Explained in a very easy demonstration. Jazaak Allah. No next video option is highlighted. Will wait for more video to learn. Very grateful for such simplied explanation of complex procedures
@highriskpci50042 жыл бұрын
Will upload soon
@highriskpci5004 Жыл бұрын
Thank you for your kind words. Appreciate it. What kind of video are you looking for?
@drshamshadhaleem426310 ай бұрын
Very useful video! Very easy demonstrated
@highriskpci50048 ай бұрын
Glad it was helpful!
@dibyendumura56193 жыл бұрын
Nicely explained sir😊
@highriskpci50042 жыл бұрын
Thanks for liking
@tarigabdelrahman72772 жыл бұрын
Thank you very much. Where is the place for POT.
@mohammadghani68354 жыл бұрын
Nicely explained, specially the drawings. Thank you so much. Expecting more and more from you. Zajakallah.
@highriskpci50044 жыл бұрын
Thank you for your nice comment
@dramolchavhan9355 жыл бұрын
Good demonstration sir Thank you
@rajinderpalsingh67404 жыл бұрын
Dear dr rewiring is done through proximal struts or mid struts and not distal
@highriskpci50044 жыл бұрын
My dear friend for mini crush ...the rewiring is through distal for minicrush and proximal for DK crush
@rbvidhyakar094 жыл бұрын
Excellent description 👌
@highriskpci50045 ай бұрын
Thanks
@Vs82-y8k9 ай бұрын
Won’t it be better to dilate the SB Ostia by recrossing , before we put in the MB stent ?
@highriskpci50048 ай бұрын
its better if you cannot cross and would be a modification of this technique however the original technique did not have that because they were using it for left main and the vessel was large. You are absolutely right that in real life you have to dilate the ostium
@aeyshamasood1373 жыл бұрын
Excellent
@highriskpci50043 жыл бұрын
Thanks
@mohamedkishkt36674 жыл бұрын
plz .. more videos doctor... thanks
@highriskpci50044 жыл бұрын
Hi, what kind of videos will you like?
@salemkreiba65023 жыл бұрын
More teaching v video. Thanks
@highriskpci50042 жыл бұрын
Please let me know what will you like to watch
@drbenirusani2 жыл бұрын
DK crush is the only 2 stent strategy in which we rewire back into SB through the proximal strut/cell. (not distal strut)
@highriskpci50042 жыл бұрын
yes
@vivekchaudhari59572 жыл бұрын
True
@aliali-ry5mi5 жыл бұрын
Nice video
@clamdown44554 жыл бұрын
POT after deployed MB stent and final need or not ?
@highriskpci50044 жыл бұрын
I would recommend doing a final POT as well
@highriskpci50044 жыл бұрын
POT is mainly to expand the stent to make sure it is well apposed. If it is well apposed already, it is not really needed.
@obscuraterror18913 жыл бұрын
Perfect!
@sardarzahidhossain28214 жыл бұрын
Helpful
@highriskpci50042 жыл бұрын
Glad you think so!
@RamazGlonti8 ай бұрын
Grate
@jimmyyee94034 жыл бұрын
What is the purpose of kiss ballooning in step 2. I usually do not kiss balloon in that step, just dilate individually.
@highriskpci50044 жыл бұрын
Its to keep the carina preserved. You can do separately as well. however more angulated vessels and very athereomatous plaques will have carina shift as well as plaque shift that distorts the carina leading to much difficulty in later steps
@ashirbad45064 жыл бұрын
Sir ,shouldn't we reenter the side branch proximally??
@highriskpci50042 жыл бұрын
so minicrush is distal and DK crush is proximal
@rajarajanmurugaiyan53534 жыл бұрын
Hello sir, nice explanation, so in minicrush the recrossing of the side branch is through the distal strut on contrary to the proximal struts in dk crush... Isn't sir..
@highriskpci50044 жыл бұрын
yes thats what is recommended
@drmarianbogdan3 жыл бұрын
enter proximal not distal in MB
@highriskpci50042 жыл бұрын
in DK crush and distal in mini crush
@shivendrarai8252 Жыл бұрын
Don't you recross proximally in minicrush
@highriskpci5004 Жыл бұрын
DK crush is proximal crossing Minicrush is distal crossing
@krishnendudas2154 Жыл бұрын
# I cannot understand why a few surgeons of corporate hospitals speaks out " your patient will die " only at the last and critical moments when departing the hospital is nearest to impossible. ## I cannot understand what the problem is to disclose the risk factors at the first sitting or well in advance in the cases of fatal or high risk surgeries despite knowing the impending facts. The victim families of India feel how devastating is to lose both life and money.. Please forgive if I am wrong.
@highriskpci5004 Жыл бұрын
I will like to know more about your comments. I apologize for your experience. I think there are two fold issues 1. We doctors are not trained formally in explaining the family about risks and benefits. However with increasing knowledge through internet, it has become more and more important to communicate with our patients and their families 2. We tend to be optimistic in our approaches and sometimes overestimate our success rate. Unfortunately, sometimes it is not possible to predict the outcome. Again I am sorry to hear about your experience. An important step what I suggest my patient's and their families is to write up notes about what the doctor is saying and also ask them the questions. It is our duty to answer your questions.
@krishnendudas2154 Жыл бұрын
@@highriskpci5004 I had a very strange and tragic experience in a South Indian corporate hospital. 1. The renowned surgeon left no words to instill confidence in the patient for the most fatal recommendation of double open surgeries of abdominal aerotic aneurysm and bypass together on 19/10/2019 . But he spoke the truth on 11/11/2019 at the last moment leaving no scope to depart the hospital. Amazingly the doctor had to take nearly a month to disclose the truth. 2. Secondly, at 10 am on 13/11/2019 when I entered the ventilation room all the doctors in charge of the room rushed to me to telll that another operation of Cholestomy would've to be done because my father had gangrene in the intestines though there was no trace of gangrene in their own multiple test reports, neither had any pain and discomfort in my father's abdomen. After 22 days of the operation they returned my father's body with the wounds of five surgeries AAA, CABG, CHOLESTOMY ,TREAKESTOMY and THORACENTESIS. My family and friends are quite shocked at the whimsical botched up multiple surgeries on a strong and stable 75 yr old patient in a renowned corporate hospital of Bangalore where many like us visit every day from Bengal. I had no previous idea that a doctor may misguide an innocent patient so brazenly. I am not successful to take home my father alive , but learnt an expensive lesson by trusting a doctor whom many common patients regard as God .
@doccardione Жыл бұрын
U forgot to add final POT to avoid the neocarina
@highriskpci5004 Жыл бұрын
true. My practice has changed since the last 3 years. POT should be performed as you suggested. POT is not being advised more and more and I probably will need to make another video with it.
@doccardione Жыл бұрын
U forgot to add final POT to avoid the neocarina
@highriskpci5004 Жыл бұрын
true. My practice has changed since the last 3 years. POT should be performed as you suggested. POT is not being advised more and more and I probably will need to make another video with it.