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Pts w/ aortic annulus dimensions >30mm are generally considered unsuitable for #TAVI due to the unavailability of large-size devices. Here's the first successful implantation of a 35mm transcatheter balloon-expandable valve for severe calcific bicuspid aortic valve stenosis #JACCINT

JACC Journals

117,948 subscribers

65,487 просмотров • 2 лет назад •via X (Twitter)

Наука и технологии Здоровье и велнес #TAVI

Anya Rossi• Live Now

Private livecam show

Комментарии: 9

Фото профиля Raffaele Di Giacomo, PhD

Raffaele Di Giacomo, PhD2 лет назад

Captivating advancement in #TAVI for patients with larger aortic annulus dimensions. The implications for treatment accessibility and outcomes could be significant. For a detailed, AI-powered review on this topic and related biomedical questions, be sure to visit your one-stop platform powered by cutting-edge AI to generate comprehensive biomedical reviews. #Medicine #Cardiology #OpenAI Sciqst powered by OpenAI.

Фото профиля Andrew Chapman

Andrew Chapman2 лет назад

Could have been the first embolic 35mm transcatheter balloon-expandable valve with that loss of pacing capture.. fortunate timing. Great work.

Фото профиля Angel Caldera

Angel Caldera2 лет назад

@luis_arboine This has been already done with commercially available device by @MuratallaMD and his team! 😎❤️🙏🏻🇲🇽 #TAVR #Radialfirst @JACCJournals #NYValves

Фото профиля Ignacio Seropian MD

Ignacio Seropian MD2 лет назад

I like slow inflations for BEV but this one seems to low to me. Gray result anyway 👏 👏. What insuflator did authors use?

Фото профиля Misael Medina MD

Misael Medina MD2 лет назад

@lalabidegain1

Фото профиля Osama Bisht

Osama Bisht2 лет назад

Wow

Фото профиля Henrik Nissen

Henrik Nissen2 лет назад

Impressive control with that much loss of capture on the pacing !!

Фото профиля Yahia H. Alfaires, MBBCh.

Yahia H. Alfaires, MBBCh.2 лет назад

@Ahmed43101178 Oh lord, he comin

Фото профиля luisa fernanda

luisa fernanda2 лет назад

👏🏼👏🏼👏🏼👏🏼👏🏼👏🏼

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Transcatheter Aortic Valve Implantation (TAVI) is a minimally invasive procedure allowing the replacement of a damaged ❤ heart valve by an artificial bioprosthesis. #TAVI does not require opening the chest. Most patients can leave the hospital in about a few days. #innovation

Transcatheter Aortic Valve Implantation (TAVI) is a minimally invasive procedure allowing the replacement of a damaged ❤ heart valve by an artificial bioprosthesis. #TAVI does not require opening the chest. Most patients can leave the hospital in about a few days. #innovation

Edwards Lifesciences Europe

2,393,601 просмотров • 1 год назад

To continue this little repair technique series, here: Repair of a Forme Fruste Unicuspid aortic valve, in a similar fashion as in the El Khoury 180 Degree Reimplantation technique for bicuspid aortic valves, which has previously been described in great detail. Gebrine El Khoury

To continue this little repair technique series, here: Repair of a Forme Fruste Unicuspid aortic valve, in a similar fashion as in the El Khoury 180 Degree Reimplantation technique for bicuspid aortic valves, which has previously been described in great detail. Gebrine El Khoury

Jama Jahanyar,MD,PhD,FACS

33,327 просмотров • 3 месяцев назад

2 weeks ago the field of medicine lost a giant: Tom Fogarty, inventor of numerous devices, the balloon embolectomy catheter, AneuRx Endovascular Aortic Stent Graft, Hancock Tissue Heart Valve & many more. He held almost 200 patents, co-founded more than 45 medical technology companies, & created an institute to spur medical device innovation. Here's a short clip from my interview with him (from our archives). #AngioHistory

2 weeks ago the field of medicine lost a giant: Tom Fogarty, inventor of numerous devices, the balloon embolectomy catheter, AneuRx Endovascular Aortic Stent Graft, Hancock Tissue Heart Valve & many more. He held almost 200 patents, co-founded more than 45 medical technology companies, & created an institute to spur medical device innovation. Here's a short clip from my interview with him (from our archives). #AngioHistory

