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RCA. double #CTO CABG failed. Great case sharing. #TDADR,#TDADR,#MHA,#singleaccess,#7Fr PC by ST punctured HDR failed⇨UB3⇨HDR showed EP⇨KWT⇨＃TDHDR ⇨proximal CTO crossed⇨XT⇨＃HDR⇨XTnot advanced⇨KWTto PL branch⇨＃TDHDR⇨#HDR⇨XTcrossed DTL Salman Arain 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 Girish Viswanathan 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 MDshow more

Tsutomu Fujita MD

4,140 subscribers

36,241 views • 1 year ago •via X (Twitter)

Science & Technology Education Health & Wellness #CTO #TDADR #TDADR #MHA #singleaccess #7Fr #TDHDR #HDR #TDHDR #HDR

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8 Comments

Tsutomu Fujita MD1 year ago

#CTOPCI @simonjwilson1 @dr_oss @hwcc0314 @VRejeki28 @jianshanzhiyi1 @MauroCarlino3 @GLGasparini @prof_aaa1 @BrianLi_MD @Pardhu6627 @abadkhan2002 @kevinjamescroce @realarainmd @prajith3668 @dautov_MD @jbspadoni @MdM_Ochiai @BakhshiHooman @SripalBangalore @TWilsonMD @MarekRadomski71 @jl35wilsonMD

Salman Arain1 year ago

@DaitaroK Marvelous demonstration of your expertise and comfort with #TDADR. I have a few questions. Can you describe your IVUS set up? How much do you predate the EP channel to accommodate the IVUS? Also, what wires do you typically go with? Do you jump straight to a Conquest?

Tsutomu Fujita MD1 year ago

@DaitaroK Ensure that there is enough EP to perform IVUS adequately. Select STAR if necessary. I do not hesitate to make EP distally. If #TDADR , ST . If #TDHDR , GAIA or ST

jedicath աǟզǟʀ.ǟɦʍɛɖ1 year ago

@realarainmd @DaitaroK This is really superhero stuff.

Louis Verreault-Julien, MD, MPH1 year ago

@realarainmd @DaitaroK My first thought when I read the HDR paper was that it can be difficult to tell if your wire is the vessel structure if just advanced a few mm, and one should never advance a MC unless 100% sure that wire is in the vessel structure.

A. Fauzi Yahya1 year ago

@realarainmd @DaitaroK Fantastic demo as usual. I just wondering in that ambiguous vessel course why not select UB3 as the 1st GW (to have IP tactile feeling) instead of G2.

Tsutomu Fujita MD1 year ago

@realarainmd @DaitaroK Before adopting #HDR, UB3 is 1st choice. Now #conrast1st strategy is my priority. So need to puncture GAIA

[email protected]1 year ago

@realarainmd @DaitaroK It's hard to say anything after a service like this... there are no words when faced with such complexity and such a brilliant result.

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13,360 views • 1 year ago

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11,576 views • 1 year ago

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15,691 views • 1 year ago

RCA #CTEC livecase3 #CTO double CTO? G2 punctured→1st #HDR→EP like→XT nontip does not work→sionblack with tipbend →GWbehaviror is in EP like→KWT→#TDHDR→#HDR2→XT nontip→#HDR3→EP stain→2nd #TDHDR repunctured→sionblack went to EP→G2 advancing in IP with #TD & #IVUS→TL→#3 CTO?? GW not crossed→ #KWT→#TDADR→TL→Stent+CB fenestration→success. Miroperforation in distal branch was treated with coil. Salman Arain CTO＆CHIP JAPAN Daitaro Kanno Takuro Sugie Shoichi Kuramitsu, MD, PhD, FACC, 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 1年後に開業する循環器ニキ 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

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#CTO_RCA, long segment, bifurcation at the distal cap Single access AL 0.75 Corsair Pro #HDR No tip Fielder XT #DCB only CTO PCI Learn how to manipulate CTO wires and microcatheters, and find CTO Techniques in #CTOTOOLBOX3 available at Mauro Carlino Tsutomu Fujita MD Salman Arain Maksymilian Opolski Bilal Iqbal EuroCTOClub ML CTO Academy

