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Incidental finding. How would you treat? Athanasios Saratzis Robert A Lookstein MD, MHCDL frank arko Athanasios Diamantopoulos Vascupedia Sabeen Dhand Dr. K. Katsanos Eric Secemsky MD MSc Flavius_IR Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI GVATAKEN Keith Pereira MD, #VIrad Kumar Madassery @K_Stavroulakis Srini Tummala MD FSIR FSVM Don... show more

Lorenzo Patrone

2,647 subscribers

13,025 次观看 • 3 年前 •via X (Twitter)

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BAO BUI 的头像

BAO BUI3 年前

@a_saratzis @roblookstein @farkomd @ADiamantop @Vascupedia_com @SDhandMD @DrKKatsanos @EricSecemskyMD @Flavius_IR @HadyLichaaMD @VISLAMDSCAIP @keithppereira @kmadass @K_Stavroulakis @SriniTummala @DonGarbettMD @t_intheleadcoat @_backtable The aneurysm is secondary to celiac occlusion and increased retrograde flow imho. Would treat celiac and follow the aneurysm.We had similar cases where this kind of aneurysm has decreased in size following celiac stenting

Flavius_IR 的头像

Flavius_IR3 年前

@a_saratzis @roblookstein @farkomd @ADiamantop @Vascupedia_com @SDhandMD @DrKKatsanos @EricSecemskyMD @HadyLichaaMD @VISLAMDSCAIP @keithppereira @kmadass @K_Stavroulakis @SriniTummala @DonGarbettMD @t_intheleadcoat @_backtable Is this an IPDA aneurysm? If so, guidelines say you must treat. And, if so, we have an identical case in our unit, with occluded celiac, which I'm planning to stentgraft, but that's a decision taken after very careful analysis of the CTA (MPR, 3D recons) and MDT discussion.

Saher Sabri 的头像

Saher Sabri3 年前

@a_saratzis @roblookstein @farkomd @ADiamantop @Vascupedia_com @SDhandMD @DrKKatsanos @EricSecemskyMD @Flavius_IR @HadyLichaaMD @VISLAMDSCAIP @keithppereira @kmadass @K_Stavroulakis @SriniTummala @DonGarbettMD @t_intheleadcoat @_backtable Nice case of PDA aneurysm secondary to MALS. Decision to release MAL prior to embolization relies on number of collaterals on angio. If other collaterals are present, then coil the outflow and aneurysm (may do balloon assisted if needed but neck looks narrow). All done thru SMA

Lorenzo Patrone 的头像

Lorenzo Patrone3 年前

@a_saratzis @roblookstein @farkomd @ADiamantop @Vascupedia_com @SDhandMD @DrKKatsanos @EricSecemskyMD @Flavius_IR @HadyLichaaMD @VISLAMDSCAIP @keithppereira @kmadass @K_Stavroulakis @SriniTummala @DonGarbettMD @t_intheleadcoat @_backtable Thanks! Would you put a cover stent into the SMA to exclude the aneurysm proximally?

Venkat Tummala MD 的头像

Venkat Tummala MD3 年前

@a_saratzis @roblookstein @farkomd @ADiamantop @Vascupedia_com @SDhandMD @DrKKatsanos @EricSecemskyMD @Flavius_IR @HadyLichaaMD @VISLAMDSCAIP @keithppereira @kmadass @K_Stavroulakis @SriniTummala @DonGarbettMD @_backtable Lorenzo, interesting case. Celiac is occluded. Hard to say if aneursym is CHA or GDA. You mentioned incidental but suspect CT was done looking for answers for pain/ other symptomatology? Angio, if you have it can be available, preferably a selective SMA run.👍🏾

Lorenzo Patrone 的头像

Lorenzo Patrone3 年前

@a_saratzis @roblookstein @farkomd @ADiamantop @Vascupedia_com @SDhandMD @DrKKatsanos @EricSecemskyMD @Flavius_IR @HadyLichaaMD @VISLAMDSCAIP @keithppereira @kmadass @K_Stavroulakis @SriniTummala @DonGarbettMD @_backtable CT done for ?pneumonia. Coeliac highly stenotic, the aneurysm comes out from the SMA with no neck...

Sabeen Dhand 的头像

Sabeen Dhand3 年前

@a_saratzis @roblookstein @farkomd @ADiamantop @Vascupedia_com @DrKKatsanos @EricSecemskyMD @Flavius_IR @HadyLichaaMD @VISLAMDSCAIP @keithppereira @kmadass @K_Stavroulakis @SriniTummala @DonGarbettMD @t_intheleadcoat @_backtable Nice incidental finding!! We’d embo that ticking time bomb and then refer to surgery for MALS release, presuming that’s the etiology!!