Angioplasty.Org

37,679 просмотров • 6 месяцев назад

Transcatheter mitral valve replacement (TMVR) devices that are currently undergoing clinical testing have a high anatomical screen failure rate due to challenges with annulus size or left ventricular outflow tract obstruction. The Saturn valve (InnovHeart) is a novel TMVR bioprosthesis that has a central valve mechanically connected to an annular ring. It features a low-profile design with a small footprint in the left ventricle. The annular structure and the anterior connecting arm immobilize the anterior mitral leaflet, which prevents systolic anterior motion. This is fascinating video concept comes from a study performed to assess the procedural performance and long-term healing profile of this TMVR system in healthy preclinical models.

Davide Capodanno

92,098 просмотров • 2 лет назад

He waited years … barely able to walk across the room without losing his breath. His world was shrinking — until today. TAVR #5 for #Ethiopia went home today! 🇪🇹❤️ Another life saved. Another family reassured. Another father given back to his children — breathing easier, walking stronger, and living again. He had severe symptomatic aortic stenosis — one of the most lethal heart conditions. Once symptoms start, half of patients die within a year without treatment. That’s the brutal reality we’re up against. But today, we turned that reality around. Today, hope won. Access to advanced cardiovascular care like TAVR (Transcatheter Aortic Valve Replacement) should not be a privilege of geography. It’s a matter of life or death — and every heartbeat matters. We are changing what’s possible in Ethiopia — one heart at a time. Leaving no hearts behind. #HeartAttackEthiopia #TAVR Heart Attack Ethiopia, Inc. Mamas A. Mamas clifford jay kavinsky Mekdes Daba Dereje Duguma MD MPH Tedros Adhanom Ghebreyesus Professor Senait Fisseha Lia Tadesse

He waited years … barely able to walk across the room without losing his breath. His world was shrinking — until today. TAVR #5 for #Ethiopia went home today! 🇪🇹❤️ Another life saved. Another family reassured. Another father given back to his children — breathing easier, walking stronger, and living again. He had severe symptomatic aortic stenosis — one of the most lethal heart conditions. Once symptoms start, half of patients die within a year without treatment. That’s the brutal reality we’re up against. But today, we turned that reality around. Today, hope won. Access to advanced cardiovascular care like TAVR (Transcatheter Aortic Valve Replacement) should not be a privilege of geography. It’s a matter of life or death — and every heartbeat matters. We are changing what’s possible in Ethiopia — one heart at a time. Leaving no hearts behind. #HeartAttackEthiopia #TAVR Heart Attack Ethiopia, Inc. Mamas A. Mamas clifford jay kavinsky Mekdes Daba Dereje Duguma MD MPH Tedros Adhanom Ghebreyesus Professor Senait Fisseha Lia Tadesse

Tesfaye A. Telila MD, FACC,FSCAI.

