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

A practical skill I learned from the master @KambisMashayek1 When using super high-pressure balloon #OPN difficulty arises after a pressure of 40 atm. This involves the stucking of the guidewire inside the balloon, resulting in the guidewire being removed along with the balloon

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It's commendable that Dr. Tsutomu Fujita from SCVC/Bali International Hospital visited Wuhan Asia General Hospital and Wuhan Asia Heart Hospital to share his experience with his colleagues. Kudos indeed to the HKAMG team for prioritizing and facilitating this valuable exchange!

@realarainmd In post #HDR era , the future we shud be looking and gaining experience and expertise shud be is #TDHDR or #TDADR .. Like in today's time , no work in coronaries for stent sizing or calcium assessment shud be BLIND (only floroscopy guided ) but Image guided , why should

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3D wiring vs. TDADR (or any ADR) Here is a random ‘doodle’ from some weeks ago, when I was thinking hard about 3D wiring. I am a visual learner, and my phone is full of these ‘proof of concept’ pictures. This is my understanding of the role of 3DW vs. ADR in #CTOPCI. 🤔

@Laserrman

@SarahFairley7 @evandrofilhobr @realarainmd @Texan2007 @Laserrman @agtruesdell @DrBIqbal @A_B_Hall @BElbarouni @jedicath @MichaelMegalyMD @Hragy @rajivxgulati @mmamas1973 @mirvatalasnag @kalazizimd @SripalBangalore @KateKearney4 @ShariqShamimMD @DocSavageTJU @DrIHHashmi1 Interpreting contrast behavior in HDR isn't guesswork, it's a skill. Like reading an angio or sensing feedback from a microcatheter, it takes training, experience, and a framework. It’s a semiotic process: visual cues = signs decoded in clinical context.

@realarainmd @Texan2007 @Laserrman @agtruesdell @evandrofilhobr @DrBIqbal @A_B_Hall @BElbarouni @jedicath @MichaelMegalyMD @Hragy @rajivxgulati @mmamas1973 @mirvatalasnag @kalazizimd @SripalBangalore @SarahFairley7 @KateKearney4 @ShariqShamimMD @DocSavageTJU @DrIHHashmi1 Successful use of HDR requires CTO operators to develop a new skill I describe as Visual Literacy (the ability to interpret contrast spread in real time to distinguish permissive, resistant, and high-risk anatomical planes).

A big thank you to PERKI (Indonesian Heart Association) for accepting our Dr. Tsutomu Fujita, SCVC/Bali International Hospital, as a member. We are committed to contributing to the cardiac health of the Indonesian society!!!

SCVC’s former international fellow from Indonesia, Dr. Bambang Dwiputra from National Cardiovascular Center Harapan Kita, was recognized by PERKI (Indonesian Heart Association) as an interventional cardiologist. Congratulations!!! @Laserrman @sapporohunt

Thank you Sensei for allowing me to do the interview🙏🏼…and Super Nice Batik Sensei👍🏻#ISICAM2025 @ISIC_Official @sapporohunt @Laserrman #CTO #HDR @SCVC2023

#CTO #3Dwiring #TDADR This presentation for #EssentilaCTO. Real time 3Dwiring ; faster.@ErwMulia @ISIC_Official

Excited to share the nitty-gritty of #TDADR at SwissCTO&CHIP Summit in Basel🇨🇭 @BarberoUmberto @Laserrman

wow

Great

@realarainmd @mornei2011 @Laserrman @MauroCarlino3 @KVM83 @mmamas1973 @mirvatalasnag @LAzzaliniMD @cto_chip_japan @evandrofilhobr @MPAOSS @DrBIqbal @OjedaOjeda18 @PCRonline Floating balloon is up before stent balloon, so quite stable position. But nothing is perfect as we know only 2/3 perfect position in OSTIAL pilot series WALPO wire only according to @swissCTO useful as well! Catheterization and Cardiovascular Interventions, 2024; 104:1447–1451

@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

Please take a look at these tips for addressing hand fatigue when using the Boston #IVUS during #TDADR procedures. #CTO @realarainmd　@cto_chip_japan　@DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD