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Technical Pearls 1
- Crusade in CTO PCI -
Kasai Shoikai Hospital
Yasushi Asakura M.D.
Over-The-Wire guidewire
Monorail guidewire
5mm
Crusade
Kasai Shoikai Hospital
Significance of Using Crusade
 Enable Crossing of GW into Complex
Side Branch
Kasai Shoikai Hospital
Significance of Using Crusade
 Enable Crossing of GW into Complex
Side Branch
 Back-up Force
Kasai Shoikai Hospital
Case
Kasai Shoikai Hospital
Crusade
Kasai Shoikai Hospital
Crusade
Kasai Shoikai Hospital
Reverse
CART
Kasai Shoikai Hospital
Final
Kasai Shoikai Hospital
Significance of Using Crusade
 Enable Crossing of GW into Complex
Side Branch
 Back-up Force
 Parallel Wire Technique
Kasai Shoikai Hospital
Case
Kasai Shoikai Hospital
Antegrade
Wiring
Kasai Shoikai Hospital
GW
Kasai Shoikai Hospital
Parallel
Wire
Technique
Kasai Shoikai Hospital
Crusade
Kasai Shoikai Hospital
Final
Kasai Shoikai Hospital
Significance of Using Crusade
 Enable Crossing of GW into Complex
Side Branch
 Back-up Force
 Reverse Wire Technique
 Parallel Wire Technique
Kasai Shoikai Hospital
“Reverse GuideWire Technique”
Case
Kasai Shoikai Hospital
Antegrade
Wiring
Kasai Shoikai Hospital
LCX
Kasai Shoikai Hospital
OM
Kasai Shoikai Hospital
Reverse
Wire
Technique
Kasai Shoikai Hospital
Final
Kasai Shoikai Hospital
Significance of Using Crusade
 Enable Crossing of GW into Complex
Side Branch
 Back-up Force
 Reverse Wire Technique
 Retrograde Approach
 Parallel Wire Technique
Kasai Shoikai Hospital
Kasai Shoikai Hospital
Case
Kasai Shoikai Hospital
Bifurcation
Kasai Shoikai Hospital
Contemporary
Reverse
CART
Kasai Shoikai Hospital
Successful
Wiring
Kasai Shoikai Hospital
Unsuccessful
Wiring
Kasai Shoikai Hospital
Crusade
Kasai Shoikai Hospital
Retrograde
Balloon
Kasai Shoikai Hospital
Reverse
Wire
Technique
Kasai Shoikai Hospital
Final
Case
Kasai Shoikai Hospital
Retrograde
Approach
Kasai Shoikai Hospital
Antegrade
Wiring
Kasai Shoikai Hospital
Contrast
Infusion
through
Crusade
Kasai Shoikai Hospital
Balloon
Kasai Shoikai Hospital
Reverse
Wire
Technique
Kasai Shoikai Hospital
Final
Kasai Shoikai Hospital
Significance of Using Crusade
 Enable Crossing of GW into Complex
Side Branch
 Parallel Wire Technique
 Reverse Wire Technique
 Retrograde Approach
 Infusion of Drug or Contrast Using
OTW Lumen
 Avoid Tangling of GWs
 Avoid Delivery of GW Exterior of
Stent Strut
 Back-up Force
Kasai Shoikai Hospital
17:25 TEC PEARLS 1 - Asakura
17:25 TEC PEARLS 1 - Asakura

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17:25 TEC PEARLS 1 - Asakura

Editor's Notes

  1. リバースワイヤーテクニック OTWルーメンのGWを180度に軽く折り曲げた状態でGC内を進め、GWがまっすぐに戻ろうとする力を利用してアングルのきつい側枝にGWを進めるテクニック レトログレードアプローチのCTOで角度のきついセプタルブランチの選択などに有効。