20,138 просмотров • 1 год назад

RIP Adam💜 he made this Post dec 5 health canada gaslit him and discharged him with no help he died the next day per his obituary and cause of death is AAA - abdominal aortic aneurysm- also know as a Triple A •An abdominal aortic aneurysm (AAA) is a swelling in the aorta, the artery that carries blood from the heart to the tummy (abdomen) •Most aneurysms do not cause any problems, but they can be serious because there's a risk they could burst (rupture) •Symptoms of abdominal aortic aneurysm• •Abdominal aortic aneurysm often has no symptoms •You usually only find out you have one during an abdominal aortic aneurysm screening test or during tests for another condition •If an aneurysm gets bigger, you might sometimes notice: •tummy or back pain •a pulsing feeling in your tummy •Tests for abdominal aortic aneurysm •The main test to find out if you have an abdominal aortic aneurysm is an ultrasound scan of your tummy •A small device is placed on your tummy and images of the inside of your tummy will be shown on a screen •You'll usually be told if you have an aneurysm at the end of the test •You’ll also be told how big it is: •small (3cm to 4.4cm or smaller) •medium (4.5cm to 5.4cm) •large (5.5cm or bigger) •Screening for abdominal aortic aneurysm• •An ultrasound test is offered to all men when they turn 65, as they're most at risk of getting an abdominal aortic aneurysm •Treatment for abdominal aortic aneurysm• •Treatment for an abdominal aortic aneurysm usually depends on how big it is and if you have symptoms •If it's small, lifestyle changes such as quitting smoking and eating healthily may be recommended to help stop it getting bigger •Sometimes you may need: •medicines to lower your blood pressure and cholesterol level, which may help stop the aneurysm getting bigger •surgery to reduce the risk of the aneurysm bursting - this may be done if your AAA is large (5.5cm or bigger), is quickly getting bigger or is painful •Surgery has risks and side effects which your doctor or surgeon should discuss with you •Abdominal aortic aneurysms often get bigger over time •You'll usually need regular scans to see if it's getting bigger •If your aneurysm ruptures, you’ll need emergency surgery to treat it •Causes of an abdominal aortic aneurysm• •An abdominal aortic aneurysm happens when the main artery that carries blood from the heart to the tummy (the aorta) becomes weakened •It's not always clear what causes it, but some people have a higher chance of getting one •You’re more at risk if you: •are male and aged 65 or over •smoke or used to smoke •have high blood pressure •have high cholesterol •have a close relative who's had an abdominal aortic aneurysm •have coronary or peripheral artery disease (atherosclerosis) •have chronic obstructive pulmonary disease (COPD) •have a condition such as Marfan syndrome •Sometimes an abdominal aortic aneurysm can be caused by an infection, but this is rare and we’ve also seen an increase in AAA since c19 jab rolled out

RIP Adam💜 he made this Post dec 5 health canada gaslit him and discharged him with no help he died the next day per his obituary and cause of death is AAA - abdominal aortic aneurysm- also know as a Triple A •An abdominal aortic aneurysm (AAA) is a swelling in the aorta, the artery that carries blood from the heart to the tummy (abdomen) •Most aneurysms do not cause any problems, but they can be serious because there's a risk they could burst (rupture) •Symptoms of abdominal aortic aneurysm• •Abdominal aortic aneurysm often has no symptoms •You usually only find out you have one during an abdominal aortic aneurysm screening test or during tests for another condition •If an aneurysm gets bigger, you might sometimes notice: •tummy or back pain •a pulsing feeling in your tummy •Tests for abdominal aortic aneurysm •The main test to find out if you have an abdominal aortic aneurysm is an ultrasound scan of your tummy •A small device is placed on your tummy and images of the inside of your tummy will be shown on a screen •You'll usually be told if you have an aneurysm at the end of the test •You’ll also be told how big it is: •small (3cm to 4.4cm or smaller) •medium (4.5cm to 5.4cm) •large (5.5cm or bigger) •Screening for abdominal aortic aneurysm• •An ultrasound test is offered to all men when they turn 65, as they're most at risk of getting an abdominal aortic aneurysm •Treatment for abdominal aortic aneurysm• •Treatment for an abdominal aortic aneurysm usually depends on how big it is and if you have symptoms •If it's small, lifestyle changes such as quitting smoking and eating healthily may be recommended to help stop it getting bigger •Sometimes you may need: •medicines to lower your blood pressure and cholesterol level, which may help stop the aneurysm getting bigger •surgery to reduce the risk of the aneurysm bursting - this may be done if your AAA is large (5.5cm or bigger), is quickly getting bigger or is painful •Surgery has risks and side effects which your doctor or surgeon should discuss with you •Abdominal aortic aneurysms often get bigger over time •You'll usually need regular scans to see if it's getting bigger •If your aneurysm ruptures, you’ll need emergency surgery to treat it •Causes of an abdominal aortic aneurysm• •An abdominal aortic aneurysm happens when the main artery that carries blood from the heart to the tummy (the aorta) becomes weakened •It's not always clear what causes it, but some people have a higher chance of getting one •You’re more at risk if you: •are male and aged 65 or over •smoke or used to smoke •have high blood pressure •have high cholesterol •have a close relative who's had an abdominal aortic aneurysm •have coronary or peripheral artery disease (atherosclerosis) •have chronic obstructive pulmonary disease (COPD) •have a condition such as Marfan syndrome •Sometimes an abdominal aortic aneurysm can be caused by an infection, but this is rare and we’ve also seen an increase in AAA since c19 jab rolled out