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Mihajlo Kovacic 🫀📕/🔋🕹️

10,743 views • 11 months ago

#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

33,547 views • 2 years ago

#SBballoonWireDeflection technique in a #TripleCurvedRetroflexLCx after failed: 1-#TripleCurveShapedWire access 2-#AngulatedMC #wiring 3-#DLMC wiring 4-#ReverseCurveWiring Erik Rafflenbeul MIЯVΛƬ #IC ༄ ｡° PCRonline 🫀 Yazan Ghosheh MD Hooman Bakhshi Ashkan Karimi MD, FACC, RPVI Alex Truesdell SCAI Cardiovascular Research Foundation Rhian E. Davies DO MS Abdullah Al-Abcha Evandro Martins F. MD Timir Paul, MD, PhD, FACC, FSCAI, FAHA Peter Monteleone, MD, FACC, FSCAI Ali Haider MD Sukh Nijjer Mamas A. Mamas DrPatWJyg Aaysha Cader American College of Cardiology Kristen N. Brown, MD🫀 Poonam Velagapudi Pooja Swamy, MD, FACC, FSCAI Marwan Saad Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI Jay Giri Jon George Dmitriy N. Feldman, MD Michael Levy MD MPH Mohammed Qintar, MD MSc Sahil A. Parikh, MD Michael Megaly Eric Secemsky MD MSc Fadi Saab Ankush Gupta Ashish Gupta, MD, PhD @behnam_tehrani Sripal Bangalore Michael Savage Yasir Akhtar #SCAIfellows #SCAIFIT @GabashaMD Raffaele Piccolo Cath Lab Digest Sanah Christopher Sanjum S. Sethi MD, MPH Babar Basir Matthias Götberg Timm Matthiesen 📯 Kambis Mashayekhi Stéphane Rinfret, MD SM

#SBballoonWireDeflection technique in a #TripleCurvedRetroflexLCx after failed: 1-#TripleCurveShapedWire access 2-#AngulatedMC #wiring 3-#DLMC wiring 4-#ReverseCurveWiring Erik Rafflenbeul MIЯVΛƬ #IC ༄ ｡° PCRonline 🫀 Yazan Ghosheh MD Hooman Bakhshi Ashkan Karimi MD, FACC, RPVI Alex Truesdell SCAI Cardiovascular Research Foundation Rhian E. Davies DO MS Abdullah Al-Abcha Evandro Martins F. MD Timir Paul, MD, PhD, FACC, FSCAI, FAHA Peter Monteleone, MD, FACC, FSCAI Ali Haider MD Sukh Nijjer Mamas A. Mamas DrPatWJyg Aaysha Cader American College of Cardiology Kristen N. Brown, MD🫀 Poonam Velagapudi Pooja Swamy, MD, FACC, FSCAI Marwan Saad Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI Jay Giri Jon George Dmitriy N. Feldman, MD Michael Levy MD MPH Mohammed Qintar, MD MSc Sahil A. Parikh, MD Michael Megaly Eric Secemsky MD MSc Fadi Saab Ankush Gupta Ashish Gupta, MD, PhD @behnam_tehrani Sripal Bangalore Michael Savage Yasir Akhtar #SCAIfellows #SCAIFIT @GabashaMD Raffaele Piccolo Cath Lab Digest Sanah Christopher Sanjum S. Sethi MD, MPH Babar Basir Matthias Götberg Timm Matthiesen 📯 Kambis Mashayekhi Stéphane Rinfret, MD SM

Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI

11,830 views • 2 years ago

#CTO #3Dwiring #TDADR This presentation for #EssentilaCTO. Real time 3Dwiring ; faster.Erwin Mulia, FIHA,FESC,FACC,FAPSIC,FSCAI ISIC

#CTO #3Dwiring #TDADR This presentation for #EssentilaCTO. Real time 3Dwiring ; faster.Erwin Mulia, FIHA,FESC,FACC,FAPSIC,FSCAI ISIC

Tsutomu Fujita MD

10,934 views • 8 months ago

Song 75 is my rendition of Bruno Mars “It Will Rain” Bruno Mars Priya R. Kothapalli, MD, FACC, FSCAI Poonam Velagapudi Aditya Bharadwaj Alex Truesdell Allison Dupont, MD Akinchan Bhardwaj, MD, DM, FACC Giorgio A. Medranda MD, FACC, FAHA, FSCAI Jamal Rana, MD Dr. Purvi Parwani MIЯVΛƬ #IC ༄ ｡° Joseph Marine Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Danielle Belardo, MD Babar Basir Ishita Vasudev, MD Anju Bhardwaj MD FACC J Dawn Abbott Anna Bortnick MD, PhD, MSc Azka Naeem Lorenzo Azzalini Triston B.B.J. Smith MD MGM FSCAI Suzanne J. Baron MD MSc New York Medical College megan coylewright md mph Dr. Deepak L. Bhatt Abdul Moiz Hafiz Ivan Chevere Ameesh Isath Jason N. Katz

