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Contrast modulation is also helpful for microchannel tracking RCA & LAD CTO. RCA has a microchannel but wasn't able to cross with multiple wires. Did Contrast modulation then it was crossed easily with PJ wire without tip bend. LAD was crossed with Gaia 3rd. Timi III flow.

Dr Imran Hanif Hashmi

2,764 subscribers

10,881 views • 1 year ago •via X (Twitter)

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10 Comments

Salman Arain1 year ago

Great case Imran. 👏🏼 Did you use contrast (modified Carlino) for both vessels? If so, did you save the injection images? Re: the RCA - I think contrast can facilitate crossing of established microchannels. Wonderful results. 👌🏼

Dr Imran Hanif Hashmi1 year ago

Yes in both vessels. But unfortunately not saved for LAD. You are right contrast facilitates the wire crossing in the establishment microchannel. Maybe these are interrupted microchannels. You are being investigator and the author can elaborate on it better.

DrAzmatullah1 year ago

Excellent results sir. Great job done. Was this Carlino Technique for both..?

R1 year ago

With guide only, its more luck, as you may raise a flap proximally. . Probaby better with microcatheter in lesion.

Dr Imran Hanif Hashmi1 year ago

Not at all. MC was there. The contrast injection was through MC

Hadi Al-Hashimi1 year ago

Good job

Cardio-jafee1 year ago

Wow so interesting case but I hear first time about contrast modulation

Joaquim Spadoni Barboza1 year ago

Nicely done!

Wassim Mosleh, MD1 year ago

Whats contrast modulation?

Praveen Nagula1 year ago

What is contrast modulation? Please explain..

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Sensitive content

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𝐌𝐑. 𝐖𝐇𝐈𝐓𝐄 ™

22,966 views • 4 months ago

In a speech in Durban, disgraced Adv Dali Mpofu blast Julius Malema. Dali said in a one on one meeting Jacob Zuma had with Julius Malema in which he was present, Dali said “every agreement Julius Malema made with Jacob Zuma, Julius did not keep his word’ Surprisingly he also implied that even before the election, MK was going to dispute the results and Zuma wanted Julius to Support this. Jacob Zuma has always been a thief, we all know that, Dali was EFF then, but working internally to break up the EFF. Dali Mpofu said Zuma is still upset with Julius Malema for accepting the elections and saying it was free and fair, it’s the will of the people and we fully respect it. Dali Mpofu is not only a disgrace to the legal profession but also a disgrace in politics. He was stabbing Malema and putting salt in the wounds to make it more painful, sadly Malema did not pick it up. Shameless political prostitute is the only way you be can describe Dali Mpofu.

In a speech in Durban, disgraced Adv Dali Mpofu blast Julius Malema. Dali said in a one on one meeting Jacob Zuma had with Julius Malema in which he was present, Dali said “every agreement Julius Malema made with Jacob Zuma, Julius did not keep his word’ Surprisingly he also implied that even before the election, MK was going to dispute the results and Zuma wanted Julius to Support this. Jacob Zuma has always been a thief, we all know that, Dali was EFF then, but working internally to break up the EFF. Dali Mpofu said Zuma is still upset with Julius Malema for accepting the elections and saying it was free and fair, it’s the will of the people and we fully respect it. Dali Mpofu is not only a disgrace to the legal profession but also a disgrace in politics. He was stabbing Malema and putting salt in the wounds to make it more painful, sadly Malema did not pick it up. Shameless political prostitute is the only way you be can describe Dali Mpofu.

Goolam

47,366 views • 1 year ago