@ABaliMD @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mmamas1973 @mirvatalasnag @drsonyaburgess @crfheart @stefan_harb @ShrillaB @evandrofilhobr @ziadalinyc It's Important to use according to the case. In this case IVL would not cross and MC could not cross so we couldn't get the rota wire in. Always a space for all therapy on our cathlab shelves. Great Inputs from you.

@dhananj25151544 @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mmamas1973 @mirvatalasnag @drsonyaburgess @crfheart @stefan_harb @ShrillaB @evandrofilhobr @ziadalinyc Imaging was done once orbital created a space for the catheter to pass. And yes small vessels will perf with higher speeds.

@mirvatalasnag @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mmamas1973 @drsonyaburgess @crfheart @stefan_harb @ShrillaB @evandrofilhobr @ziadalinyc Imaging and balloon both failed to cross.

@ABaliMD @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mmamas1973 @mirvatalasnag @drsonyaburgess @crfheart @stefan_harb @ShrillaB @evandrofilhobr @ziadalinyc This is exactly how we used to do nodules earlier. Now we use orbital at 80 ,000 f/b 120,000 and the job is done. Single device only.

@mark_ginkel @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mmamas1973 @mirvatalasnag @drsonyaburgess @crfheart @stefan_harb @ShrillaB @evandrofilhobr @ziadalinyc I have had a great experience with orbital in these cases. You can use the viper wire which can be used even without a MC and use 80,000 f/b 120,000 to modify superficial and deep calcium both. Single device to do the job. This was the result of orbital

@dhananj25151544 @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mmamas1973 @mirvatalasnag @drsonyaburgess @crfheart @stefan_harb @ShrillaB @evandrofilhobr @ziadalinyc Excellent approach. This is exactly what we did . Upfront orbital was used with great results. The orbital wire can be used without a MC and orbital can deal with the nodule well. We used initial 80,000 then 120,000 speed and modified superficial and deep calcium as well.

@Ramku14 @nadig_cardio @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mmamas1973 @mirvatalasnag @drsonyaburgess @crfheart @stefan_harb @ShrillaB @evandrofilhobr @ziadalinyc 1.0 balloon did not cross, neither did a MC

@nadig_cardio @Ramku14 @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mmamas1973 @mirvatalasnag @drsonyaburgess @crfheart @stefan_harb @ShrillaB @evandrofilhobr @ziadalinyc Excellent thoughts but If a MC does not cross how do u get the rota wire in. Direct wiring with the Rota wire gives us a lot of trouble in such cases

@drShaileshSingh @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mmamas1973 @mirvatalasnag @drsonyaburgess @crfheart @stefan_harb @ShrillaB @evandrofilhobr @ziadalinyc Exactly my thought but how about using only one device the orbital?

@KHERA_MD @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mmamas1973 @mirvatalasnag @drsonyaburgess @crfheart @stefan_harb @ShrillaB @evandrofilhobr @ziadalinyc Exactly I would probably need Rota and IVL both. So how about only 1 device orbital only?

@nadig_cardio @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mmamas1973 @mirvatalasnag @drsonyaburgess @crfheart @stefan_harb @ShrillaB @evandrofilhobr @ziadalinyc In a calcific nodule why not orbital?

@DrWhyWho @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mmamas1973 @mirvatalasnag @drsonyaburgess @crfheart @stefan_harb @ShrillaB @evandrofilhobr @ziadalinyc Rota on a nodule with superficial and deep calcium both?

@DrWhyWho @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mmamas1973 @mirvatalasnag @drsonyaburgess @crfheart @stefan_harb @ShrillaB @evandrofilhobr @ziadalinyc Balloon uncrossable so IVL can't be used

@jl35wilsonMD @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mmamas1973 @mirvatalasnag @drsonyaburgess @crfheart @stefan_harb @ShrillaB @evandrofilhobr @ziadalinyc Do u have a good experience with ROTA in a nodule?

@KhurramLiaqat4 @mmamas1973 @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mirvatalasnag @drsonyaburgess @crfheart @stefan_harb @ShrillaB @evandrofilhobr @ziadalinyc You can only burr the superficial part of nodule , that too with a favourable wire bias

@stefan_harb @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mmamas1973 @mirvatalasnag @drsonyaburgess @crfheart @ShrillaB @evandrofilhobr @ziadalinyc Balloon uncrossable

@Pardhu6627 @PCRonline @WomenAs1 @IJCDW_WINCARS @APSIC6 @Hragy @GoranEBC @mmamas1973 @mirvatalasnag @drsonyaburgess @crfheart @stefan_harb @ShrillaB @evandrofilhobr @ziadalinyc It would typically shave off the superficial calcium. What about the deep calcium in the nodule

Wonderful session on LM Bifurcation and DCB role in ISR at WINCARS INTERVENTIONAL MEETING yesterday. @PCRonline @APSIC6 @IJCDW_WINCARS @WomenAs1 @SCAI @EAPCIPresident @mirvatalasnag @mmamas1973 @Hragy @CSI_HQ #cardiotwitter

Looking foward to fruitful partnerships and collaberations @APSIC6 @PCRonline @mathur_a @DrRajneeshK @CSI_HQ @GoranEBC @mirvatalasnag @GoranEBC @Dr_AshokSeth @IJCDW_WINCARS