Song 75 is my rendition of Bruno Mars “It Will Rain” Bruno Mars Priya R. Kothapalli, MD, FACC, FSCAI Poonam Velagapudi Aditya Bharadwaj Alex Truesdell Allison Dupont, MD Akinchan Bhardwaj, MD, DM, FACC Giorgio A. Medranda MD, FACC, FAHA, FSCAI Jamal Rana, MD Dr. Purvi Parwani MIЯVΛƬ #IC ༄ ｡° Joseph Marine Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Danielle Belardo, MD Babar Basir Ishita Vasudev, MD Anju Bhardwaj MD FACC J Dawn Abbott Anna Bortnick MD, PhD, MSc Azka Naeem Lorenzo Azzalini Triston B.B.J. Smith MD MGM FSCAI Suzanne J. Baron MD MSc New York Medical College megan coylewright md mph Dr. Deepak L. Bhatt Abdul Moiz Hafiz Ivan Chevere Ameesh Isath Jason N. Katz

Srihari S. Naidu, MD

24,261 views • 5 months ago

#HDR #investment Few months post CABG patient presented with severe crippling angina. SVG to RCA gone. Cath outside. Discussed in office & hospital with patient & family (Drs) #HDR times 3 followed by PTCA achieved a small lumen. Would you stent or relook in few weeks? Salman Arain Lorenzo Azzalini Evandro Martins F. MD Neisser M Hany Ragy Stefan Harb

#HDR #investment Few months post CABG patient presented with severe crippling angina. SVG to RCA gone. Cath outside. Discussed in office & hospital with patient & family (Drs) #HDR times 3 followed by PTCA achieved a small lumen. Would you stent or relook in few weeks? Salman Arain Lorenzo Azzalini Evandro Martins F. MD Neisser M Hany Ragy Stefan Harb

jedicath աǟզǟʀ.ǟɦʍɛɖ

12,166 views • 5 months ago

Song 73 I’m taking both parts of this cute duet. “We Don’t Talk Anymore” originally by Puth & Gomez. MIЯVΛƬ #IC ༄ ｡° Dr. Deepak L. Bhatt Hany Ragy Ayman Magd Priya R. Kothapalli, MD, FACC, FSCAI New York Medical College Westchester Medical Center Cardiology Fellowship Ishita Vasudev, MD Rama Ellauzi Jonathan Reiner Akinchan Bhardwaj, MD, DM, FACC vjyden sam Abhishek Chaturvedi MD, FACC Haroon Faraz Ankur Kalra Triston B.B.J. Smith MD MGM FSCAI megan coylewright md mph Swati Chand Pooja Swamy, MD, FACC, FSCAI Roosha Parikh StarMaker Pragya Ranjan, MD, FACC Suzanne J. Baron MD MSc Timir Paul, MD, PhD, FACC, FSCAI, FAHA

Song 73 I’m taking both parts of this cute duet. “We Don’t Talk Anymore” originally by Puth & Gomez. MIЯVΛƬ #IC ༄ ｡° Dr. Deepak L. Bhatt Hany Ragy Ayman Magd Priya R. Kothapalli, MD, FACC, FSCAI New York Medical College Westchester Medical Center Cardiology Fellowship Ishita Vasudev, MD Rama Ellauzi Jonathan Reiner Akinchan Bhardwaj, MD, DM, FACC vjyden sam Abhishek Chaturvedi MD, FACC Haroon Faraz Ankur Kalra Triston B.B.J. Smith MD MGM FSCAI megan coylewright md mph Swati Chand Pooja Swamy, MD, FACC, FSCAI Roosha Parikh StarMaker Pragya Ranjan, MD, FACC Suzanne J. Baron MD MSc Timir Paul, MD, PhD, FACC, FSCAI, FAHA

