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Iatrogenic aortic dissection post ivus guided LM IVL + DKC. Hemodynamics stable and no CP post procedure. How to prevent this complication? Alex Truesdell Mamas A. Mamas MIЯVΛƬ #IC ༄ ｡° Evandro Martins F. MD Hany Ragy Amir Kaki, MD Lorenzo Azzalini DKarmpaliotis Jack Hall David J. Cohen, MD,... show more

Rodrigo V. Wainstein, MD, PhD

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18,785 views • 2 years ago •via X (Twitter)

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Rodrigo V. Wainstein, MD, PhD2 years ago

Agree that non coaxial GC position may be a potential cause to this complication. But in this case the aortic dissection was probably caused by agressive pre dil of a ostial LM calcified nodule that was pushed against the aortic wall as you can see in the video below

Jeffrey Wilson, MD2 years ago

@agtruesdell @mmamas1973 @mirvatalasnag @evandrofilhobr @Hragy @DrAmirKaki @LAzzaliniMD @DKarmpaliotis @aspergian1 @djc795 @Babar_Basir @KateKearney4 @SrihariNaiduMD @sbrugaletta @KPujdak @TheNarulaSeries @DrJayMohan @KambisMashayek1 Be obsessive about guide position/coaxiality. I often use a GEC that is advanced over a 🎈 shaft after deflation into the LM DES especially if coaxial guide engagement is difficult. But would do nothing here except stop injecting and get serial CTAs. Result looks amazing.

Alex Truesdell2 years ago

@mmamas1973 @mirvatalasnag @evandrofilhobr @Hragy @DrAmirKaki @LAzzaliniMD @DKarmpaliotis @aspergian1 @djc795 @jl35wilsonMD @Babar_Basir @KateKearney4 @SrihariNaiduMD @sbrugaletta @KPujdak @TheNarulaSeries @DrJayMohan @KambisMashayek1 👍”Never Walk Into a [Cath Lab] You [and Your Patient] Can’t Walk Out Of” (“Ronin” Movie paraphrased):

MIЯVΛƬ #IC2 years ago

@agtruesdell @mmamas1973 @evandrofilhobr @Hragy @DrAmirKaki @LAzzaliniMD @DKarmpaliotis @aspergian1 @djc795 @jl35wilsonMD @Babar_Basir @KateKearney4 @SrihariNaiduMD @sbrugaletta @KPujdak @TheNarulaSeries @DrJayMohan @KambisMashayek1 #TipForFIT Complications happen: -Key is to recognize & treat them -Ask for help..2 pair of hands can be useful when patients crash & it makes you a better operator not worse

Jack Hall2 years ago

@agtruesdell @mmamas1973 @mirvatalasnag @evandrofilhobr @Hragy @DrAmirKaki @LAzzaliniMD @DKarmpaliotis @djc795 @jl35wilsonMD @Babar_Basir @KateKearney4 @SrihariNaiduMD @sbrugaletta @KPujdak @TheNarulaSeries @DrJayMohan @KambisMashayek1 Thank you for sharing. Great result on the lesion. The only thing I can add is the simple law of physics: for every action there is sn equal but opposite reaction. For FITs, when withdrawing large bulky devices (large NC balloons, ShockWave, etc) you have to pull harder.

Lorenzo Azzalini2 years ago

@agtruesdell @mmamas1973 @mirvatalasnag @evandrofilhobr @Hragy @DrAmirKaki @DKarmpaliotis @aspergian1 @djc795 @jl35wilsonMD @Babar_Basir @KateKearney4 @SrihariNaiduMD @sbrugaletta @KPujdak @TheNarulaSeries @DrJayMohan @KambisMashayek1 Come