Lorenzo Patrone 的头像

Lorenzo Patrone3 年前

@a_saratzis @roblookstein @farkomd @ADiamantop @Vascupedia_com @DrKKatsanos @EricSecemskyMD @Flavius_IR @HadyLichaaMD @VISLAMDSCAIP @keithppereira @kmadass @K_Stavroulakis @SriniTummala @DonGarbettMD @t_intheleadcoat @_backtable Very wise! How would you embo that?

Raphaël Coscas 的头像

Raphaël Coscas3 年前

@a_saratzis @roblookstein @farkomd @ADiamantop @Vascupedia_com @SDhandMD @DrKKatsanos @EricSecemskyMD @Flavius_IR @HadyLichaaMD @VISLAMDSCAIP @keithppereira @kmadass @K_Stavroulakis @SriniTummala @DonGarbettMD @t_intheleadcoat @_backtable May be infectious/inflammatory - more explorations with biology and nuclear imaging may help - open surgery will allow to keep all patent branches and have samples for analysis

Lorenzo Patrone 的头像

Lorenzo Patrone3 年前

@a_saratzis @roblookstein @farkomd @ADiamantop @Vascupedia_com @SDhandMD @DrKKatsanos @EricSecemskyMD @Flavius_IR @HadyLichaaMD @VISLAMDSCAIP @keithppereira @kmadass @K_Stavroulakis @SriniTummala @DonGarbettMD @t_intheleadcoat @_backtable Interesting point.. could it be "mycotic"? Would you treat it open then?

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Case 13: Tunnelled Dialysis Cath insertion done elsewhere. Referred for no backflow. What next? . #irad #MedTwitter #MedEd SIR RFS SIR ECS Society of Interventional Radiology Keith Pereira MD, #VIrad Keerthi Prasad Kumar Madassery Lorenzo Patrone Mark Lessne, MD Srini Tummala MD FSIR FSVM Venkat Tummala MD MBA

Case 13: Tunnelled Dialysis Cath insertion done elsewhere. Referred for no backflow. What next? . #irad #MedTwitter #MedEd SIR RFS SIR ECS Society of Interventional Radiology Keith Pereira MD, #VIrad Keerthi Prasad Kumar Madassery Lorenzo Patrone Mark Lessne, MD Srini Tummala MD FSIR FSVM Venkat Tummala MD MBA

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24,261 次观看 • 7 个月前

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13,532 次观看 • 7 个月前

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13,031 次观看 • 8 个月前

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87,672 次观看 • 3 个月前

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Srihari S. Naidu, MD

12,198 次观看 • 11 个月前

Song 44 is a current song. My rendition of “those eyes”. If you haven’t heard of it take a listen. Thank me later. Priya R. Kothapalli, MD, FACC, FSCAI Aditya Bharadwaj MIЯVΛƬ #IC ༄ ｡° Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Poonam Velagapudi Suzanne J. Baron MD MSc Bailey Ann Richardson Pragya Ranjan, MD, FACC Giorgio A. Medranda MD, FACC, FAHA, FSCAI Anju Bhardwaj MD FACC Ankur Kalra Camilo Fernández Bravo Triston B.B.J. Smith MD MGM FSCAI Swati Chand Haris Patail MD Ishita Vasudev, MD Joseph Marine General Melchett Gene Park Francesco Dellagrazia David Homan, MD Lindsay Davis Steven Cooper Atul D. Bali, MD Allison Dupont, MD

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Srihari S. Naidu, MD

61,239 次观看 • 1 年前

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Roosha Parikh

17,253 次观看 • 3 年前

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Song 107 my cover to “don’t dream it’s over” just a gorgeous song from the 80s. Hope you enjoy. Giorgio A. Medranda MD, FACC, FAHA, FSCAI Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Dr. Purvi Parwani David J. Cohen, MD, MSc Ishita Vasudev, MD Akinchan Bhardwaj, MD, DM, FACC xavier prida Alex Truesdell Sandy Hung Azka Naeem Poonam Velagapudi Allison Dupont, MD MIЯVΛƬ #IC ༄ ｡° Dr. Deepak L. Bhatt Samuel B. Governor Emily Researcher Shadi Halabi MD MPH Randy Wayne Julia Mitchell Bernard Kadosh Lisa Ryan Quentin Youmans, MD, MSc Triston B.B.J. Smith MD MGM FSCAI Maham Waheed, MD

