What a week: 6 CTOs, 3 left main bifurcations, 4 orbital and 3 rotational atherectomy, 2 Impella-supported PCIs and 1 ECMO. Thanks Stéphane Rinfret, MD SM for the amazing week!

It’s a great honour to do the 1st MLCTO live case: with Professor Darren Walters - one of the pioneers of CTO PCI in Australia. Thursday 5pm, Brisbane time.

Glimpse of MLCTO from Australia during test connection 7am Nice time #MLCTO

It was great to discuss with surgeons scenarios of more collaboration: arteries to the total maximum and stent/s instead of veins on the national CTS meeting in Sydney

Nothing else to be added. Outstanding contribution on Journal of Cardiac Surgery by #MassimoLemma. Find 2 mins to read it during this week end, and a couple of hours to digest it for its brutal honesty. TSRA #innovation

First proctoring trip after Australian covid travel restrictions. In 1 intense week - 4 cities, 6 cathlabs. CTO and complex calcium cases. 3 symposiums. Live cases. Great Indian physicians and many new friends.

School of Rock ANZ hybrid edition in Sydney today. Great educational event on treatment of calcium!

Robotic LITA to LAD Main Line Health. Thanks #TimShapiro to shoot this one! There are a lot of patients that could benefit for #CABG + #PCI rather than extensive conversation of #CABG vs #PCI… #hybrid Fuad Moussa Marc Ruel, MD, MPH Faisal Bakaeen MD Michael Vallely

Dr. Prokhor Pavlov, MD Prokhor, while in Russia, 3 weeks ago I travelled to Yoshkar-Ola town to learn DRON technique from its inventor - Dr Alexey Shubin, the Master of endovascular interventions. We did 3 CTOs on that day with DRON.

Back to pre-covid times: last Sunday in Kerala - faculty at CHIP Summit, then worked in Brisbane, Thu-Fri in Melboune 3 CTOs and 5 orbitals proctoring (first in Victoria). Now around Longreach for outreach cardiac clinic.

Proctoring is seldom sightseeing. Airport-hotel-hospital-airport (the middle 2 get repeated). Sunday before 2 days proctoring in Borneo (6 CTOs, complex rota cases, multivessel PCI) - spent half day on a small unreal island. Recharge.

Carotid double mesh stent in RCA. Left dRad EBU6F, Double radial one hand access Right dRad JR 4F, Rad EBU 6F Prof. (Dr.) Ashok Seth Sanjog Kalra Bernardo Cortese Dr Arun Kalyanasundaram Rustem Dautov Serruys patrick Antonio Colombo RadialFirstBot Dmitry Sulimov ACC Advocacy

Dr. Krzysztof Pujdak Pierfrancesco Agostoni Mihajlo Kovacic Kambis Mashayekhi Mamas A. Mamas Sunil V. Rao Sanjog Kalra Bernardo Cortese Dr Arun Kalyanasundaram Rustem Dautov Antonio Colombo Andrzej Wierucki Dr Bart Olechowski Osama Bisht Jim Nolan Lorenzo Azzalini I understand your bemusement, but alternative accesses is my routine practice. Since the end of 2015 I’ve tried looking for alternative accesses for CTO. For example Double radial one hand access DRON

This is before. Look after! All things considered - amazing outcome for the patient. Patient is the one with the disease. Great job Aleksei!

Proctoring is always learning new! Malaysia teaches me DCBs in de novo lesions - 15 years of experience. 50% of all PCI in Malaysia is now with DCBs. Imaging, lesion preparation 1:1 is a must. I’m converted. This week at TPCH 14 stents, 10 DCBs. More evidence for metal-free PCI.

Two fantastic days with 9 super tough post-CABG CTO cases at Dr Kambis Mashayekhi’s post-CABG CTO workshop. Thank you Kambis for this great educational experience that we had with friends in Lahr!

LIVE CASE 6 will be operated by Rustem Dautov and Anatoly Larionov #CTOEssentials2023 #cto #ctopci #complexpci #ctoclub

Thank you Manos: few important tips and tricks from my experience for Complex PCI/CTO fellows youtu.be/m67bq_iZIIw?si…

3 successful Live CTO cases over past week: at MalaysiaLive (KL), 1st Russian CTO club (Kazan) and finally at a unique 5th ‘DCB in CTO’ meeting in Kota Kinabalu. Keep learning every day!