Case 135: PCI Manual - Wiring challenges

[@shangz0216]

Thanks for the educative presentation.

[@denizaktürk-j7n]

Thank you very much for this educative presentation.

[@ahmedelsokary7076]

very nice case

[@bilalwazzaz9820]

Thank you

[@Kulseref]

Dear dr. Brilakis, if we do not have stingray catheter, what we can do (except CABG)? Thank you

[@manosbrilakis]

You could try using a microcatheter (ideally a dual lumen microcatheter) and various guidewires including stiff tip guidewires (such as Hornet 14 and Confianza Pro 12) to enter into the distal true lumen. You could also use IVUS to determine the wire location.

[@rajmaster0]

before balloon angioplasty how did you confirm you were in true lumen..?