Srihari S. Naidu, MD

76,087 次观看 • 3 个月前

Song 68 live from Miami SCAI fellows course gets us in the Christmas spirit with my cover to Last Christmas Allison Dupont, MD MIЯVΛƬ #IC ༄ ｡° Priya R. Kothapalli, MD, FACC, FSCAI Poonam Velagapudi Ishita Vasudev, MD Rama Ellauzi Akinchan Bhardwaj, MD, DM, FACC Dr. Purvi Parwani Jamal Rana, MD Giorgio A. Medranda MD, FACC, FAHA, FSCAI Joseph Marine Tanya Sharma Swati Chand Babar Basir David J. Cohen, MD, MSc Joaquin E. Cigarroa MD FACC MSCAI Triston B.B.J. Smith MD MGM FSCAI Haroon Faraz Hany Ragy Ayman Magd Ankur Kalra Dr. Deepak L. Bhatt Lindsay Davis Steven Cooper Prakash Upreti MD Rahat Warraich PhD xavier prida

Song 68 live from Miami SCAI fellows course gets us in the Christmas spirit with my cover to Last Christmas Allison Dupont, MD MIЯVΛƬ #IC ༄ ｡° Priya R. Kothapalli, MD, FACC, FSCAI Poonam Velagapudi Ishita Vasudev, MD Rama Ellauzi Akinchan Bhardwaj, MD, DM, FACC Dr. Purvi Parwani Jamal Rana, MD Giorgio A. Medranda MD, FACC, FAHA, FSCAI Joseph Marine Tanya Sharma Swati Chand Babar Basir David J. Cohen, MD, MSc Joaquin E. Cigarroa MD FACC MSCAI Triston B.B.J. Smith MD MGM FSCAI Haroon Faraz Hany Ragy Ayman Magd Ankur Kalra Dr. Deepak L. Bhatt Lindsay Davis Steven Cooper Prakash Upreti MD Rahat Warraich PhD xavier prida

Srihari S. Naidu, MD

13,329 次观看 • 8 个月前

#ROTABLATION tricks .. To all the ROTA gurus, what and how is this happening and how to troubleshoot for it ? #CardioTwitter #MedTwitter Salman Allana, MD FACC FSCAI Ankur Phatarpekar Ankush Gupta Ankur Kalra Antonious Attallah, MD, FACC, FSCAI Hany Ragy MIЯVΛƬ #IC ༄ ｡° jedicath աǟզǟʀ.ǟɦʍɛɖ Mamas A. Mamas David J. Cohen, MD, MSc John Mandrola, MD Oscar Mendiz Evandro Martins F. MD Ezman Shariff Erik Rafflenbeul Osama Bisht C. Michael Gibson MD Khalid Minhas, MD FACC Dr G Rajesh (Gopalan Nair Rajesh). Somalaram Venkatesh SREEVATSA NADIG DM FSCAI FESC Dr. Krzysztof Pujdak Dr Imran Hanif Hashmi ROTAMONSTER PCRonline 🫀

#ROTABLATION tricks .. To all the ROTA gurus, what and how is this happening and how to troubleshoot for it ? #CardioTwitter #MedTwitter Salman Allana, MD FACC FSCAI Ankur Phatarpekar Ankush Gupta Ankur Kalra Antonious Attallah, MD, FACC, FSCAI Hany Ragy MIЯVΛƬ #IC ༄ ｡° jedicath աǟզǟʀ.ǟɦʍɛɖ Mamas A. Mamas David J. Cohen, MD, MSc John Mandrola, MD Oscar Mendiz Evandro Martins F. MD Ezman Shariff Erik Rafflenbeul Osama Bisht C. Michael Gibson MD Khalid Minhas, MD FACC Dr G Rajesh (Gopalan Nair Rajesh). Somalaram Venkatesh SREEVATSA NADIG DM FSCAI FESC Dr. Krzysztof Pujdak Dr Imran Hanif Hashmi ROTAMONSTER PCRonline 🫀

Abad khan,MD/DM

33,565 次观看 • 2 年前

Song 78. Couldn’t resist doing Fate of Ophelia since it’s all the rage right now 😂 Priya R. Kothapalli, MD, FACC, FSCAI Danielle Belardo, MD Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Rama Ellauzi Giorgio A. Medranda MD, FACC, FAHA, FSCAI MIЯVΛƬ #IC ༄ ｡° Poonam Velagapudi Ishita Vasudev, MD Akinchan Bhardwaj Ayman Magd Deepika Potarazu, MD Dr. Deepak L. Bhatt David Mack AnnabelleVolgman MD Dr. Eilene Basu Anju Bhardwaj MD FACC Aditya Bharadwaj Binita Shah Adriana C. Mares Ivan Chevere megan coylewright md mph Stacey Rosen, M.D. Triston B.B.J. Smith MD MGM FSCAI Kimberly A Skelding MD FACC FAHA FSCAI Gene Park General Melchett Jason N. Katz Lisa Ryan Allison Dupont, MD Prakash Upreti MD @RitikaThakur_1 Ziad Storyteller Rahat Warraich PhD Matt Daniels MD PhD

