Joaquim Spadoni Barboza
@jbspadoni • 1,382 subscribers
🇧🇷Interventional Cardiologist, NorthwesternMed. Over, under, around, or through. There is always a way.
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I had the privilege to help to launch the much waited new low profile sheath for impella. These are the main changes: 1. No need to peel away, not tapered and leave in!! 2. 1.5 fr smaller than prior generation 3. Hydrophilic dilator, no need to pre dilate (was already not doing but even easier now) 4. Coiled making it kink resistant 5. Side port is short and with bigger caliber. That might open the possibility for external bypass using the leave in sheath! 6. Easier single access 7. New improved reposition/locking mechanism (similar to the 5.5) For me the best is getting rid of the reposition sheath! That will make our Cardiogenic shock care in the ICU much better!! UIC Cardio Fellows Babar Basir Evandro Martins F. MD
Joaquim Spadoni Barboza16,429 Aufrufe • vor 4 Monaten
That is the craziest IVUS you will see this week. What do you see? With Saroj Neupane
Joaquim Spadoni Barboza17,768 Aufrufe • vor 5 Monaten
IVUS quiz: What would you do next? This is a repeat IVUS after the operator post-dilated the stent w/ NC at 22 atm. LAD lesion #FIT Tsutomu Fujita MD Evandro Martins F. MD UIC Cardio Fellows Khalil Ibrahim Amer Ardati Mladen Vidovich Adhir Shroff Babar Basir Saroj Neupane
Joaquim Spadoni Barboza13,483 Aufrufe • vor 1 Jahr
How we did it: Impella support (still required levo 10 during case), IVUS after POBA showed NIH, peripheral laser 1.4 (2.0 did not cross first) and 2.0 several passes, NC high pressure, peripheral DCB 4.0x40 for 1 minute, MCS weaned with RHC at the end.
Joaquim Spadoni Barboza12,670 Aufrufe • vor 2 Jahren
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