Pramod V Menon2 years ago

@agtruesdell @mmamas1973 @mirvatalasnag @evandrofilhobr @Hragy @DrAmirKaki @LAzzaliniMD @DKarmpaliotis @aspergian1 @djc795 @jl35wilsonMD @Babar_Basir @KateKearney4 @SrihariNaiduMD @sbrugaletta @KPujdak @TheNarulaSeries @DrJayMohan @KambisMashayek1 Stent the LM into aorta….should tack it up…Shit happens man…I realized after 20 years….we do our best to keep shit FROM happening…but sometimes we can’t help it….if you do enough cath/pci…it’s inevitable….dont kill yourself over it…

Hany Ragy2 years ago

@agtruesdell @mmamas1973 @mirvatalasnag @evandrofilhobr @DrAmirKaki @LAzzaliniMD @DKarmpaliotis @aspergian1 @djc795 @jl35wilsonMD @Babar_Basir @KateKearney4 @SrihariNaiduMD @sbrugaletta @KPujdak @TheNarulaSeries @DrJayMohan @KambisMashayek1 How do you follow up this case?

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Cardiovascular Research Foundation

12,323 views • 11 months ago

#HDR #investment Few months post CABG patient presented with severe crippling angina. SVG to RCA gone. Cath outside. Discussed in office & hospital with patient & family (Drs) #HDR times 3 followed by PTCA achieved a small lumen. Would you stent or relook in few weeks? Salman Arain Lorenzo Azzalini Evandro Martins F. MD Neisser M Hany Ragy Stefan Harb

#HDR #investment Few months post CABG patient presented with severe crippling angina. SVG to RCA gone. Cath outside. Discussed in office & hospital with patient & family (Drs) #HDR times 3 followed by PTCA achieved a small lumen. Would you stent or relook in few weeks? Salman Arain Lorenzo Azzalini Evandro Martins F. MD Neisser M Hany Ragy Stefan Harb

jedicath աǟզǟʀ.ǟɦʍɛɖ

12,166 views • 6 months ago

Coronary fat embolization for late coronary perforation. I did a routine DK-crush bifurcation PCI. 6 hours later, pt is hypotensive with a large effusion. Relook angio showed diagonal tip perforation that wasnt there at the end of PCI. Prolonged balloon tamponade failed. Coils unavailable. Treated with autologous fat embolization, an effective bailout technique. • Small 0.5 cm groin incision • Subcutaneous fat harvested using forceps into small bowl • Fat mixed with saline • Loaded into a 2 cc syringe • Using a microcatheter (Turnpike/Finecross/Export, etc.), to inject fat into the perf site. • Final angiography confirmed complete seal. Join us at TCTME+ in Sep 2026. Will have a lot of great #CHIP and complications discussions. J Aaron Grantham JAG Dany Jacob Altayyeb Yousef Wail AlkashkariFSCAI,FPICSوائل القشقرى🇸🇦🇨🇦🇺🇲 MIЯVΛƬ #IC ༄ ｡° Aref BinAbdulhak MD MSc Amr Mohsen, MD Marwan Saad Abdallah El Sabbagh Musa A. Sharkawi David J. Cohen, MD, MSc Mohammed Qintar, MD MSc Muhammad Hammadah Karim Al-Azizi, MD Adam Greenbaum Mohammed Al-Hijji Emory University Juan Del Cid Fratti MD MSc Anton Camaj, MD Cardiovascular Research Foundation David J. Cohen, MD, MSc Mamas A. Mamas TCTME+ Cardiovascular Research Foundation Hooman Bakhshi Abdelkader Almanfi, MD, FACC, FSCAI إبراهيم الحربي Ibrahim Alharbi

