Left coronary engagement (radial focus): detailed steps, diagrams, tips, and case videos-Elias Hanna

Note that the torque done while advancing the JL catheter toward the aortic valve (step 2 at 14:14, and at 47:04) is only a slight clockwise torque (usually), less than 30 degrees usually. do not overclock during that maneuver.
0:00 Diagrams of catheter shapes and elongations from radial vs femoral access, left and right coronary. Which catheters for radial vs femoral? Catheter pointing up, next step? pointing down, next step? Brief description of Amplatz (1:06:56)
09:35 Detailed diagrams and descriptions of steps 0 to 3A+3B in LCA engagement. + Recorded case illustrations (simple and complex). Jump then: Engage from above vs from below
30:09 Guiding catheter specifics with diagrams and cases. What size guiding catheter in relation to JL size, from radial vs femoral?
43:35 How to go from descending to ascending aorta
47:04 Cases of difficult aortic angulations. Role of deep inspiration (diagram 50:20)
55:05: Elongated catheter and fallen catheter. Next steps? (Diagram 56:30)
57:44 How to go from LCx to LAD, and vice versa. 5 techniques with diagrams and cases.

[thippeswamygs]

Wonderful talk... Cath is made easy.... Priceless thanks❤❤

[Coocoocachoo]

Fantastic lecture, Dr. Hanna.

Thank you for all of the time you put into making such excellent slides and screen captures.

[sarahemj]

New cardiology radiographer here, silly question what do you mean by engaging?

[amardeepbishnoi]

You are one of best teachers. Thanks heaps for sharing.

[vikassabbarwal]

Dear Sir, Excellent talk. How do you deair catheter once you have wire in catheter to enngage the coronary..

[m.s]

Thank you very much dear dr Hanna.
Excellent. As usual.

Could you please we have a video of FFR, iFR, CFR?

[NathanEB]

I ve searched for this kind of video for so long !

[drhinasohail]

Excellent elaboration as always 👍 can you explain how to maneuver AL for both left & Rt coronary engagement??

[thippeswamygs]

Thank you for the great lecture.... Really grateful to you sir❤❤

[gyanpapisen]

sir....kindly post a video on torque technique

[aliibrahimalmafraji]

Awesome video, still i wish to dectate about how to use size and stent length in coronary stenting

[DrRahulJShah]

respected sir. i had a doubt. while using EBU from right radial artery and engaging LMCA from downwards (U technique); u described it to give torque and push. so the torque should be clock or anticlock???

thank you ..

[amarbelakehal]

Thank you dr Hanna, i have 2 questions please, you said that if we want to cannulate the LM with the JL 3.5 from above, we pull the catheter with slight clockwise tork, but in practice our masters teach us frequently to tork counterclockwise in this situation to bring the catheter to an anterior position, where theoretically the left ostium should be
The second question is, when we jump into the left cusp but we are not in the ositum, what maneuvers should we use to find the ostium, or should just miss around to find it ( dissection risk ) ? thank you again for this amazing topic

[서지희-yx]

worth than my 4 years cardiotech student.

[kam]

Dear Dr Hanna

Thank you for your lecture
Many times when i try to push the catheter to engage from down it is stuck in the aortic valve.
May you please provide tips and tricks on how to do so and how hard can we push in the ascending aorta?

Thank you

[lina]

Thank you so much for these invaluable information Dr. Hanna!