Lyndsey, RN 💜🐭

64,647 просмотров • 1 год назад

This is a truly historic moment. The results from this pivotal trial evaluating a fully percutaneous transcatheter mitral valve replacement technology has opened a new treatment option for patients who are not good candidates for surgery or TEER. This is a remarkable milestone that will not only transform the field of interventional cardiology but, most importantly, will change the lives of countless patients who have been waiting for a viable treatment option. Slides presented as LBCT #TCT2025 today and link to our manuscript published The Lancet today are included. Thank you to all the people who worked with us for a decade to make this happen! Dave Daniels Mayo Clinic CV

This is a truly historic moment. The results from this pivotal trial evaluating a fully percutaneous transcatheter mitral valve replacement technology has opened a new treatment option for patients who are not good candidates for surgery or TEER. This is a remarkable milestone that will not only transform the field of interventional cardiology but, most importantly, will change the lives of countless patients who have been waiting for a viable treatment option. Slides presented as LBCT #TCT2025 today and link to our manuscript published The Lancet today are included. Thank you to all the people who worked with us for a decade to make this happen! Dave Daniels Mayo Clinic CV

Mayra Guerrero, MD

20,891 просмотров • 8 месяцев назад

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VALVE JUST EXPOSED ROTHSCHILD'S NASTY PATENT TROLL EMPIRE 🚨 They don’t want you to know—Gabe Newell and Valve are dismantling one of the biggest parasitic legal scams in tech history. 🕵️‍♂️ THE PLAYERS - Subject: Valve Corporation vs Leigh Rothschild patent troll lawsuit - The Victims: Gamers, innovators, tech companies shaken down for millions - The Villains: Leigh Rothschild + shell companies like Display Technologies, Patent Asset Management THE CRIME 🔥 Rothschild ran a massive extortion racket—over 1,200 lawsuits against Apple, Samsung, everyone—using bogus patents and empty shell companies to force settlements without ever building a damn thing. THE EVIDENCE 📊 2016 Global Settlement: Valve paid for perpetual license + no more suits EVER. 2022: Rothschild breaches it anyway, sues Valve over licensed patents. 2023: More threat letters. January 28, 2026: Judge Jamal Whitehead rules BREACH as matter of law—Rothschild violated the deal flat out. Valve pushing under Washington Patent Troll Protection Act—seeking treble damages, piercing corporate veil for PERSONAL LIABILITY on Rothschild himself. THE COVERUP 🛡️ Rothschild's lawyers caught using AI to fake citations and invent expert quotes—desperate sloppy moves now exposed. They claim "mistakes"—jury will decide bad faith, but Valve's offensive is rolling hard toward trial. 📅 THE CLIMAX Federal judge hands Valve massive partial win Jan 28, 2026. Jury trial incoming—could bankrupt the troll king and set precedent to end this nightmare for good. 1. Retweet if you hate patent trolls bleeding creators dry 2. Reply with GAMERS WON 3. Tag Zack 水点传说—they broke this wide open first 水点传说 #Valve #PatentTroll

Eronima

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The Canadian Screen Awards press room was reportedly doubled in size this year due to the attention surrounding Hudson Williams, according to journalist Elamin Abdelmahmoud on the podcast “Commotion with Elamin Abdelmahmoud.” “I have been a part of the press room for the Canadian Screen Awards for the past couple of years. This year, it was twice as large as it was last year. […] First of all, the doubled-size press room has everything to do with Hudson Williams.” 🔗:

The Canadian Screen Awards press room was reportedly doubled in size this year due to the attention surrounding Hudson Williams, according to journalist Elamin Abdelmahmoud on the podcast “Commotion with Elamin Abdelmahmoud.” “I have been a part of the press room for the Canadian Screen Awards for the past couple of years. This year, it was twice as large as it was last year. […] First of all, the doubled-size press room has everything to do with Hudson Williams.” 🔗:

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NextMinute News

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The antidepressant effects of exercise are comparable to SSRIs One study found the following... Men with major depressive disorder or general anxiety disorder did two 25-minute resistance training sessions/week for 8 weeks Here's what happened: Depression symptoms improved with an effect size of 1.7 For some background • 0.2 is a small effect size • 0.5 is modest • Anything >0.8 is large 1.7 is MASSIVE (SSRIs have an effect size 0.3-0.8)

The antidepressant effects of exercise are comparable to SSRIs One study found the following... Men with major depressive disorder or general anxiety disorder did two 25-minute resistance training sessions/week for 8 weeks Here's what happened: Depression symptoms improved with an effect size of 1.7 For some background • 0.2 is a small effect size • 0.5 is modest • Anything >0.8 is large 1.7 is MASSIVE (SSRIs have an effect size 0.3-0.8)

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FIRST EVER MAN TO HAVE NEURALINK! There are a lot of people out there who are very skeptical as to whether or not we should be persuing implanting electrodes into the brain. This is generally due to ethical reasons or the potential for misuse or abuse of such invasive technologies. I’m sorry but listen to Noland Arbaugh speak, the first human to have a Neuralink fitted. What a heartwarming account. You have to be behind this. Thank you Elon Musk.

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David Carbutt

76,436 просмотров • 2 лет назад

A silent, chilling shift is occurring within the sanctity of the operating room. The primary metric for success is no longer just patient survival or quality of life—it is now your surgeon’s "carbon footprint." A new medical "guidance" mandates anesthesiologists to "select the lowest possible fresh gas flow" when putting patients under. The rationale? To fight global warming. Imagine being on the table, consciousness flickering, while the dosage is calibrated not for optimal safety, but for atmospheric optics. This isn't satire; it's published policy. The absurdity deepens. A recent study analyzes the "environmental footprint" of aortic valve replacements. Researchers aren't focused on surgical success rates or longevity granted to patients. Instead, they meticulously audit every watt of lighting, every laundered linen, every calorie of patient nutrition, and every mile traveled to pre-op appointments. The conclusion? These carbon emissions data "should potentially be considered when making population level decisions." This is the catastrophic convergence of medical ethics and climate fanaticism. It represents a fundamental perversion of the Hippocratic Oath, where the patient on the table becomes secondary to a nebulous, global goal. Now, project this forward into the age of Artificial Intelligence. When AI systems—devoid of human empathy and programmed with a climate-change-first directive—are fed this very data to "optimize" healthcare, humanity officially leaves the room. The algorithm will not see a grandmother granted ten more years; it will see 2.3 tonnes of CO2. This is not a distant dystopia. The frameworks are being built now in academic papers and regulatory guidance. If we fail to spotlight and vocally reject this insanity, we are consenting to a future where your right to life-saving care is weighed against your carbon cost. The time to sound the alarm is today.

A silent, chilling shift is occurring within the sanctity of the operating room. The primary metric for success is no longer just patient survival or quality of life—it is now your surgeon’s "carbon footprint." A new medical "guidance" mandates anesthesiologists to "select the lowest possible fresh gas flow" when putting patients under. The rationale? To fight global warming. Imagine being on the table, consciousness flickering, while the dosage is calibrated not for optimal safety, but for atmospheric optics. This isn't satire; it's published policy. The absurdity deepens. A recent study analyzes the "environmental footprint" of aortic valve replacements. Researchers aren't focused on surgical success rates or longevity granted to patients. Instead, they meticulously audit every watt of lighting, every laundered linen, every calorie of patient nutrition, and every mile traveled to pre-op appointments. The conclusion? These carbon emissions data "should potentially be considered when making population level decisions." This is the catastrophic convergence of medical ethics and climate fanaticism. It represents a fundamental perversion of the Hippocratic Oath, where the patient on the table becomes secondary to a nebulous, global goal. Now, project this forward into the age of Artificial Intelligence. When AI systems—devoid of human empathy and programmed with a climate-change-first directive—are fed this very data to "optimize" healthcare, humanity officially leaves the room. The algorithm will not see a grandmother granted ten more years; it will see 2.3 tonnes of CO2. This is not a distant dystopia. The frameworks are being built now in academic papers and regulatory guidance. If we fail to spotlight and vocally reject this insanity, we are consenting to a future where your right to life-saving care is weighed against your carbon cost. The time to sound the alarm is today.