Song 78. Couldn’t resist doing Fate of Ophelia since it’s all the rage right now 😂 Priya R. Kothapalli, MD, FACC, FSCAI Danielle Belardo, MD Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Rama Ellauzi Giorgio A. Medranda MD, FACC, FAHA, FSCAI MIЯVΛƬ #IC ༄ ｡° Poonam Velagapudi Ishita Vasudev, MD Akinchan Bhardwaj Ayman Magd Deepika Potarazu, MD Dr. Deepak L. Bhatt David Mack AnnabelleVolgman MD Dr. Eilene Basu Anju Bhardwaj MD FACC Aditya Bharadwaj Binita Shah Adriana C. Mares Ivan Chevere megan coylewright md mph Stacey Rosen, M.D. Triston B.B.J. Smith MD MGM FSCAI Kimberly A Skelding MD FACC FAHA FSCAI Gene Park General Melchett Jason N. Katz Lisa Ryan Allison Dupont, MD Prakash Upreti MD @RitikaThakur_1 Ziad Storyteller Rahat Warraich PhD Matt Daniels MD PhD

Srihari S. Naidu, MD

15,325 次观看 • 7 个月前

Song 86 while in Cali. Giving grand rounds lectureship at Stanford this morning. My rendition of the classic “Hallelujah” for a quiet travel morning 😊 Aditya Bharadwaj Giorgio A. Medranda MD, FACC, FAHA, FSCAI euan ashley William Fearon Rahat Warraich PhD Rama Ellauzi Poonam Velagapudi Dr. Purvi Parwani Jamal Rana, MD Suzanne J. Baron MD MSc Giorgio A. Medranda MD, FACC, FAHA, FSCAI Joseph Marine Malissa Wood Ishita Vasudev, MD Akinchan Bhardwaj, MD, DM, FACC MIЯVΛƬ #IC ༄ ｡° New York Medical College Stanford Health Care pik mukherji Jeffrey Newelt Allison Dupont, MD World Data Analysis Lindsay Davis Steven Cooper Camilo Fernández Bravo, MD/PhD/FACC/ Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Triston B.B.J. Smith MD MGM FSCAI Pooja Swamy, MD, FACC, FSCAI Lauren Kriger Groner herbaronowMD Ritu Thamman MD Larry S. Dean, MD B. Hadley Wilson MD Umbreen Nadeem Lorrell Holtz-Oxley Women As One ROHIT PANWAR Regina Deible Sara Elattar Tanya Sharma David H. Wiener, MD Yasser Radwan Shelley Zieroth

Song 86 while in Cali. Giving grand rounds lectureship at Stanford this morning. My rendition of the classic “Hallelujah” for a quiet travel morning 😊 Aditya Bharadwaj Giorgio A. Medranda MD, FACC, FAHA, FSCAI euan ashley William Fearon Rahat Warraich PhD Rama Ellauzi Poonam Velagapudi Dr. Purvi Parwani Jamal Rana, MD Suzanne J. Baron MD MSc Giorgio A. Medranda MD, FACC, FAHA, FSCAI Joseph Marine Malissa Wood Ishita Vasudev, MD Akinchan Bhardwaj, MD, DM, FACC MIЯVΛƬ #IC ༄ ｡° New York Medical College Stanford Health Care pik mukherji Jeffrey Newelt Allison Dupont, MD World Data Analysis Lindsay Davis Steven Cooper Camilo Fernández Bravo, MD/PhD/FACC/ Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Triston B.B.J. Smith MD MGM FSCAI Pooja Swamy, MD, FACC, FSCAI Lauren Kriger Groner herbaronowMD Ritu Thamman MD Larry S. Dean, MD B. Hadley Wilson MD Umbreen Nadeem Lorrell Holtz-Oxley Women As One ROHIT PANWAR Regina Deible Sara Elattar Tanya Sharma David H. Wiener, MD Yasser Radwan Shelley Zieroth

