Vascular Interventions Online’s Post

This live case is a percutaneous approach for infrageniculate disease with CLTI by Halim Yammine from Sanger Heart & Vascular Institute. Moderated by Stephen Black, joined by @Kate Kiely, Eric A. Secemsky, MD, MSc, RPVI, FACC, FAHA, FSCAI, FSVM and Leigh Ann O'Banion. He expresses a preference for Boston Scientific balloons, specifically mentioning the Coyote and the Sterling, due to their excellent performance. He finds it difficult to use other balloon platforms. When treating tibial vessels, Dr. Yammine emphasizes slow inflation and deflation of the balloon, with inflation times lasting three minutes. This is a critical part of his technique. During the procedure, careful attention is paid to ensure the balloon is well expanded, especially in areas requiring additional focus. He notes that retreating certain areas and centralizing the balloon is crucial for achieving optimal strength. He highlights that his approach was learned during fellowship, and he continues to practice it, focusing on methodical and careful treatment of tibial cases despite previously believing he wouldn't treat them. During the procedure, adjustments are made in real-time based on observations of balloon expansion and vessel response, ensuring that all areas of concern are effectively treated. #viocongress #vascular #PAD

joanne yammine

Founder of Lampad'art

2mo

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