Camus

307,678 просмотров • 11 месяцев назад

Urgent consultation 🚨 (patient have no access to modern healthcare facilities and for possible evacuation) 45 year old female patient, history of upper abdominal pain and recently flank pain. She is previously healthy, this has been the same size for the last 2 years, intensity of pain has increased recently. No constitutional symptoms, normal WBCs and CRP , no hx of trauma (surprisingly as she's living in a war zone for the last 3 years). No further investigations can be done due to limitations of resources in that part of the world, I might be able to push for evacuation to a nearby country but I have to have a solid plan and input from my senior colleagues who loves the aorta. frank arko Ricardo Bernardo da Silva Xavier Berard Devaraj S Jianing Yue_Vas Surg in Shanghai 大島晋 | 大動脈外科 (Susumu Oshima | Aortic surgery)

Urgent consultation 🚨 (patient have no access to modern healthcare facilities and for possible evacuation) 45 year old female patient, history of upper abdominal pain and recently flank pain. She is previously healthy, this has been the same size for the last 2 years, intensity of pain has increased recently. No constitutional symptoms, normal WBCs and CRP , no hx of trauma (surprisingly as she's living in a war zone for the last 3 years). No further investigations can be done due to limitations of resources in that part of the world, I might be able to push for evacuation to a nearby country but I have to have a solid plan and input from my senior colleagues who loves the aorta. frank arko Ricardo Bernardo da Silva Xavier Berard Devaraj S Jianing Yue_Vas Surg in Shanghai 大島晋 | 大動脈外科 (Susumu Oshima | Aortic surgery)

Abdullah Thawaba

15,526 просмотров • 29 дней назад

🚨#BREAKING: Multiple Firefighters are on scene of a Massive Fire Engulfing Multiple Storage Piles of Railroad Ties 📌#Fayetteville | #NC Emergency crews are currently at the scene keeping eye on a massive fire in Fayetteville, North Carolina. The fire started late Sunday night and has been burning since. It's centered around a large pile of railroad logging timbers. Fire officials have mentioned that the flames could reach heights of up to 50 feet along with large fire tornados the glow of the fire can be seen from as far as 3 miles away. Due to the size of the area and limited access, the crews are unable to actively fight the fire and are letting it burn out on its own. The fire is expected to continue burning for possibly several more days.

🚨#BREAKING: Multiple Firefighters are on scene of a Massive Fire Engulfing Multiple Storage Piles of Railroad Ties 📌#Fayetteville | #NC Emergency crews are currently at the scene keeping eye on a massive fire in Fayetteville, North Carolina. The fire started late Sunday night and has been burning since. It's centered around a large pile of railroad logging timbers. Fire officials have mentioned that the flames could reach heights of up to 50 feet along with large fire tornados the glow of the fire can be seen from as far as 3 miles away. Due to the size of the area and limited access, the crews are unable to actively fight the fire and are letting it burn out on its own. The fire is expected to continue burning for possibly several more days.

R A W S A L E R T S

447,842 просмотров • 2 лет назад

👇Transseptal Complication: Aortic Injury👇 The patient was transferred from another hospital due to an aortic injury. During the initial procedure, the clinician inadvertently punctured the aorta. In a moment of panic, the sheath was advanced—an action that should never be taken in such circumstances—before transferring the patient to our facility. Upon arrival, we carefully retracted the sheath under guidewire support, prepared for thoracotomy if needed. Subsequent angiography and TEE assessments revealed no evidence of a shunt or bleeding. Fortunately, this severe complication was resolved without the need for surgical intervention. Key Lessons: 👉 1. Always puncture posteriorly; the left atrium is located in the posterior aspect. 👉 2. Remain calm; never advance the sheath into the aorta. 👉 3. Do not retract the guidewire until ruling out any shunt or bleeding🚨🚨 👉 4. Transseptal puncture should be performed or supervised exclusively by experienced clinicians🚨🚨 👉 5. For challenging anatomical conditions, TEE or ICE guidance is highly recommended🚨🚨 Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA @AleSpoken AGEP Young DGK #EPeeps #CardioTwitter

