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#NotTheTypicalTypeALesion 60s angina #CAG➡️filling defect🤷‍♂️#Wire1st then #Think #Scan #Stent #LM😌Evandro Martins F. MD MIЯVΛƬ #IC ༄ ｡° Mamas A. Mamas Kambis Mashayekhi Neisser M Erik Rafflenbeul Lorenzo Azzalini Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI PCICaseBot RadialFirstBot Dr. Krzysztof Pujdak Nyal Borges Ritu Thamman MD PCRonline 🫀

DrPatWJyg

3,150 subscribers

15,836 views • 3 years ago •via X (Twitter)

#NotTheTypicalTypeALesion #CAG #Wire1st #Think #Scan #Stent #LM

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10 Comments

DrPatWJyg3 years ago

To the expert in #YesCCT can you tell if it’s ulcerate plaque or plaque rupture from the CT ? @mirvatalasnag @Heart_CardiacCT @mmamas1973 @LondonCardiacCT @CardiacCTguru @MaeharaAkiko @GopalKkoduru

Umair Khalid3 years ago

@evandrofilhobr @mirvatalasnag @mmamas1973 @KambisMashayek1 @mornei2011 @KardiologieHH @LAzzaliniMD @HadyLichaaMD @BotPci @RadialFirstBot @KPujdak @nyalborgesmd @iamritu @PCRonline Excellent demonstration by multimodality approach- #YesCCT, angio and then #OCT. And then using the data to intervene masterfully. Thanks for sharing!

MIЯVΛƬ #IC3 years ago

@evandrofilhobr @mmamas1973 @KambisMashayek1 @mornei2011 @KardiologieHH @LAzzaliniMD @HadyLichaaMD @BotPci @RadialFirstBot @KPujdak @nyalborgesmd @iamritu @PCRonline Love how #YesCCT helped strategize up front

Tom Ford3 years ago

@evandrofilhobr @mirvatalasnag @mmamas1973 @KambisMashayek1 @mornei2011 @KardiologieHH @LAzzaliniMD @HadyLichaaMD @BotPci @RadialFirstBot @KPujdak @nyalborgesmd @iamritu @PCRonline Beautifully presented case! Loved the images. I like a kiss and rePOT in provisional ULMCA PCI especially in 60yo. No good evidence either way though.

Dan Pascut3 years ago

@evandrofilhobr @mirvatalasnag @mmamas1973 @KambisMashayek1 @mornei2011 @KardiologieHH @LAzzaliniMD @HadyLichaaMD @BotPci @RadialFirstBot @KPujdak @nyalborgesmd @iamritu @PCRonline What a masterclass! Perfectly managed, reducing risk by not trying to "nail the Ostium" image guided, no kiss preserving stent integrity, amazing result. Congratulations and thanks for sharing!

H.Ferreira, MD., MSc.,MBA3 years ago

@evandrofilhobr @mirvatalasnag @mmamas1973 @KambisMashayek1 @mornei2011 @KardiologieHH @LAzzaliniMD @HadyLichaaMD @BotPci @RadialFirstBot @KPujdak @nyalborgesmd @iamritu @PCRonline Now that’s putting multimodality to work! Nicely done 🫀

Sarah Fairley3 years ago

@evandrofilhobr @mirvatalasnag @mmamas1973 @KambisMashayek1 @mornei2011 @KardiologieHH @LAzzaliniMD @HadyLichaaMD @BotPci @RadialFirstBot @KPujdak @nyalborgesmd @iamritu @PCRonline Nice OCT. And thank you for not saying you would "nail the ostium"!

Thomas Coelho Assmann3 years ago

@evandrofilhobr @mirvatalasnag @mmamas1973 @KambisMashayek1 @mornei2011 @KardiologieHH @LAzzaliniMD @HadyLichaaMD @BotPci @RadialFirstBot @KPujdak @nyalborgesmd @iamritu @PCRonline 👏👏 have you imaged cx ostium after stent and POT? No KB, right?

DrPatWJyg3 years ago

@evandrofilhobr @mirvatalasnag @mmamas1973 @KambisMashayek1 @mornei2011 @KardiologieHH @LAzzaliniMD @HadyLichaaMD @BotPci @RadialFirstBot @KPujdak @nyalborgesmd @iamritu @PCRonline Thanks, no we do not image the LCx Just POT according to OCT sizing and no KBI here

Surenjav Chimed3 years ago

@evandrofilhobr @mirvatalasnag @mmamas1973 @KambisMashayek1 @mornei2011 @KardiologieHH @LAzzaliniMD @HadyLichaaMD @BotPci @RadialFirstBot @KPujdak @nyalborgesmd @iamritu @PCRonline Nice case. 👏 Checking the plaque vulnerability on coronary CTA has real benefits.

