Left+right coronary engagement for general fellows: step-by-step tips, diagrams, caveats (5 for RCA)

[@Arnitaadvik-g3v]

I am big fan of yours lecture.PLEASE make a video on stent and ballon size.

[@thippeswamygs7436]

High quality teaching... Addresses minor doubts in fellows mind.... You are awsome teacher sir

[@eliashanna8248]

Thanks a lot for the kind words

[@Nikesnipe]

Another jewel! Thanks a thousand Times

[@eliashanna8248]

Thank you for always having kind words

[@wilmermalinao1759]

Thank you and I love your lecture so much.. I'm radiographer and want to learn more what is the best angulations or views for coronary arteries

[@dramymagdy]

Amazing as always Sir, thanks a lot 🙏

[@progreviews]

Thank you prof hanna from German ic fellow

[@motorsportf_one]

TKS from Brazil!!

[@kashifali7742]

Amazing lecture, as always. Sir can you please do a talk on radial artery spasm management during left heart cath? I try not to get to that point, but once spasm develops it's difficult for the patient and for us.

[@eliashanna8248]

Thank you. Yes, it is a difficult situation and may occasionally need to convert to a different access, but it can be handled most often with deeper sedation, vasodilators (IA/SL/SQ), and smaller catheters. I will upload soon a talk on difficult radial anatomy; in it, I briefly discuss at the end severe spasm and catheter entrapment.

[@thannguyen6889]

Thank you teacher. Good lecture!!!

[@고티카-q1g]

I always thanks you for your kind and great lecture. But i can't understand the part that "to go from LCx to LAD"😢 How can counterclock rotation make JL catheter points more anterior? I think it may JL points more posterior, because it makes JL catheter clockwise rotation.

[@eliashanna8248]

As I mentioned, counterclock torque points JL anteriorly if it has a hinge on the aorta (meaning, if the secondary curve is abutting the aorta). IF there is no hinge on the aorta, ie if the catheter if floating freely in the aorta like a JR, then clockwise torque will make it point anteriorly

[@drarunheart]

Hi sir kindly talk about ctos ptca etc sir thank you

[@ahmeddaoud9901]

Thanks a lot