Anas T. Noman
@AnasNomanMD • 2,194 subscribers
Structural Cardiology @EmoryUniversity , Interventional Cardiology @MidAmericaHeart #Electrosurgery #CTO
Videos
Tall patient, 6’ 8”, prox radial stick, 100 cm catheters wont reach. I have 125 cm JL/JR, but RCA was ant-sup takeoff and needs AL. So you wont find all the catheters in the lab with 125 cm. If you dont have long catheters, this is an easy way to make your catheters longer. Works well for both guides and diagnostics! Watch for your fingers! Altayyeb Yousef Wail AlkashkariFSCAI,FPICSوائل القشقرى🇸🇦🇨🇦🇺🇲 MIЯVΛƬ #IC ༄ ｡° Aref BinAbdulhak MD MSc Amr Mohsen, MD Marwan Saad Abdallah El Sabbagh Musa A. Sharkawi Mohammed Qintar, MD MSc Muhammad Hammadah Karim Al-Azizi, MD Mohammed Al-Hijji Juan Del Cid Fratti MD MSc Anton Camaj, MD TCTME+ Hooman Bakhshi Abdelkader Almanfi, MD, FACC, FSCAI إبراهيم الحربي Ibrahim Alharbi scottiejj12
Anas T. Noman52,940 views • 1 month ago
Hydraulic Exchange Technique: super useful in complex PCI/CTO work. Quick way to get a microcatheter off a short wire without a 300cm wire, trapper, or trapping balloon. Connect an indeflator to the microcatheter, pressurize to 20 atm (it drops constantly, so keep bumping it back up), and just open the Touhy and microcatheter will come out right away. The hydraulic force pushes the catheter back on its own while keeping the wire in position. I don’t do it over a hydrophilic wire as it can jump forward and cause a tip perforation. I use a workhorse wire. Video below Credit to J Aaron Grantham JAG for teaching me such valuable skills! TCTME+ Altayyeb Yousef Wail AlkashkariFSCAI,FPICSوائل القشقرى🇸🇦🇨🇦🇺🇲 MIЯVΛƬ #IC ༄ ｡° Amr Mohsen, MD Aref BinAbdulhak MD MSc Marwan Saad Abdallah El Sabbagh Musa A. Sharkawi David J. Cohen, MD, MSc Mohammed Qintar, MD MSc Muhammad Hammadah Mohammed Al-Hijji Juan Del Cid Fratti MD MSc Anton Camaj, MD Cardiovascular Research Foundation David J. Cohen, MD, MSc Mamas A. Mamas Cardiovascular Research Foundation Hooman Bakhshi Abdelkader Almanfi, MD, FACC, FSCAI إبراهيم الحربي Ibrahim Alharbi scottiejj12 Dr Alo, DO, FACC
Anas T. Noman25,820 views • 28 days ago
Away from structural interventions, my Ramadan side hustle for many years has been serving as an Imam. A recording from tonight’s first Taraweeh prayer. Ramadan is a month of fasting, prayer, and reflection. Ramadan Mubarak to my friends in cardiology and to everyone observing around the world. 🌙 Will see you after Ramadan in Riyadh at TCTME+ Aref BinAbdulhak MD MSc Wail AlkashkariFSCAI,FPICSوائل القشقرى🇸🇦🇨🇦🇺🇲 MIЯVΛƬ #IC ༄ ｡° Amr Mohsen, MD Marwan Saad Abdallah El Sabbagh Musa A. Sharkawi Mohammed Qintar, MD MSc Muhammad Hammadah Karim Al-Azizi, MD Mohammed Al-Hijji Juan Del Cid Fratti MD MSc Anton Camaj, MD Hazim Rahbi
Anas T. Noman112,436 views • 6 months ago
Learn from my pitfalls: Severe iliofemoral tortuosity during a MitraClip case. Right iliac: the guide wouldn’t cross over Bayliss wire then Amplatz Super Stiff. Tried the left side instead, very tortuous too. 24F DrySeal went through fine, but the guide still wouldn’t follow. Went back to the right, swapped for a Lunderquist wire. Left the DrySeal sitting in the left iliac/IVC to help straighten things out. Right before pushing the guide through, pulled the DrySeal back to the left iliac and it finally advanced. Lesson: in tortuous vessels before you think about switching to the other side, don’t stop at one stiff wire. Escalate: Bayliss, Amplatz Super Stiff, Safari, Lunderquist, Meier. The theory of a contralateral sheath straightening the IVC might be helpful too. Another idea is to put a 28 F dry-seal then advance the mitraclip through it? Curious to hear how others have handled similar tortuosity? TCTME+ Altayyeb Yousef Wail AlkashkariFSCAI,FPICSوائل القشقرى🇸🇦🇨🇦🇺🇲 MIЯVΛƬ #IC ༄ ｡° Amr Mohsen, MD Aref BinAbdulhak MD MSc Marwan Saad Abdallah El Sabbagh Musa A. Sharkawi David J. Cohen, MD, MSc Mohammed Qintar, MD MSc Muhammad Hammadah Mohammed Al-Hijji Juan Del Cid Fratti MD MSc Anton Camaj, MD Cardiovascular Research Foundation David J. Cohen, MD, MSc Mamas A. Mamas Cardiovascular Research Foundation Hooman Bakhshi Abdelkader Almanfi, MD, FACC, FSCAI إبراهيم الحربي Ibrahim Alharbi scottiejj12 Dr Alo, DO, FACC