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38,068 views • 1 year ago

#CTO #TDADR EuroCTOClub Our Live demonstration case. RCA CTO failed CABG. Single access, #BASE #knuckling TDADR is successful sticking at the proximal bifurcation. PL was gotten with TD. Hematoma was controlled with CB fenestration and #STAR Daitaro Kanno Takuro Sugie Shoichi Kuramitsu, MD, PhD, FACC, FJCS, FSCAI Yutaka Tadano ROTAMONSTER Maksymilian Opolski jcspratt Kambis Mashayekhi Lorenzo Azzalini Pierfrancesco Agostoni Carlo Tumscitz #CardioTwitter Neisser M A. Fauzi Yahya Bilal Iqbal Bernard #MedTwitter akbar haq Kalpa De Silva #MedTwitter Evandro Martins F. MD Michael Megaly Asaad Nakhle, MD @shimokoshimike. @SCVC2023 Girish Viswanathan Bilal Aijaz Erwin Mulia, FIHA,FESC,FACC,FAPSIC,FSCAI Joaquim Spadoni Barboza Nilesh tawade Aliyor GANIEV, MD #cardiotwitter PCRonline 🫀 SCAI Dr.いっき|血管キーパー EuroCTOClub Dmytro Babliak, MD, PhD Stelios Pyxaras Alfonso Jurado-Román 林俊彣 ML CTO Academy ACI-SEC: Hemodinamica Dharmaraj Karthikesan MD FRCP MSc Bambang Dwiputra MD @ogoketekin #CarduiTwitter #CTOPCI

#CTO #TDADR EuroCTOClub Our Live demonstration case. RCA CTO failed CABG. Single access, #BASE #knuckling TDADR is successful sticking at the proximal bifurcation. PL was gotten with TD. Hematoma was controlled with CB fenestration and #STAR Daitaro Kanno Takuro Sugie Shoichi Kuramitsu, MD, PhD, FACC, FJCS, FSCAI Yutaka Tadano ROTAMONSTER Maksymilian Opolski jcspratt Kambis Mashayekhi Lorenzo Azzalini Pierfrancesco Agostoni Carlo Tumscitz #CardioTwitter Neisser M A. Fauzi Yahya Bilal Iqbal Bernard #MedTwitter akbar haq Kalpa De Silva #MedTwitter Evandro Martins F. MD Michael Megaly Asaad Nakhle, MD @shimokoshimike. @SCVC2023 Girish Viswanathan Bilal Aijaz Erwin Mulia, FIHA,FESC,FACC,FAPSIC,FSCAI Joaquim Spadoni Barboza Nilesh tawade Aliyor GANIEV, MD #cardiotwitter PCRonline 🫀 SCAI Dr.いっき|血管キーパー EuroCTOClub Dmytro Babliak, MD, PhD Stelios Pyxaras Alfonso Jurado-Román 林俊彣 ML CTO Academy ACI-SEC: Hemodinamica Dharmaraj Karthikesan MD FRCP MSc Bambang Dwiputra MD @ogoketekin #CarduiTwitter #CTOPCI

Tsutomu Fujita MD

13,388 views • 2 years ago

LAD #CTO #MHA #singleaccess #HDR Pilot200→HDR→EPand IP→XT nontip→HDR→EP & TL→Corsair pull back during passive injection→TL→sionblack→TL IVUS shows GW is in all IP. Salman Arain CTO＆CHIP JAPAN Daitaro Kanno Takuro Sugie Umihiko Kaneko Shoichi Kuramitsu, MD, PhD, FACC, FJCS, FSCAI Yutaka Tadano ROTAMONSTER Maksymilian Opolski jcspratt Kambis Mashayekhi Lorenzo Azzalini Pierfrancesco Agostoni Carlo Tumscitz Neisser M A. Fauzi Yahya Bilal Iqbal Bernard #MedTwitter akbar haq Kalpa De Silva Evandro Martins F. MD Michael Megaly Asaad Nakhle, MD Sapporo Cardiovascular Clinic 札幌心臓血管クリニック Girishviswa Bilal Aijaz Erwin Mulia Joaquim Spadoni Barboza Nilesh tawade Aliyor GANIEV, MD マッシー #cardiotwitter PCRonline 🫀 SCAI Dr.いっき|血管キーパー EuroCTOClub Stelios Pyxaras Alfonso Jurado-Román 林俊彣 ML CTO Academy ACI-SEC: Hemodinamica Dharmaraj Karthikesan MD FRCP MSc Bambang Dwiputra MD Omer Goktekin MD

