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🎈Expanding LM bifurcation aneurysm 🎈Use of neuro web device 🎈#RadialFirst 🎈Hugely fortunate to work with and learn from talented colleagues Waleed Brinjikji Conor Lane Mayo Clinic CV

Rajiv Gulati

12,417 subscribers

26,391 views • 2 years ago •via X (Twitter)

Science & Technology Education Health & Wellness #RadialFirst

Anya Rossi• Live Now

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10 Comments

Rajiv Gulati2 years ago

is the expert. Size on CT, including neck. Device conforms to saccular. Deliver through 025 micro catheter. Additional can be deployed to fill space if needed

David J. Cohen, MD, MSc2 years ago

@WBrinjikji @DrConorLane @MayoClinicCV @adnanalkhouli @EleidMack @ChetRihal @tjsimard @benhibbertMDPhD @MayoCVFellows Interesting. Thanks for sharing. Were you worried that the device might occlude the LCX as it thrombosed?

Rajiv Gulati2 years ago

@WBrinjikji @DrConorLane @MayoClinicCV @adnanalkhouli @EleidMack @ChetRihal @tjsimard @benhibbertMDPhD @MayoCVFellows Yes - we did OCT to look at the Cx origin. Real nice thing about this device seems to be how you can squish and elongate quite precisely. @WBrinjikji is the expert

Ammar El Jack MD.2 years ago

@WBrinjikji @DrConorLane @MayoClinicCV @adnanalkhouli @EleidMack @ChetRihal @tjsimard @benhibbertMDPhD @MayoCVFellows Nice case Dr. Gulati. we came across this giant LM aneurysm, any recommendation ?!

Rajiv Gulati2 years ago

@WBrinjikji @DrConorLane @MayoClinicCV @adnanalkhouli @EleidMack @ChetRihal @tjsimard @benhibbertMDPhD @MayoCVFellows Wow! I’m sure you’ve done a CT analysis and reviewed with CV surgeons. Great image

Sunil V. Rao2 years ago

@WBrinjikji @DrConorLane @MayoClinicCV @adnanalkhouli @EleidMack @ChetRihal @tjsimard @benhibbertMDPhD @MayoCVFellows Great case!

Neeraj Shah2 years ago

@WBrinjikji @DrConorLane @MayoClinicCV @adnanalkhouli @EleidMack @ChetRihal @tjsimard @benhibbertMDPhD @MayoCVFellows Almost looks like a watchman in the aneurysm

Dr. A. Murshid الدكتور/ عبدالإله عبدالرحمن مرشد2 years ago

@WBrinjikji @DrConorLane @MayoClinicCV @adnanalkhouli @EleidMack @ChetRihal @tjsimard @benhibbertMDPhD @MayoCVFellows Very nice, Imagine in the past,we needed to mobilize LM bifurcation, do " Plasty" for the vessel with or without CABG. and LM Plasty results not greate even stopped, Thank for taking this burden from surgeon's shoulders.

Rajiv Gulati2 years ago

@WBrinjikji @DrConorLane @MayoClinicCV @adnanalkhouli @EleidMack @ChetRihal @tjsimard @benhibbertMDPhD @MayoCVFellows Special surgical skills! I recall seeing patients with excellent results from vein patch angioplasty of the LM

Mohammed Qintar, MD MSc2 years ago

@WBrinjikji @DrConorLane @MayoClinicCV @adnanalkhouli @EleidMack @ChetRihal @tjsimard @benhibbertMDPhD @MayoCVFellows Nice case. Few questions: What catheter did you place in the aneurysm? How did you size the web device? Why not the usual vascular occluders we use?

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