Srihari S. Naidu, MD

20,524 次观看 • 5 个月前

Loved this song as a kid. Now the words have meaning. “With a little perseverance you can get things done. Without the blind adherence that has conquered some.” Why don’t they write like this anymore? Song 91. My rendition. Alex Truesdell Triston B.B.J. Smith MD MGM FSCAI xavier prida MIЯVΛƬ #IC ༄ ｡° Dr. Deepak L. Bhatt Joseph Marine Malissa Wood Ritu Thamman MD Anu Lala (Anuradha Lala-Trindade) Kamala Tamirisa MD Aditya Bharadwaj Ishita Vasudev, MD Poonam Velagapudi Dr. Purvi Parwani Jamal Rana, MD Rama Ellauzi Larry Husten Alisa Cohn Allison Dupont, MD Roosha Parikh Omar Khalique World Data Analysis Rahat Warraich PhD ROHIT PANWAR Neda S Stacey Rosen, M.D. Andrew M. Goldsweig, MD, MS Andrew Yang🧢⬆️🇺🇸 Eric A Osborn MD PhD Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI Giorgio A. Medranda MD, FACC, FAHA, FSCAI Swati Garekar Harriette Van Spall, MD MPH 🇨🇦 Abhishek Chaturvedi MD, FACC, FSCAI N. Shyama Appareddy, MD @PrakashUpretiMD Salman Arain vjyden sam

Loved this song as a kid. Now the words have meaning. “With a little perseverance you can get things done. Without the blind adherence that has conquered some.” Why don’t they write like this anymore? Song 91. My rendition. Alex Truesdell Triston B.B.J. Smith MD MGM FSCAI xavier prida MIЯVΛƬ #IC ༄ ｡° Dr. Deepak L. Bhatt Joseph Marine Malissa Wood Ritu Thamman MD Anu Lala (Anuradha Lala-Trindade) Kamala Tamirisa MD Aditya Bharadwaj Ishita Vasudev, MD Poonam Velagapudi Dr. Purvi Parwani Jamal Rana, MD Rama Ellauzi Larry Husten Alisa Cohn Allison Dupont, MD Roosha Parikh Omar Khalique World Data Analysis Rahat Warraich PhD ROHIT PANWAR Neda S Stacey Rosen, M.D. Andrew M. Goldsweig, MD, MS Andrew Yang🧢⬆️🇺🇸 Eric A Osborn MD PhD Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI Giorgio A. Medranda MD, FACC, FAHA, FSCAI Swati Garekar Harriette Van Spall, MD MPH 🇨🇦 Abhishek Chaturvedi MD, FACC, FSCAI N. Shyama Appareddy, MD @PrakashUpretiMD Salman Arain vjyden sam

Srihari S. Naidu, MD

24,127 次观看 • 5 个月前

Song 110 is a throwback to a fun song from the 80s “new wave” movement. My cover to “only you”. Give it a listen if you don’t know it! Poonam Velagapudi Kamala Tamirisa MD Dr. Purvi Parwani Allison Dupont, MD Giorgio A. Medranda MD, FACC, FAHA, FSCAI Akinchan Bhardwaj, MD, DM, FACC Ishita Vasudev, MD Roosha Parikh Ritu Thamman MD Malissa Wood Joseph Marine MIЯVΛƬ #IC ༄ ｡° Hany Ragy Ayman Magd Dr. Deepak L. Bhatt Sharmila Rao Thakkar Samuel B. Governor Chris Trimmer Toishi Sharma, MD FACC Julia Mitchell Sara Elattar Effie Orfanides Sri Gupta Patel, MBBS, PhD Quentin Youmans, MD, MSc Triston B.B.J. Smith MD MGM FSCAI Maham Waheed, MD Ivan Chevere

Song 110 is a throwback to a fun song from the 80s “new wave” movement. My cover to “only you”. Give it a listen if you don’t know it! Poonam Velagapudi Kamala Tamirisa MD Dr. Purvi Parwani Allison Dupont, MD Giorgio A. Medranda MD, FACC, FAHA, FSCAI Akinchan Bhardwaj, MD, DM, FACC Ishita Vasudev, MD Roosha Parikh Ritu Thamman MD Malissa Wood Joseph Marine MIЯVΛƬ #IC ༄ ｡° Hany Ragy Ayman Magd Dr. Deepak L. Bhatt Sharmila Rao Thakkar Samuel B. Governor Chris Trimmer Toishi Sharma, MD FACC Julia Mitchell Sara Elattar Effie Orfanides Sri Gupta Patel, MBBS, PhD Quentin Youmans, MD, MSc Triston B.B.J. Smith MD MGM FSCAI Maham Waheed, MD Ivan Chevere

Srihari S. Naidu, MD

87,068 次观看 • 3 个月前