Coronary fat embolization for late coronary perforation. I did a routine DK-crush bifurcation PCI. 6 hours later, pt is hypotensive with a large effusion. Relook angio showed diagonal tip perforation that wasnt there at the end of PCI. Prolonged balloon tamponade failed. Coils unavailable. Treated with autologous fat embolization, an effective bailout technique. • Small 0.5 cm groin incision • Subcutaneous fat harvested using forceps into small bowl • Fat mixed with saline • Loaded into a 2 cc syringe • Using a microcatheter (Turnpike/Finecross/Export, etc.), to inject fat into the perf site. • Final angiography confirmed complete seal. Join us at TCTME+ in Sep 2026. Will have a lot of great #CHIP and complications discussions. J Aaron Grantham JAG Dany Jacob Altayyeb Yousef Wail AlkashkariFSCAI,FPICSوائل القشقرى🇸🇦🇨🇦🇺🇲 MIЯVΛƬ #IC ༄ ｡° Aref BinAbdulhak MD MSc Amr Mohsen, MD Marwan Saad Abdallah El Sabbagh Musa A. Sharkawi David J. Cohen, MD, MSc Mohammed Qintar, MD MSc Muhammad Hammadah Karim Al-Azizi, MD Adam Greenbaum Mohammed Al-Hijji Emory University Juan Del Cid Fratti MD MSc Anton Camaj, MD Cardiovascular Research Foundation David J. Cohen, MD, MSc Mamas A. Mamas TCTME+ Cardiovascular Research Foundation Hooman Bakhshi Abdelkader Almanfi, MD, FACC, FSCAI إبراهيم الحربي Ibrahim Alharbi

Anas T. Noman

28,021 views • 2 months ago

Be among the first to discover groundbreaking science! 🔍 Dr. Wissam A Jaber previews the eagerly awaited PEERLESS trial to be revealed on Tuesday, October 29 at #TCT2024. 💡 This is your opportunity to stay ahead of the curve with innovations that could revolutionize cardiovascular care and elevate your practice. Secure your spot now: Check out the full lineup of late-breaking science and trials here 👉 #CardioX #CardioTwitter #CardioEd #CardioResearch Dan Burkhoff MD PhD David J. Cohen, MD, MSc George Dangas, MD, MACC, MSCAI Juan F. Granada Marty Leon Akiko Maehara Dr Roxana Mehran Sahil A. Parikh, MD Tricia Rawh TCT Conference jedicath աǟզǟʀ.ǟɦʍɛɖ إبراهيم الحربي Ibrahim Alharbi Abdelkader Almanfi, MD, FACC, FSCAI Hooman Bakhshi Alessandro Beneduce Nyal Borges Aaysha Cader BCaseMD Nishith Chandra Bailey Ann Richardson David L. Fischman Prof. Hector M. Garcia-Garcia Julia Grapsa Nadira Hamid Stefan Harb @AmandaLimaMD Evandro Martins F. MD Giorgio A. Medranda MD, FACC, FAHA, FSCAI Neisser M Srihari S. Naidu, MD sumonroy Michael Savage Muhammad Shuaib Abid Pooja Swamy, MD, FACC, FSCAI Ritu Thamman MD Anuradha Tunuguntla MD FACC FSCAI Poonam Velagapudi Edoardo Zancanaro MD MIЯVΛƬ #IC ༄ ｡°

Be among the first to discover groundbreaking science! 🔍 Dr. Wissam A Jaber previews the eagerly awaited PEERLESS trial to be revealed on Tuesday, October 29 at #TCT2024. 💡 This is your opportunity to stay ahead of the curve with innovations that could revolutionize cardiovascular care and elevate your practice. Secure your spot now: Check out the full lineup of late-breaking science and trials here 👉 #CardioX #CardioTwitter #CardioEd #CardioResearch Dan Burkhoff MD PhD David J. Cohen, MD, MSc George Dangas, MD, MACC, MSCAI Juan F. Granada Marty Leon Akiko Maehara Dr Roxana Mehran Sahil A. Parikh, MD Tricia Rawh TCT Conference jedicath աǟզǟʀ.ǟɦʍɛɖ إبراهيم الحربي Ibrahim Alharbi Abdelkader Almanfi, MD, FACC, FSCAI Hooman Bakhshi Alessandro Beneduce Nyal Borges Aaysha Cader BCaseMD Nishith Chandra Bailey Ann Richardson David L. Fischman Prof. Hector M. Garcia-Garcia Julia Grapsa Nadira Hamid Stefan Harb @AmandaLimaMD Evandro Martins F. MD Giorgio A. Medranda MD, FACC, FAHA, FSCAI Neisser M Srihari S. Naidu, MD sumonroy Michael Savage Muhammad Shuaib Abid Pooja Swamy, MD, FACC, FSCAI Ritu Thamman MD Anuradha Tunuguntla MD FACC FSCAI Poonam Velagapudi Edoardo Zancanaro MD MIЯVΛƬ #IC ༄ ｡°

