Guide dissection: cases and management

+ Review general dissection classification and management at 24:07 and at https://www.youtube.com/watch?v=eGdfIk73cds 0:00 Case 1 and guide dissection causes 03:17 Proper AL1 engagement technique 05:09 General approach to guide dissection. Stent proximally vs distally. Proximal stenting most important and sometimes enough 10:06 Approach if you don’t have a wire across 12:20 and 13:05 How to wire in case of dissection 14:24 and 24:04 IVUS features of false lumen/intramural hematoma 15:24 Advanced tips for when you fail to wire true lumen (parallel wire, STRAW) 17:37 Role of IIb/IIIa antagonists 19:11 stenting tips 20:51 Case 1 distal stenting: crush stent through Guideliner 24:57 General dissection classification 27:31 Case 2: left main dissection 31:42 Case 3 LIMA dissection. How to treat heavy calcium past the LIMA 37:50 Case scenarios 4: aorto-coronary dissection, cusp dissection and Dunning classification