Anas T. Noman13,388 views • 1 month ago
Coronary fat embolization for late coronary perforation. I did a routine DK-crush bifurcation PCI. 6 hours later, pt is hypotensive with a large effusion. Relook angio showed diagonal tip perforation that wasnt there at the end of PCI. Prolonged balloon tamponade failed. Coils unavailable. Treated with autologous fat embolization, an effective bailout technique. • Small 0.5 cm groin incision • Subcutaneous fat harvested using forceps into small bowl • Fat mixed with saline • Loaded into a 2 cc syringe • Using a microcatheter (Turnpike/Finecross/Export, etc.), to inject fat into the perf site. • Final angiography confirmed complete seal. Join us at TCTME+ in Sep 2026. Will have a lot of great #CHIP and complications discussions. J Aaron Grantham JAG Dany Jacob Altayyeb Yousef Wail AlkashkariFSCAI,FPICSوائل القشقرى🇸🇦🇨🇦🇺🇲 MIЯVΛƬ #IC ༄ ｡° Aref BinAbdulhak MD MSc Amr Mohsen, MD Marwan Saad Abdallah El Sabbagh Musa A. Sharkawi David J. Cohen, MD, MSc Mohammed Qintar, MD MSc Muhammad Hammadah Karim Al-Azizi, MD Adam Greenbaum Mohammed Al-Hijji Emory University Juan Del Cid Fratti MD MSc Anton Camaj, MD Cardiovascular Research Foundation David J. Cohen, MD, MSc Mamas A. Mamas TCTME+ Cardiovascular Research Foundation Hooman Bakhshi Abdelkader Almanfi, MD, FACC, FSCAI إبراهيم الحربي Ibrahim Alharbi
Anas T. Noman28,277 views • 3 months ago
Aspiration thrombectomy in STEMI with a heavy thrombus burden, maybe it’s time to take another look? Had a 37F with a huge RCA thrombus. Did 6 Penumbra aspiration runs and pulled out a large amount of clot. Hard to see how this would’ve resolved. Cases like this make you wonder… is it time for a TOTAL trial 2.0? Altayyeb Yousef Wail AlkashkariFSCAI,FPICSوائل القشقرى🇸🇦🇨🇦🇺🇲 MIЯVΛƬ #IC ༄ ｡° Aref BinAbdulhak MD MSc Amr Mohsen, MD Marwan Saad Abdallah El Sabbagh Musa A. Sharkawi David J. Cohen, MD, MSc Mohammed Qintar, MD MSc Muhammad Hammadah Karim Al-Azizi, MD Adam Greenbaum Mohammed Al-Hijji Emory University Juan Del Cid Fratti MD MSc Anton Camaj, MD Cardiovascular Research Foundation David J. Cohen, MD, MSc Mamas A. Mamas TCTME+ Cardiovascular Research Foundation Hooman Bakhshi Abdelkader Almanfi, MD, FACC, FSCAI إبراهيم الحربي Ibrahim Alharbi
Anas T. Noman18,850 views • 4 months ago
At Emory, always pushing the boundaries of innovation! TCT2024 live case. First-in-man electrosurgical mitral commissurotomy (CLEFT). Novel approach for mitral stenosis with high Wilkins score and prohibitive surgical risk #TCT2024 Adam Greenbaum Vasilis Babaliaros Anton Camaj, MD
Anas T. Noman28,535 views • 1 year ago
🧵 Transcaval, Native Left UNICORN, Evolut TAVR A Detailed Step by Step Thread! TCTME+ “In a Capsule” Join us in Riyadh, Saudi Arabia, on April 17th for a deep dive into electrosurgical techniques! Adam Greenbaum Vasilis Babaliaros Isida Byku MD Anton Camaj, MD Emory Healthcare Cardiovascular Research Foundation TCTMD Wail AlkashkariFSCAI,FPICSوائل القشقرى🇸🇦🇨🇦🇺🇲 MIЯVΛƬ #IC ༄ ｡° Amr Mohsen, MD Mohammed Qintar, MD MSc Altayyeb Yousef د. ناصر القحطاني Nasser Alqahtani #electrosurgery 1/
Anas T. Noman10,417 views • 1 year ago
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