LAD #CTO #MHA #singleaccess #HDR Pilot200→HDR→EPand IP→XT nontip→HDR→EP & TL→Corsair pull back during passive injection→TL→sionblack→TL IVUS shows GW is in all IP. Salman Arain CTO＆CHIP JAPAN Daitaro Kanno Takuro Sugie Umihiko Kaneko Shoichi Kuramitsu, MD, PhD, FACC, FJCS, FSCAI Yutaka Tadano ROTAMONSTER Maksymilian Opolski jcspratt Kambis Mashayekhi Lorenzo Azzalini Pierfrancesco Agostoni Carlo Tumscitz Neisser M A. Fauzi Yahya Bilal Iqbal Bernard #MedTwitter akbar haq Kalpa De Silva Evandro Martins F. MD Michael Megaly Asaad Nakhle, MD Sapporo Cardiovascular Clinic 札幌心臓血管クリニック Girishviswa Bilal Aijaz Erwin Mulia Joaquim Spadoni Barboza Nilesh tawade Aliyor GANIEV, MD マッシー #cardiotwitter PCRonline 🫀 SCAI Dr.いっき|血管キーパー EuroCTOClub Stelios Pyxaras Alfonso Jurado-Román 林俊彣 ML CTO Academy ACI-SEC: Hemodinamica Dharmaraj Karthikesan MD FRCP MSc Bambang Dwiputra MD Omer Goktekin MD

Tsutomu Fujita MD

13,682 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

28,423 views • 1 year ago

＃CTEC #livecase #CTO LCX CTO poor col. #MHA #HDR #singleaccess G2 punctured failed→Conq12 punctured→＃HDR→stain EP→#carlino→#KWT→#TDADR→success IP puncture but not TL→#IVUS guide ,the TIP was turned counterclockwise and manipulated from IP to TL.→get TL→swap sionblack The key is where the GW is operated from IP to TL using the IVUS guide.#TDADR Salman Arain CTO＆CHIP JAPAN Daitaro Kanno Takuro Sugie Shoichi Kuramitsu, MD, PhD, FACC, FJCS, FSCAI Yutaka Tadano ROTAMONSTER Maksymilian Opolski jcspratt Kambis Mashayekhi Lorenzo Azzalini Pierfrancesco Agostoni Carlo Tumscitz Neisser M A. Fauzi Yahya Bilal Iqbal Bernard #MedTwitter akbar haq Kalpa De Silva Evandro Martins F. MD Michael Megaly Asaad Nakhle, MD @SCVC2023 Girishviswa Bilal Aijaz Erwin Mulia, FIHA,FESC,FACC,FAPSIC,FSCAI Joaquim Spadoni Barboza Nilesh tawade Aliyor GANIEV, MD マッシー #cardiotwitter PCRonline 🫀 SCAI Dr.いっき|血管キーパー EuroCTOClub Stelios Pyxaras Alfonso Jurado-Román 林俊彣 ML CTO Academy ACI-SEC: Hemodinamica Dharmaraj Karthikesan MD FRCP MSc Bambang Dwiputra MD Omer Goktekin MD Dr. Zaynobidinov

＃CTEC #livecase #CTO LCX CTO poor col. #MHA #HDR #singleaccess G2 punctured failed→Conq12 punctured→＃HDR→stain EP→#carlino→#KWT→#TDADR→success IP puncture but not TL→#IVUS guide ,the TIP was turned counterclockwise and manipulated from IP to TL.→get TL→swap sionblack The key is where the GW is operated from IP to TL using the IVUS guide.#TDADR Salman Arain CTO＆CHIP JAPAN Daitaro Kanno Takuro Sugie Shoichi Kuramitsu, MD, PhD, FACC, FJCS, FSCAI Yutaka Tadano ROTAMONSTER Maksymilian Opolski jcspratt Kambis Mashayekhi Lorenzo Azzalini Pierfrancesco Agostoni Carlo Tumscitz Neisser M A. Fauzi Yahya Bilal Iqbal Bernard #MedTwitter akbar haq Kalpa De Silva Evandro Martins F. MD Michael Megaly Asaad Nakhle, MD @SCVC2023 Girishviswa Bilal Aijaz Erwin Mulia, FIHA,FESC,FACC,FAPSIC,FSCAI Joaquim Spadoni Barboza Nilesh tawade Aliyor GANIEV, MD マッシー #cardiotwitter PCRonline 🫀 SCAI Dr.いっき|血管キーパー EuroCTOClub Stelios Pyxaras Alfonso Jurado-Román 林俊彣 ML CTO Academy ACI-SEC: Hemodinamica Dharmaraj Karthikesan MD FRCP MSc Bambang Dwiputra MD Omer Goktekin MD Dr. Zaynobidinov

Tsutomu Fujita MD

15,750 views • 1 year ago