Cardiovascular Research Foundation

12,995 views • 1 year ago

#NYValves2024 exceeded all expectations! A heartfelt thank you to our attendees, supporters, program directors, and faculty for making this first meeting a remarkable success. 🙏✨ See you next year at #NYValves2025! 🚀 #CardioX #CardioTwitter #CardioEd #CardioResearch Anita Asgar vinayak bapat Dan Burkhoff MD PhD David J. Cohen, MD, MSc megan coylewright md mph Sam Dawkins Neil Fam Isaac George MD Juan F. Granada Adam Greenbaum RTHahnMD Azeem Latib Jonathon Leipsic Marty Leon Michael Mack, MD Dr Roxana Mehran thomas modine Dr. Devi G Nair Tamim Nazif Mark Reisman MD Rahul Sharma Dr. Nicolas M Van Mieghem Univ.-Prof. Dr. Ralph Stephan von Bardeleben Dee Dee Wang MD John Webb Pradeep Yadav MIЯVΛƬ #IC ༄ ｡° Tricia Rawh

#NYValves2024 exceeded all expectations! A heartfelt thank you to our attendees, supporters, program directors, and faculty for making this first meeting a remarkable success. 🙏✨ See you next year at #NYValves2025! 🚀 #CardioX #CardioTwitter #CardioEd #CardioResearch Anita Asgar vinayak bapat Dan Burkhoff MD PhD David J. Cohen, MD, MSc megan coylewright md mph Sam Dawkins Neil Fam Isaac George MD Juan F. Granada Adam Greenbaum RTHahnMD Azeem Latib Jonathon Leipsic Marty Leon Michael Mack, MD Dr Roxana Mehran thomas modine Dr. Devi G Nair Tamim Nazif Mark Reisman MD Rahul Sharma Dr. Nicolas M Van Mieghem Univ.-Prof. Dr. Ralph Stephan von Bardeleben Dee Dee Wang MD John Webb Pradeep Yadav MIЯVΛƬ #IC ༄ ｡° Tricia Rawh

Cardiovascular Research Foundation

41,254 views • 2 years ago

💡 Ready to witness the future of cardiovascular #innovation? Join Philippe Genereux as he unveils the highly anticipated results of the EARLY TAVR trial, debuting on Monday, October 28! Get an exclusive look at first-time presentations of key clinical trials and groundbreaking studies at #TCT2024! Don’t miss out—reserve your spot today: 📅 Explore the full schedule of late-breaking trials and cutting-edge science. Check it out here: #CardioX #CardioTwitter #CardioEd #CardioResearch Dan Burkhoff MD PhD David J. Cohen, MD, MSc George Dangas, MD, MACC, MSCAI Juan F. Granada Marty Leon Akiko Maehara Dr Roxana Mehran Sahil A. Parikh, MD Tricia Rawh TCT Conference jedicath աǟզǟʀ.ǟɦʍɛɖ إبراهيم الحربي Ibrahim Alharbi Abdelkader Almanfi, MD, FACC, FSCAI Hooman Bakhshi Alessandro Beneduce Nyal Borges Aaysha Cader BCaseMD Nishith Chandra Bailey Ann Richardson David L. Fischman Prof. Hector M. Garcia-Garcia Julia Grapsa Nadira Hamid Stefan Harb @AmandaLimaMD Evandro Martins F. MD Giorgio A. Medranda MD, FACC, FAHA, FSCAI Neisser M Srihari S. Naidu, MD sumonroy Michael Savage Muhammad Shuaib Abid Pooja Swamy, MD, FACC, FSCAI Ritu Thamman MD Anuradha Tunuguntla MD FACC FSCAI Poonam Velagapudi Edoardo Zancanaro MD Adriana C. Mares Niels R. Holm Abhishek Chaturvedi MD, FACC, FSCAI Krutarth Pandya Indah Sukmawati, MD Shariq Shamim MIЯVΛƬ #IC ༄ ｡°

