Practice Tips With Dr. Lichaa: The Role of Angulated Micro-Catheters in PCI

In this edition of Dr. Hady Lichaa’s Practice Tips series, Dr. Lichaa details the role of angulated micro-catheters in complex coronary bifurcation PCI. The case example shows a two-stent strategy with a “Reverse Culotte” technique given the large side branch, severity of the side branch ostial disease and the angle of the bifurcation.

Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI, is an assistant professor of medicine at the University of Tennessee College of Medicine, and an interventional cardiologist specializing in complex coronary interventions. Dr. Lichaa is a content partner for DocWire News and contributes interventional content several times per month to DocWire News.

Watch previous installments of this series:

• Using Ultrasound to Gain Vascular Access
• Simplifying Coronary Bifurcation
• Ulnar Artery Access and Occlusion Management
• Overcoming Arteria Lusoria
• The Buddy Wire Paradox
• Perforated Balloon No Reflow 
• Catheter Telescoping Technique to Overcome Vessel Tortuosity
• Alternative Arterial Access in CLI
• Reversing Patient Cranial Caudal Position
• Optimal CO2 Imaging 
• The Coronary Live IVUS Technique 
• Antegrade Superficial Femoral Artery Access and Closure
• IVUS Guided Re-Entry 
• The Importance of Identifying the Inguinal Ligament by Ultrasound 
• How to Access the Right Pulmonary Artery for Endovascular Pulmonary Interventions
• The Live IVUS Stenting Technique