🫀 CTO Crossed… but LAD Crashed: A Cath Lab Crisis in Real Time
💡 Real case. Real complication. What’s your next move? 👤 60M | LAD CTO | Single-vessel disease 🛠️ PCI via Right Radial | 6F EBU 🔹 Fielder XT single-lumen microcatheter → ❌ failed to puncture proximal cap 🔹 Dual-lumen hard-tip wire → ✅ crossed CTO but wire slipped into Diagonal 🔁 Redirected via Diagonal → LAD successfully crossed 💉 Left injection confirmed wire in distal LAD 🎈 Balloon pre-dilation done 🚨 Then came the shock: 💥 Multiple Type III perforations across LAD 🔥 Contrast extravasation at 3 sites 
💔 Whole LAD lighting up like a sieve ❓ What would YOU do? 🧠 Covered stents?
🧯 Balloon tamponade?
🌀 Coil embolization?
📟 Prepare for pericardiocentesis? 🩺 Drop your approach in the comments 👇
Let’s discuss how YOU would manage this ticking time bomb in the LAD. #LADCTO #CTOPerforation #ChronicTotalOcclusion #CTOIntervention #ComplexCoronaryIntervention #LADIntervention #HighRiskPCI #CoronaryComplications #PCIComplications #DualLumenMicrocatheter #MicrocatheterTechniques #HardWireStrategy #CTOTechniques #InterventionalTools #AdvancedPCI #CardiologyCases #CaseBasedLearning #MedicalEducation #CathLabLife #FellowsCorner #LearningNeverStops #CardiologyCommunity #WhatsYourStrategy #WhatWouldYouDo #DiscussWithExperts #ChallengeYourSkills #TeamCardiology #SaveTheHeart