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Educational Video on the difficulties one can encounter during ISR. As is the best strategy, one should always use a workhorse wire first and then slowly escalate. This prevents chances of subinitimal entry and the ability to find true channel. Shown here also, is the excellent use of balloon support catheter- which decreases cost to the patient, decreases procedure times and can also lead to excellent results. The causes of ISR are many- 1. Uncorrected Risk Factors like DM, HTN, Hypothyroidism, Cancer etc. 2. Drug Non-Compliance 3. Smoking, Tobacco, Alcohol, Pan Masala etc. 4. Constant Stress 5. Stent underexpansion, or even allergy to stent components (can only be judged after deploying stent usually) One has to be wary to correct all these factors to prevent ISR. In this case we had Smoking and drug compliance as the causative factors. Here's hoping proper drug compliance is maintained and smoking is curtailed to give a long lasting result. #angioplasty #bestcardiologistinagra #angiography #besthospitalinagra #cardiacarrest #cathlab #cardiology #heartcheckup #heartattack #complexpci