thanks a lot

Tank you very much for the detailed explanation

Really great job

Great demonstration

Great case Exceptional end result

Very nice case Perseverance

concise explanation alongside excellent videos and photos thank you very much

A book for peripheral artery disease? What you recommend? Tks

great sir . please take some times for lecture of normal vascular anatomy (angiography) techniques tips and tricks.

unlikely to stay patent.

11:04 May I ask what is meant by "Once you put a stent you have to start counting" Counting what? Thanks

Amazing video sir. 😊

Im having severe calf pain in my right leg and numbness in my thigh while walking. I had a cath with stent placement in my LAD in my right groin in August 2022. I have had a EMG with normal results. My calf is sore all the time and bigger than the left with tightness. I have seen multiple MDs and even talked to my cardiologist in November about it. Im going to ask that they check me for this..the pain while doing simple tasks is dibilatating. Thanks for all the information

Thanks a lot sir .... This lecture helped me a lot

Can u pls name the micro guidewires u hv used?

hello Doctor. May I have your File in this Presentation? Thanks in advance>

Hi Dr Tummala, the video is excellent Can you leave email address for me ? I want to discuss some cases with you

Gr8 talk.

I didn't know there were multiple kinds of Fistula. I barely got the one in my upper left arm working, after the one in my right failed to mature. I just got to 15 gage needles today. I wonder if this was even an option for me? My surgeon didn't say anything about something like this. Unless this is what he did. I might see him next week to remove my catheter. Maybe I'll ask him.

There are really so many different designs for these guidewires! So interesting to see. I really like the stent-like structure for centering the guidewire in the middle of the vessel for proper alignment, it seems very useful! Nice video!

To stop future stent blockage, after the initial repair and stent placement; the plack needs be removed completely ( before the stent is placed.) Like going to the dentist: they remove all of the plack, before sealing the tooth with artificial enamel. Otherwise, the plack, would continue to invade the tooth, under the new enamel. Open the blockage; then, roto rooter with vacuum, the plack: don't just press it to the walls, to give area Flo. [That only leaves growing plack- and that growing plack-, is what invades the new stent(s), post placement. Save the patient, invasive bioproceedure liabilities,pain, and healing, times - by removing'all" of the arterial plack from within the vessel, before stent placement. Design a vacuum tube into, or that can be introduced in thru the original limb flow device, for this task; if no such device but exists at this time. HANI

Is considered side to side fistula which are obsulate nowadays

Very interesting presentation i like to ask you what about venous hypertension rate

Great case! Congrats and thanks for sharing!

Very informative, thanks

Excellent summary

I work in a production line where we make guidewires(I package them) and have always wondered exactly how they work. Thank you for uploading this!

Thank you so much for this information! 💛

Congratulations on the result, can you please share with us what kind of DES did you use in the second scenario? Many thanks for sharing your experience 🍻

👌👍

Great Case presentation!

Thank you for your time and help.

I have one question about the better tehnique for acces AV shunt,,button hole or other tehnique, tq

Thanks for your presentation. What do you think about stenting, graft stenting. I had a case of consultation with one patient with popliteal cystic adventional disease. Patient had intermittent claudication and local sub occlusion of pop. I recommended open surgery ( I know that from literature). But my colleagues from another clinic recommended to implant stent And patient agreed: non traumatic. How fair is that? Thanks 🙏

Nice tutorial, excellent points discussed. You mentioned low pressure prolong angioplasty. Can you please specify the pressure and time here?

Dear Dr Thanks for your unique video. I would like to please you answer this question. May we do make this type of fistula with Eps burning radio-frequency device instead of special off the shelf burning device? May I notice you I live in a developing country and do not enough money to buy this devices. Thanks.

Great video. Thanks

thank you

thanks so much this really help me,,,, i am only 37 year and i have this problem ...too bad.

excellent! for btk run whats the ipsi angle - 20-30?

Thx for this video!

Exactly what I was looking for, Great video ! Thank you

Excellent 👍

Awesome job! Thank you for this kinda of cases. Great explanations and invaluable education.

What reentry device was used in the first case?

I work at an OBL as a nurse doing Vascular IR. Had a case last week and ran into a little hiccup that prolonged it by a quite substantial amount of time. We were doing a Right Leg Angiogram. He came back to us with a re-occlusion of his posterior tibial artery after angioplasty in late March. We were navigating the posterior tibial artery where we ran into substantial calcification and occlusion of the distal third portion. On top of a difficult lumen to get a wire through, we came across a sharp angled area of the PT that we could not get even our smallest/“floppiest” wire. Just such an acute bend. Our last resort attempt was bend the foot up to try and create a straighter angle. Now there’s only so far you can bend the ankle to straighten out the vessel. We ended up going with a pedal access but it took about 30 minutes due to the disease of the distal portion of the vessel. My question is do you have any other methods or tricks of the trade to help straighten out a vessel with the situation we ran into? We were trying to think of other ways and I figured try and reach some others for some expertise.

Thanks , excellent video. So in first case u crossed sub intimal. Do you use atherectomy even in that.

Hope more basic videos for Radiology residents interested in ir

A superb presentation and clear cut concepts. It would have taken few hours to comprehend/decipher these from books/articles. Thank you for your hardwork to make our work easier

What's your surveillance for a case like this? Would you just go by clinical signs? Angio if wound healing slows down? Do you ever schedule repeat angios regardless because of the high rates of recoil and reocclusion? I'm trying to incorporate PAT in my clinical follow-up, but it's time consuming.