinaga @FerdousMisbahul @cardresident @saraceciliamtz @AhmedAlOgaili @SarahFairley7 @MSundarajoo @vinodnairmd

#CTOPCI @simonjwilson1 @dr_oss @hwcc0314 @VRejeki28 @jianshanzhiyi1 @MauroCarlino3 @GLGasparini @prof_aaa1 @cghanratty @AEslamiDO @aspergian1 @CatalinPToma @BrianLi_MD @Pardhu6627 @abadkhan2002 @kevinjamescroce @prajith3668 @dautov_MD @jbspadoni @MdM_Ochiai @BakhshiHooman

LAD #CTO #IVUS #HDR #TDADR LAD #IVUSguide→Entry point of the LAD CTO originated from the septal branch.→#TD→septal branch→DLC→＃HDR→failed→#KWT→#TDADR→#TDAW →DTL By rotating the Sion Black wire C.C. to direct it away from #IVUS , we were able to advance it within IP