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Joaquim Spadoni Barboza

@jbspadoni • 1,378 subscribers

🇧🇷Interventional Cardiologist, NorthwesternMed. Over, under, around, or through. There is always a way.

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Middle-aged with NSTEMI. What would your workup and management be?

Middle-aged with NSTEMI. What would your workup and management be?

47,029 просмотров

How would you approach this?

How would you approach this?

14,929 просмотров

Ivus quiz: what do you see here?

Ivus quiz: what do you see here?

16,865 просмотров

Here an interesting IVUS. What do you see?

Here an interesting IVUS. What do you see?

10,536 просмотров

Quiz: what would you do next? Protected left main with MLA of 6 mm, angiogram after lcx angioplasty. Ivus won't cross

Quiz: what would you do next? Protected left main with MLA of 6 mm, angiogram after lcx angioplasty. Ivus won't cross

10,786 просмотров

HD IVUS of subintimal hematoma Saroj Neupane Babar Basir Evandro Martins F. MD UIC Cardio Fellows

HD IVUS of subintimal hematoma Saroj Neupane Babar Basir Evandro Martins F. MD UIC Cardio Fellows

14,260 просмотров

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Easy solution when you need few extra inches (guide not reaching). I first saw this in X and used few times. Work like a charm! Guide is braided and won’t be cut 😅 Stefan Harb remind me who invented this so I can give credit.
0:36
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Easy solution when you need few extra inches (guide not reaching). I first saw this in X and used few times. Work like a charm! Guide is braided and won’t be cut 😅 Stefan Harb remind me who invented this so I can give credit.

Joaquim Spadoni Barboza

47,984 просмотров • 6 месяцев назад

SCAD is generally treated medically, but when you treat conservatively type IV you are only waiting for the infarct to complete. ivus> find the area hematoma/lumen compression -> fenestrate. Do not stent as this vessel will heal
1:16
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SCAD is generally treated medically, but when you treat conservatively type IV you are only waiting for the infarct to complete. ivus> find the area hematoma/lumen compression -> fenestrate. Do not stent as this vessel will heal

Joaquim Spadoni Barboza

29,875 просмотров • 7 месяцев назад

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
0:25
jbspadoni's profile picture

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 Barboza

16,429 просмотров • 6 месяцев назад

That is the craziest IVUS you will see this week. What do you see? With Saroj Neupane
0:26
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That is the craziest IVUS you will see this week. What do you see? With Saroj Neupane

Joaquim Spadoni Barboza

17,788 просмотров • 7 месяцев назад

HD IVUS quiz: What is going on here? UIC Cardio Fellows Adhir Shroff Mladen Vidovich Amer Ardati Khalil Ibrahim Evandro Martins F. MD Salman Arain Tom Wilson Saroj Neupane Babar Basir Tsutomu Fujita MD
0:26
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HD IVUS quiz: What is going on here? UIC Cardio Fellows Adhir Shroff Mladen Vidovich Amer Ardati Khalil Ibrahim Evandro Martins F. MD Salman Arain Tom Wilson Saroj Neupane Babar Basir Tsutomu Fujita MD

Joaquim Spadoni Barboza

26,860 просмотров • 1 год назад

Here an interesting IVUS. What do you see?
0:20
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Here an interesting IVUS. What do you see?

Joaquim Spadoni Barboza

10,536 просмотров • 7 месяцев назад

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
0:28
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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 Barboza

13,483 просмотров • 1 год назад

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.
0:49
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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 Barboza

12,670 просмотров • 2 лет назад

With HD IVUS I don't see a reason to OCT SCAD anymore. You get the same information without the injection risk Tom Wilson Mamas A. Mamas James Torey PA-C UIC Cardio Fellows Evandro Martins F. MD Mladen Vidovich Khalil Ibrahim Amer Ardati
1:31
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With HD IVUS I don't see a reason to OCT SCAD anymore. You get the same information without the injection risk Tom Wilson Mamas A. Mamas James Torey PA-C UIC Cardio Fellows Evandro Martins F. MD Mladen Vidovich Khalil Ibrahim Amer Ardati

Joaquim Spadoni Barboza

13,635 просмотров • 2 лет назад

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