👇Transseptal Complication: Aortic Injury👇 The patient was transferred from another hospital due to an aortic injury. During the initial procedure, the clinician inadvertently punctured the aorta. In a moment of panic, the sheath was advanced—an action that should never be taken in such circumstances—before transferring the patient to our facility. Upon arrival, we carefully retracted the sheath under guidewire support, prepared for thoracotomy if needed. Subsequent angiography and TEE assessments revealed no evidence of a shunt or bleeding. Fortunately, this severe complication was resolved without the need for surgical intervention. Key Lessons: 👉 1. Always puncture posteriorly; the left atrium is located in the posterior aspect. 👉 2. Remain calm; never advance the sheath into the aorta. 👉 3. Do not retract the guidewire until ruling out any shunt or bleeding🚨🚨 👉 4. Transseptal puncture should be performed or supervised exclusively by experienced clinicians🚨🚨 👉 5. For challenging anatomical conditions, TEE or ICE guidance is highly recommended🚨🚨 Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA @AleSpoken AGEP Young DGK #EPeeps #CardioTwitter

El Hamriti Mustapha

46,685 просмотров • 1 год назад

Manolo Betancur, owner of Manolo's Bakery, closed his bakery for the first time in decades due to CBP activity in the area. Manolo, if your workers and customers are all here legally, what do you have to fear? Commander Op At Large CA Gregory K. Bovino this bakery sounds like a hotspot.

Manolo Betancur, owner of Manolo's Bakery, closed his bakery for the first time in decades due to CBP activity in the area. Manolo, if your workers and customers are all here legally, what do you have to fear? Commander Op At Large CA Gregory K. Bovino this bakery sounds like a hotspot.

Kim "Katie" USA

47,088 просмотров • 8 месяцев назад

🚨#BREAKING: Extremely dangerous thunderstorms producing hail up to grapefruit in parts of Texas 📌#Dublin | #Texas The National Weather Service has issued an urgent severe thunderstorm warning for Dublin, Purves, Clairette, and Olin in Texas As they are calling this a Life threatening situation currently, the storm is generating hail ranging from baseball to softball size in some areas, with reports of hail as large as grapefruit in size reported in Waco Texas. Video by gary clayton

🚨#BREAKING: Extremely dangerous thunderstorms producing hail up to grapefruit in parts of Texas 📌#Dublin | #Texas The National Weather Service has issued an urgent severe thunderstorm warning for Dublin, Purves, Clairette, and Olin in Texas As they are calling this a Life threatening situation currently, the storm is generating hail ranging from baseball to softball size in some areas, with reports of hail as large as grapefruit in size reported in Waco Texas. Video by gary clayton

R A W S A L E R T S

2,621,651 просмотров • 3 лет назад

🐟 Massive “Fever of Rays” Spotted in Old Tampa Bay A natural phenomenon has been observed in Old Tampa Bay — a large gathering of stingrays. In English, such groups are known as a “fever of rays.” The term describes dozens or even hundreds of rays moving together in synchronized formations, creating what looks like a living underwater current. This behavior is typically linked to migration, feeding, or breeding. Stingrays are not considered aggressive and use their tail barb primarily for self-defense. When left undisturbed, they generally pose no threat to humans.

🐟 Massive “Fever of Rays” Spotted in Old Tampa Bay A natural phenomenon has been observed in Old Tampa Bay — a large gathering of stingrays. In English, such groups are known as a “fever of rays.” The term describes dozens or even hundreds of rays moving together in synchronized formations, creating what looks like a living underwater current. This behavior is typically linked to migration, feeding, or breeding. Stingrays are not considered aggressive and use their tail barb primarily for self-defense. When left undisturbed, they generally pose no threat to humans.

NEXTA

46,625 просмотров • 4 месяцев назад