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Salman Arain

@realarainmd • 2,673 subscribers

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

Shorts

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!

11,481 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

29,395 görüntüleme

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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.😀

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.😀

25,462 görüntüleme • 2 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.

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.

26,467 görüntüleme • 7 ay önce

Ex Vivo Grenadoplasty! ( Or, what pressure does it take to rupture an NC balloon?) 👉🏼 We used an OPN indeflator to see how we could go on a 4 mm BSC NC balloon. Note the point of rupture! The NC 🎈remains intact! 🤔 But the hypotube is completely mangled. The video speaks for itself. Best viewed with the volume up!

Ex Vivo Grenadoplasty! ( Or, what pressure does it take to rupture an NC balloon?) 👉🏼 We used an OPN indeflator to see how we could go on a 4 mm BSC NC balloon. Note the point of rupture! The NC 🎈remains intact! 🤔 But the hypotube is completely mangled. The video speaks for itself. Best viewed with the volume up!

10,891 görüntüleme • 1 yıl 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

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

10,984 görüntüleme • 1 yıl önce

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