Srihari S. Naidu, MD

13,532 views • 5 months ago

Song 66 channeling my alt rock grunge sound with my cover to “one headlight”. Happy holidays! Alex Truesdell Aditya Bharadwaj Giorgio A. Medranda MD, FACC, FAHA, FSCAI Joseph Marine Priya R. Kothapalli, MD, FACC, FSCAI Poonam Velagapudi Pooja Swamy, MD, FACC, FSCAI Rama Ellauzi Rahat Warraich PhD Danielle Belardo, MD Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Dr. Purvi Parwani Jamal Rana, MD David J. Cohen, MD, MSc Dr. Deepak L. Bhatt Haris Patail MD Gene Park David Mack Steven Cooper Lindsay Davis Stacey Rosen, M.D. Malissa Wood Dmitriy N. Feldman, MD Pragya Ranjan, MD, FACC Ishita Vasudev, MD Akinchan Bhardwaj, MD, DM, FACC MIЯVΛƬ #IC ༄ ｡° Hany Ragy Ayman Magd

Song 66 channeling my alt rock grunge sound with my cover to “one headlight”. Happy holidays! Alex Truesdell Aditya Bharadwaj Giorgio A. Medranda MD, FACC, FAHA, FSCAI Joseph Marine Priya R. Kothapalli, MD, FACC, FSCAI Poonam Velagapudi Pooja Swamy, MD, FACC, FSCAI Rama Ellauzi Rahat Warraich PhD Danielle Belardo, MD Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Dr. Purvi Parwani Jamal Rana, MD David J. Cohen, MD, MSc Dr. Deepak L. Bhatt Haris Patail MD Gene Park David Mack Steven Cooper Lindsay Davis Stacey Rosen, M.D. Malissa Wood Dmitriy N. Feldman, MD Pragya Ranjan, MD, FACC Ishita Vasudev, MD Akinchan Bhardwaj, MD, DM, FACC MIЯVΛƬ #IC ༄ ｡° Hany Ragy Ayman Magd

Srihari S. Naidu, MD

13,028 views • 6 months ago

Song 58 on a rainy Saturday. My cover of Forever Young, the classic. Priya R. Kothapalli, MD, FACC, FSCAI Poonam Velagapudi Pooja Swamy, MD, FACC, FSCAI Aditya Bharadwaj Ishita Vasudev, MD Akinchan Bhardwaj Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Joseph Marine Jamal Rana, MD Dr. Purvi Parwani Sameer B. Giorgio A. Medranda MD, FACC, FAHA, FSCAI David J. Cohen, MD, MSc Ivan Chevere Rama Ellauzi Anju Bhardwaj MD FACC Ritu Thamman MD Bailey Ann Richardson Sei Iwai Tanya Sharma Westchester Medical Center Cardiology Fellowship Swati Chand Haris Patail MD Dmitriy N. Feldman, MD The Warren Alpert Medical School Alex Truesdell Babar Basir Matt Daniels MD PhD Eric H Yang, MD John P Erwin III MD MBA MACC (#BigPoppy ) Triston B.B.J. Smith MD MGM FSCAI Pragya Ranjan, MD, FACC Eugenia Gianos MD Tanush Gupta Mayra Guerrero, MD Mayank Mittal, M.D. Umbreen Nadeem Omar Khalique Prakash Upreti MD

Song 58 on a rainy Saturday. My cover of Forever Young, the classic. Priya R. Kothapalli, MD, FACC, FSCAI Poonam Velagapudi Pooja Swamy, MD, FACC, FSCAI Aditya Bharadwaj Ishita Vasudev, MD Akinchan Bhardwaj Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Joseph Marine Jamal Rana, MD Dr. Purvi Parwani Sameer B. Giorgio A. Medranda MD, FACC, FAHA, FSCAI David J. Cohen, MD, MSc Ivan Chevere Rama Ellauzi Anju Bhardwaj MD FACC Ritu Thamman MD Bailey Ann Richardson Sei Iwai Tanya Sharma Westchester Medical Center Cardiology Fellowship Swati Chand Haris Patail MD Dmitriy N. Feldman, MD The Warren Alpert Medical School Alex Truesdell Babar Basir Matt Daniels MD PhD Eric H Yang, MD John P Erwin III MD MBA MACC (#BigPoppy ) Triston B.B.J. Smith MD MGM FSCAI Pragya Ranjan, MD, FACC Eugenia Gianos MD Tanush Gupta Mayra Guerrero, MD Mayank Mittal, M.D. Umbreen Nadeem Omar Khalique Prakash Upreti MD

Srihari S. Naidu, MD

17,960 views • 8 months ago