Cannulating coronary arteries is a fundamental skill in interventional cardiology. Precision, patience, and small technical adjustments often make the difference between a smooth, safe angiogram and a difficult or potentially traumatic attempt. This guide collects practical tips and tactical maneuvers for engaging the left and...
Chronic total occlusions of the right coronary artery are often deceptively simple on one view and complex on another. The procedural plan must balance anatomy, collateral supply, and the risk of losing important branches such as the posterior descending artery. This case illustrates a stepwise...
A Complete and Patient-Friendly Guide You Can Trust Heart blockages are scary — especially when your doctor says the words “CTO” or “Complex PCI.”Patients often imagine that these are “bigger,” “riskier,” or “risk-means-danger” procedures. But here’s the truth: ➡️ Today, CTO-PCI and Complex PCI are safer, more successful,...
Percutaneous coronary intervention (PCI) has advanced dramatically in the last decade, especially in the management of chronic total occlusions (CTOs). At the same time, planned complex non-CTO PCI has also evolved, driven by newer-generation stents, high-definition intravascular imaging, and more experienced operators. In 2025, interventional cardiologists...
Coronary PCI with an Indegenous IVL is becoming an essential strategy for tackling heavily calcified coronary lesions. In this article I, representing Interventional Strategies, describe our practical experience, device characteristics, imaging-guided decision making, and case-based outcomes using a locally produced intravascular lithotripsy (IVL) catheter. This...
In this detailed clinical discussion, Dr. Sharath Reddy, a consultant cardiologist, takes us through a complex case of chronic total occlusion (CTO) of the right coronary artery (RCA) in a post-coronary artery bypass graft (CABG) patient. The focus is on the application of facilitated antegrade...
In the intricate world of interventional cardiology, mastering the technique of cap puncture during chronic total occlusion (CTO) interventions is crucial. Dr. Sharath Reddy Annam, in his detailed live lecture, sheds light on the nuances of IVUS guided cap puncture—especially when dealing with ambiguous proximal...
In the realm of complex coronary interventions, Chronic Total Occlusion Percutaneous Coronary Intervention (CTO PCI) remains one of the most challenging procedures. The advent of high-definition intravascular ultrasound (HD IVUS) technology has revolutionized the approach to CTO PCI, providing unprecedented clarity in imaging and facilitating...
Understanding your heart health is crucial, especially when it comes to preventing serious conditions like coronary artery disease. One powerful tool that helps in this regard is the CT coronary calcium score. This test measures calcium deposits in the arteries of your heart, providing vital...
The Parallel Wire Technique is a critical strategy in the field of interventional cardiology, especially when dealing with complex chronic total occlusions (CTOs). In this detailed guide, we explore the insights shared by Dr. Sharath Reddy Annam, a leading expert in the field, who breaks...
