正在加载视频...

视频加载失败

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,...

18,785 次观看 • 2 年前 •via X (Twitter)

8 条评论

Rodrigo V. Wainstein, MD, PhD 的头像
Rodrigo V. Wainstein, MD, PhD2 年前

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, MD 的头像
Jeffrey Wilson, MD2 年前

@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 Truesdell 的头像
Alex Truesdell2 年前

@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 #IC 的头像
MIЯVΛƬ #IC2 年前

@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 Hall 的头像
Jack Hall2 年前

@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 Azzalini 的头像
Lorenzo Azzalini2 年前

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

Pramod V Menon 的头像
Pramod V Menon2 年前

@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 Ragy 的头像
Hany Ragy2 年前

@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?

相关视频

💡 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 ༄ 。°
1:19

Sensitive content

💡 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 次观看 • 1 年前