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Salman Arain

@realarainmd • 2,813 subscribers

Interventional Cardiologist | Fellowship Program Director | CTO + CHIP enthusiast | CLI | PAD | Intravascular Imaging

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Why RIP works. And why you should try this at home today! Here are 3 slides by Gregor Leibundgut, and one video from our lab. You don’t need to be a CTO operator to try this. It works bec. once the shaft is disrupted, contrast leaves the balloon slowly maintaining tamponade. After the GEC is loaded, the wire introducer tool becomes the new hub of the 🎈shaft!

Why RIP works. And why you should try this at home today! Here are 3 slides by Gregor Leibundgut, and one video from our lab. You don’t need to be a CTO operator to try this. It works bec. once the shaft is disrupted, contrast leaves the balloon slowly maintaining tamponade. After the GEC is loaded, the wire introducer tool becomes the new hub of the 🎈shaft!

11,667 görüntüleme

How I Talk About Left Main PCIs - And You Should Too!* 🧵 (*A suggestion of course!) This is one of the cases from my talk on MCS for high risk PCI. Case first, then the analysis. 86 year old man, unstable angina, EF 40%, turned down for CABG at OSH, transferred with IABP. The

How I Talk About Left Main PCIs - And You Should Too!* 🧵 (*A suggestion of course!) This is one of the cases from my talk on MCS for high risk PCI. Case first, then the analysis. 86 year old man, unstable angina, EF 40%, turned down for CABG at OSH, transferred with IABP. The

32,137 görüntüleme

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You’ve learned how to implant a stent. Now learn how to take one out. 🙃 Stent extraction seems to be the hot topic these days. Here’s an excellent case series from Abdullah Al-Abcha, Rajiv Gulati, and colleagues at the Mayo Clinic showcasing the EXPOSE technique. The technique is impressive. The acronym might be even better. 😄
0:28
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You’ve learned how to implant a stent. Now learn how to take one out. 🙃 Stent extraction seems to be the hot topic these days. Here’s an excellent case series from Abdullah Al-Abcha, Rajiv Gulati, and colleagues at the Mayo Clinic showcasing the EXPOSE technique. The technique is impressive. The acronym might be even better. 😄

Salman Arain

15,111 görüntüleme • 29 gün önce

Proof Of Concept! 🔥 Yesterday Rich_cathRT(CI)☢️ had an idea, and today we put it to the test! Pt is a 78 year old with prior CABG and a known wide aortic root. The referring MD had difficulty engaging the LM. This is our attempt using the hybrid JL/EBU guide! Worked like a charm.😀
0:36
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Proof Of Concept! 🔥 Yesterday Rich_cathRT(CI)☢️ had an idea, and today we put it to the test! Pt is a 78 year old with prior CABG and a known wide aortic root. The referring MD had difficulty engaging the LM. This is our attempt using the hybrid JL/EBU guide! Worked like a charm.😀

Salman Arain

25,492 görüntüleme • 4 ay önce

Since we are all sharing, what do you make of these impressive coronaries? And fistulae! The case was referred to a colleague. Our plan was to occlude the RCA → PA connection with plugs in a retrograde manner, but we were unsuccessful. (The fistula exits just above the pulmonic valve, and there is no easy way to intubate it from that side.) The patient is doing better with beta-blockers.
0:38
realarainmd's profile picture

Since we are all sharing, what do you make of these impressive coronaries? And fistulae! The case was referred to a colleague. Our plan was to occlude the RCA → PA connection with plugs in a retrograde manner, but we were unsuccessful. (The fistula exits just above the pulmonic valve, and there is no easy way to intubate it from that side.) The patient is doing better with beta-blockers.

Salman Arain

26,467 görüntüleme • 8 ay önce

Here is a mini tutorial on how to prep the MC for contrast injection for #HDR. Remember: the injection is SLOW and GENTLE. Thank you Jay Giri for the question, and Jack Hall for the 100% accurate answer! #HDR #HDRFAQs #contrast1st
0:38
realarainmd's profile picture

Here is a mini tutorial on how to prep the MC for contrast injection for #HDR. Remember: the injection is SLOW and GENTLE. Thank you Jay Giri for the question, and Jack Hall for the 100% accurate answer! #HDR #HDRFAQs #contrast1st

Salman Arain

10,984 görüntüleme • 1 yıl önce

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