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💡 Ready to witness the future of cardiovascular #innovation? Join Philippe Genereux as he unveils the highly anticipated results of the EARLY TAVR trial, debuting on Monday, October 28! Get an exclusive look at first-time presentations of key clinical trials and groundbreaking studies at #TCT2024! Don’t miss out—reserve your spot today: 📅 Explore the full schedule of late-breaking trials and cutting-edge science. Check it out here: #CardioX #CardioTwitter #CardioEd #CardioResearch Dan Burkhoff MD PhD David J. Cohen, MD, MSc George Dangas, MD, MACC, MSCAI Juan F. Granada Marty Leon Akiko Maehara Dr Roxana Mehran Sahil A. Parikh, MD Tricia Rawh TCT Conference jedicath աǟզǟʀ.ǟɦʍɛɖ إبراهيم الحربي Ibrahim Alharbi Abdelkader Almanfi, MD, FACC, FSCAI Hooman Bakhshi Alessandro Beneduce Nyal Borges Aaysha Cader BCaseMD Nishith Chandra Bailey Ann Richardson David L. Fischman Prof. Hector M. Garcia-Garcia Julia Grapsa Nadira Hamid Stefan Harb @AmandaLimaMD Evandro Martins F. MD Giorgio A. Medranda MD, FACC, FAHA, FSCAI Neisser M Srihari S. Naidu, MD sumonroy Michael Savage Muhammad Shuaib Abid Pooja Swamy, MD, FACC, FSCAI Ritu Thamman MD Anuradha Tunuguntla MD FACC FSCAI Poonam Velagapudi Edoardo Zancanaro MD Adriana C. Mares Niels R. Holm Abhishek Chaturvedi MD, FACC, FSCAI Krutarth Pandya Indah Sukmawati, MD Shariq Shamim MIЯVΛƬ #IC ༄ ｡°

Cardiovascular Research Foundation

16,807 views • 1 year ago

#HDR #CTO101 is game Changer, 3v CTO PCI done in single session, hope to present full case at #TCT2025 at SFO. Patient in 70s NYHA 4, volume optimized, EF <30%, IABP supposed 3v CTO PCI done. 300 cc contrast, 2.5G, <3 hours. Salman Arain Evandro Martins F. MD Sripal Bangalore CanCTO EuroCTOClub Sanjog Kalra Mauro Carlino Darshan Doshi, MD, MS Kambis Mashayekhi Stéphane Rinfret, MD SM Mihajlo Kovacic 🫀📕/🔋🕹️ Pierfrancesco Agostoni Dr. Bill Lombardi Neisser M Gregor Leibundgut Allison Hall Elliot Smith Luiz Fernando Ybarra Rustem Dautov Abdul Mozid Mohammad Almutawa Basem Elbarouni jcspratt Tom Kaier Anja Øksnes Raja Hatem Lorenzo Azzalini jedicath աǟզǟʀ.ǟɦʍɛɖ Tsutomu Fujita MD Farouc Jaffer MD PhD Mohaned Egred Stefan Harb Edney Boston-Griffiths Amir Ravandi Dr Imran Hanif Hashmi Omer Goktekin MD Maksymilian Opolski Kalpa De Silva Faurie Benjamin Michael Megaly Jonathan Hill sharmainethiru Dr. Akshay Bagai Ignacio J. Amat Alex Truesdell Ziad Ali Ricardo Santiago Jack Hall Margaret McEntegart

