Lucas Ferrer challenges the starting strategy. Mariano Palena explains why the anatomy led him toward subintimal crossing in this case; Miguel Montero-Baker agrees. Lucas reflects on the cost of indecision before choosing the next device.

What would you plan for the anatomy shown: intraluminal, subintimal, or more imaging? Explain your choice in the comments.

Watch the full Life of Flow Case Cast for re-entry, vessel preparation and the final perfusion debate. With Mariano, Lucas and Miguel of HOPE Amputation Prevention Center. Subscribe for more real-case discussions.

Full conversation with Mariano Palena:
YouTube: https://youtu.be/abtruBzTi68
Spotify: https://open.spotify.com/episode/5pKjLQIv7DpomRV9zCzwbf