Complex PCI | Aberrant Subclavian | Radial | Calcium | Angiosculpt | Aneurysm скачать в хорошем качестве

Complex PCI | Aberrant Subclavian | Radial | Calcium | Angiosculpt | Aneurysm

The very first challenge of this case is Abnormal Course of the catheter. Subclavian is arriving from the Descending Aorta. This Complex PCI is done through right radial route. So the catheter course is ..Descending Aorta - Ascending Aorta - Coronary Valsalva - LCA. You can imagine the loop. Hooking catheter itself was a tough task. It was repeatedly snapping back. Then doing a complex PCI with full of calcium in LAD and with a small aneurysm, is a toughest task. We used buddy wire technique and then many NCs, then Angiosculpt. Finally could crack the calcium with Angiosculpt scoring balloon. There was no LPN NC or IVL at that time. Finally stent was place with good end result. Thanks to Dr Hemanth Behera, for his meticulous skills in maneuvering catheter and cracking a tough calcium.