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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

1,427 subscribers

12,728 views • 2 years ago •via X (Twitter)

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11 Comments

Saroj Neupane2 years ago

PCI Master 👏👏👏

Tom Wilson2 years ago

Excellent use of larger ELCA catheter and peripheral DCB. 1m up is impressive!

Joaquim Spadoni Barboza2 years ago

98% of the drug is delivered in the first minute so it is usually my goal. He was non pulsatile and lvedp climbed very fast…

Arslan Shaukat2 years ago

@spiritus_bah

Jeffrey Wilson, MD2 years ago

Excellent work. What was your reason to use ECLA over rota (2.0 or 2.15 burr)? Less chance of no-reflow?

Murmur MD2 years ago

Fantastic work and description!

Evandro Martins F. MD2 years ago

Great job 👏🏻 beautiful result

Tim Canan2 years ago

Excellent result! I’m really curious how long it will last or if it will reoccur. ISR has been difficult to treat, hopefully DCBs can be an answer

Umair Khalid2 years ago

Brilliant!

Martin Grübler2 years ago

The anatomy would strongly favour a surgical approach in my honest opinion, even without seeing the RCA. I assume there were medical reasons not to involve the surgeon?

Joaquim Spadoni Barboza2 years ago

Pt was discussed. He has stents from the left main to distal lad. Apical lad diffuse dx. No target for Lima.

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Going Underground

24,127 views • 2 months ago

German Chancellor Merz on Iran War: The region must not slide into an eternal war with unclear goals. This war must be brought to an end with a clear plan, with a strategy. We are not participating in this war; we said that from day one. That remains the case for us. As long as the war continues, we will not participate in it with military means to ensure free navigation in the Strait of Hormuz. To this day, we are not aware of any concept as to how such an operation could succeed at all. The United States of America and Israel did not consult us before this war either. Regarding Iran, there has never been a joint decision on the 'whether.' Therefore, the question of how Germany will get involved militarily here does not arise. We will not do it.

German Chancellor Merz on Iran War: The region must not slide into an eternal war with unclear goals. This war must be brought to an end with a clear plan, with a strategy. We are not participating in this war; we said that from day one. That remains the case for us. As long as the war continues, we will not participate in it with military means to ensure free navigation in the Strait of Hormuz. To this day, we are not aware of any concept as to how such an operation could succeed at all. The United States of America and Israel did not consult us before this war either. Regarding Iran, there has never been a joint decision on the 'whether.' Therefore, the question of how Germany will get involved militarily here does not arise. We will not do it.

Clash Report

35,569 views • 6 months ago

FT Spurs 1 v 2 Liverpool The referee made himself the star of the show in the first 30 mins every shoulder to shoulder challenge was given against us then came that Simons red at first I thought it was a slip but the replay showed a clear red.what was he thinking he’s let the team down. We fought so well up until that moment and we did so well when we went down to 10 men in the first half. Isak came on as a HT sub and of course he scored soon after but was injured scoring the goal. It was a bizarre Cuti pass that created their chance of course Wirtz got his first assist as well. It was very getting fiery out there Cuti was losing it with the ref and their players.Cuti was again at fault for the second from Ekitike. Then on comes Richy and buries a goal game on and we are thinking could we until Cuti gets sent off he’s cost us big time today . We at least battled which was what the fans wanted and they responded with support throughout the game . #COYS 💙🤍

FT Spurs 1 v 2 Liverpool The referee made himself the star of the show in the first 30 mins every shoulder to shoulder challenge was given against us then came that Simons red at first I thought it was a slip but the replay showed a clear red.what was he thinking he’s let the team down. We fought so well up until that moment and we did so well when we went down to 10 men in the first half. Isak came on as a HT sub and of course he scored soon after but was injured scoring the goal. It was a bizarre Cuti pass that created their chance of course Wirtz got his first assist as well. It was very getting fiery out there Cuti was losing it with the ref and their players.Cuti was again at fault for the second from Ekitike. Then on comes Richy and buries a goal game on and we are thinking could we until Cuti gets sent off he’s cost us big time today . We at least battled which was what the fans wanted and they responded with support throughout the game . #COYS 💙🤍

Jonny H

63,175 views • 9 months ago