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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

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13,025 görüntüleme • 3 yıl önce •via X (Twitter)

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BAO BUI profil fotoğrafı

BAO BUI3 yıl önce

@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 profil fotoğrafı

Flavius_IR3 yıl önce

@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 profil fotoğrafı

Saher Sabri3 yıl önce

@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 profil fotoğrafı

Lorenzo Patrone3 yıl önce

@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 profil fotoğrafı

Venkat Tummala MD3 yıl önce

@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 profil fotoğrafı

Lorenzo Patrone3 yıl önce

@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 profil fotoğrafı

Sabeen Dhand3 yıl önce

@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 profil fotoğrafı

Lorenzo Patrone3 yıl önce

@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 profil fotoğrafı

Raphaël Coscas3 yıl önce

@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 profil fotoğrafı

Lorenzo Patrone3 yıl önce

@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 görüntüleme • 9 ay önce

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

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

76,097 görüntüleme • 4 ay önce

#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

33,576 görüntüleme • 2 yıl önce

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 görüntüleme • 8 ay önce