Рет қаралды 9,515
0:00 General approach to left main stenting: the 5+3 major questions
02:10 General approach to bifurcation left main. When to choose provisional strategy (EBC main and DK crush V trials) + cutoffs and data for provisional postdilatation, stenting, and predilatation.
11:57 4 planned 2-stent techniques, and 3 provisional stenting techniques.
13:19 Regular vs inverted TAP and Culotte: when and how. The one advantage of crush and perfect T
15:03 Data for 2-stent strategy techniques: EXCEL, NOBLE, EBC main, DK crush V and III
18:14 Vessel prep pre- and post-stent and careful technique (more important than the exact 2-stent strategy)
20:45 TAP steps, video animation, tips (+33:36). Difference with Crush and Culotte
29:24 Perfect T and nanocrush steps. Different from TAP and similarity to standard SK crush
33:36 Additional tips for TAP: how to reduce size of the protrusion, distal rewiring, future distal crossing past TAP neocarina. Advantages vs Crush and Culotte (eg, much less metal overlap)
41:50 Distal vs proximal rewiring with Crush and Culotte
43:47 LCx underexpansion is Achilles heel of LM PCI, esp with Crush
44:34 IVUS and angiographic sizing: the 8-7-6-5 rule
46:22 Radial access, 6Fr vs 7Fr, LV support