#HDR #CTO101 is game Changer, 3v CTO PCI done in single session, hope to present full case at #TCT2025 at SFO. Patient in 70s NYHA 4, volume optimized, EF <30%, IABP supposed 3v CTO PCI done. 300 cc contrast, 2.5G, <3 hours. Salman Arain Evandro Martins F. MD Sripal Bangalore CanCTO EuroCTOClub Sanjog Kalra Mauro Carlino Darshan Doshi, MD, MS Kambis Mashayekhi Stéphane Rinfret, MD SM Mihajlo Kovacic 🫀📕/🔋🕹️ Pierfrancesco Agostoni Dr. Bill Lombardi Neisser M Gregor Leibundgut Allison Hall Elliot Smith Luiz Fernando Ybarra Rustem Dautov Abdul Mozid Mohammad Almutawa Basem Elbarouni jcspratt Tom Kaier Anja Øksnes Raja Hatem Lorenzo Azzalini jedicath աǟզǟʀ.ǟɦʍɛɖ Tsutomu Fujita MD Farouc Jaffer MD PhD Mohaned Egred Stefan Harb Edney Boston-Griffiths Amir Ravandi Dr Imran Hanif Hashmi Omer Goktekin MD Maksymilian Opolski Kalpa De Silva Faurie Benjamin Michael Megaly Jonathan Hill sharmainethiru Dr. Akshay Bagai Ignacio J. Amat Alex Truesdell Ziad Ali Ricardo Santiago Jack Hall Margaret McEntegart

Shariq Shamim

21,891 views • 1 year ago

46/F HOCM diagnosed since 6 months , HR -55-60bpm on 50mg of metoprolol , also patient on 25mg of aldactone and Sytolic BP is in 90's .. cannot uptitrate more beta blockers , cannot add CCB (not tolerating) .. Resting gradient has come down from 80mmHg to 50-55mmHg .. SCAR is 5% only Continues to be symptomatic for HF .. MYOMECTOMY is strictly NO NO for her .. Should ASA be offered to her ?? Srihari S. Naidu, MD Hany Ragy MIЯVΛƬ #IC ༄ ｡° Mamas A. Mamas Salman Arain Ankur Phatarpekar Ankush Gupta Dr G Rajesh (Gopalan Nair Rajesh). Somalaram Venkatesh Osama Bisht Michael Savage Amitabh Yaduvanshi MD, DM, FACC, FSCAI SREEVATSA NADIG DM FSCAI FESC Dr . $@ndeep K@m@t Abdelkader Almanfi, MD, FACC, FSCAI Dr Imran Hanif Hashmi PCRonline 🫀 Valva Mitralis Joy Sanyal,MD, DM, #cardiotwitter #MedTwitter

46/F HOCM diagnosed since 6 months , HR -55-60bpm on 50mg of metoprolol , also patient on 25mg of aldactone and Sytolic BP is in 90's .. cannot uptitrate more beta blockers , cannot add CCB (not tolerating) .. Resting gradient has come down from 80mmHg to 50-55mmHg .. SCAR is 5% only Continues to be symptomatic for HF .. MYOMECTOMY is strictly NO NO for her .. Should ASA be offered to her ?? Srihari S. Naidu, MD Hany Ragy MIЯVΛƬ #IC ༄ ｡° Mamas A. Mamas Salman Arain Ankur Phatarpekar Ankush Gupta Dr G Rajesh (Gopalan Nair Rajesh). Somalaram Venkatesh Osama Bisht Michael Savage Amitabh Yaduvanshi MD, DM, FACC, FSCAI SREEVATSA NADIG DM FSCAI FESC Dr . $@ndeep K@m@t Abdelkader Almanfi, MD, FACC, FSCAI Dr Imran Hanif Hashmi PCRonline 🫀 Valva Mitralis Joy Sanyal,MD, DM, #cardiotwitter #MedTwitter

Abad khan,MD/DM

28,369 views • 1 year ago