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good morning and Welcome to our monthly webcast Iamp;#39;m Samir MAA your moderator this is session number 179 brought to you with our partners at uh broad Med a uh we have an interesting uh Imaging guided left main uh bifurcation of a heavily calcified vessel and uh I just think I overheard Dr Kenny mentioning sheamp;#39;s doing it via radial access with this introduction uh let me take you to the cardiac catheterization laboratory where Dr Kenny and Dr Sharma standing by Anu good morning good morning did I hear you clearly is it uh RIS access yes show it you know I think we our RIS under represent our complex cases but you know the latest data they showed for the ncdr as of the third quarter of 2023 in United States the stable C chronic coronary syndrome uh has uh 6 58% and uh acute coronary syndrome has 66% so average uh radial intervention in America now is 62.4 thatamp;#39;s the latest data we have so with that note we welcome all of our viewers which is 1 month less than 15 ye