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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...

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Lorenzo Patrone

2,647 subscribers

13,025 Aufrufe • vor 3 Jahren •via X (Twitter)

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10 Kommentare

Profilbild von BAO BUI
BAO BUIvor 3 Jahren

@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

Profilbild von Flavius_IR
Flavius_IRvor 3 Jahren

@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.

Profilbild von Saher Sabri
Saher Sabrivor 3 Jahren

@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

Profilbild von Lorenzo Patrone
Lorenzo Patronevor 3 Jahren

@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?

Profilbild von Venkat Tummala MD
Venkat Tummala MDvor 3 Jahren

@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.👍🏾

Profilbild von Lorenzo Patrone
Lorenzo Patronevor 3 Jahren

@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...

Profilbild von Sabeen Dhand
Sabeen Dhandvor 3 Jahren

@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!!

Profilbild von Lorenzo Patrone
Lorenzo Patronevor 3 Jahren

@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?

Profilbild von Raphaël Coscas
Raphaël Coscasvor 3 Jahren

@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

Profilbild von Lorenzo Patrone
Lorenzo Patronevor 3 Jahren

@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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Srihari S. Naidu, MD

13,329 Aufrufe • vor 8 Monaten

#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 🫀
0:22

#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

33,572 Aufrufe • vor 2 Jahren

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
2:42

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 Aufrufe • vor 7 Monaten

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
3:29

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 Aufrufe • vor 6 Monaten

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
4:14

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 Aufrufe • vor 5 Monaten

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
2:49

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 Aufrufe • vor 3 Monaten