Скачать или смотреть Iliac CTO Masterclass: Access, IVUS, Re-Entry, IVL, and Stent Strategy with Dr. Jay Mohan

Iliac CTOs are among the highest-risk, highest-reward procedures in peripheral intervention. In this MurmurMD session, Dr. Jay Mohan joins Dr. Sameh Sayfo to break down their full approach — from diagnosis and CTA planning to crossing strategies, re-entry methods, IVUS, vessel prep, and stent selection.

This case-driven conversation is packed with pearls on how to handle complex iliac occlusions safely and predictably.

What you’ll learn from this transcript-based discussion:
• Why PVR and waveform analysis matter more than ABI alone
• CTA essentials: calcium burden, aorto-iliac disease, access planning
• Jay’s preferred dual-access setup (radial + ipsilateral femoral)
• When to start anti-grade vs retrograde — and how to choose the correct cap
• Safe knuckling with microcatheter support through the CTO
• How to externalize the wire and complete the case through femoral access
• Why “every iliac should be IVUS”
• IVL in the iliac system: M5+, L6, Javelin, and how vessel size determines device choice
• Covered vs uncovered stents (VBX, ICAST, Lifestream, Visi-Pro)
• Why balloon-expandable covered stents dominate TASC C/D and CTO lesions
• When to use kissing stents and when to avoid self-expanding at the common iliac ostium
• Rescue toolkit: covered stents, bright-tip sheaths, alternative access, balloon tamponade
• Why Pioneer re-entry is less common now — and how R2P changed the game

A must-watch for operators who want to sharpen their iliac CTO algorithm and device selection.

🔔 Subscribe for more insights from interventional experts and real-world program builders.

📱 Download the app: https://apps.apple.com/app/apple-stor...

📺 Follow us on YouTube:    / @murmurmd  

Chapters:
00:00 – Why iliac CTOs are high-risk, high-reward lesions
01:00 – Symptoms, ABI/PVR, waveform interpretation
02:00 – CTA planning: calcium, inflow disease, access strategy
03:00 – Choosing access: radial + ipsilateral femoral
04:00 – Anti-grade vs retrograde crossing strategy
05:00 – Knuckling technique and microcatheter support
06:00 – Re-entry options: R2P vs Pioneer
07:00 – IVUS: why “every iliac should be IVUS”
08:00 – Vessel prep: M5+, L6, Javelin, and when each matters
09:00 – Stent selection: covered vs uncovered, ostial precision
10:00 – Kissing stents and hybrid approaches
11:00 – Rescue toolkit: perforation, sheath size, balloon tamponade
12:00 – Final pearls for early operators

#PeripheralIntervention #IliacCTO #IVL #IVUS
#Endovascular #ComplexPCI #PeripheralArteryDisease #MurmurMD
#VBX #ICAST #R2P #CoveredStents