Case 152: PCI Manual - Reversed guidewire

[@drmz2007]

Excellent demonstration of reverse guide wire. I have used this technique in a case of LCX/Om bifurcation with single lumen micro catheter. We can also tried angled micro catheter like super cross or venture . 👏

[@matheuscsmed]

Thank you, Matheus Silva

[@shangz0216]

Thanks for the excellent illustration.

[@muhammadhamidsaeed7585]

Excellent demonstration by an excellent teacher 👏 👍

[@apurvavasavada383]

Great demo of the reversed wire. Could you please demonstrate how prep and introduce the reverse wire into the Touhey in a furure video?

[@dr.goibov9508]

Well done! 👏 👏 👏 inflating a balloon in the diagonal could solve the problem 🤔 Is it a muscle bridge in the middle of the LAD? If it is a bridge and hemodynamically significant bridge in the middle of the LAD and lesion more proximally what should we do? treat the lesion? even if we treat the lesion we will still have a muscle bridge 🤔

[@amrhanafymahmoud9829]

Thanks slot for this illustration. Important information. But I would like to show us in live illustration double kissing which endfletor should Inflat and to how many pressure and second balloon.

[@wbcjunior]

how did you put the hairpin string in the mc? thread the bent rope without the prod? could you explain how to insert the string?

[@llacielona]

The wiring of LAD was spectacular! The lesion seemed Medina 1,0,0 before the LAD wiring, so why not dilate LAD first ( over the LAD/Diagonal wire)then try wiring. I think that would have changed the angulation of lesion.

[@apurvavasavada383]

Yes. That should not be left as last resort. Better to try before too much manipulation dissects the tricky entry. Chance of losing the branch is quite low.

[@dmx-spark]

I went to ijcto Hyderabad, really hoping to meet you there. 😢