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🔹What will be ur approach for this #PCI? 📌Transferred from OSH with this angio. Presented with HF now optimized. 📌82M, significant LMB stenosis, RCA #CTO, LVEF 10-15%, PAD. Turned down for #CABG #CardioTwitter #Cardiology #ACCFIT European Bifurcation Club BCM Cardiology AKUCardiology

12,575 görüntüleme • 2 yıl önce •via X (Twitter)

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Nyal Borges profil fotoğrafı
Nyal Borges2 yıl önce

@BifurcationClub @BCMHeart @AkuCardiology @mmamas1973 @adityadoc1 @Pooh_Velagapudi @JingLiu_MD @minhaskh @BakhshiHooman @HadyLichaaMD @AntoniousAttall @Almanfi_Cardio @evandrofilhobr Impella supported pci LMT-LAD. med Rx all else. Try to keep it simple as much as possible. Only clear benefit is likely angina relief. Maybe less HF episodes triggered by ischemia. No mortality benefit in an 82yo as much as you can predict - already past average life expectancy.

Benjamin K.M profil fotoğrafı
Benjamin K.M2 yıl önce

@BifurcationClub @BCMHeart @AkuCardiology @mmamas1973 @adityadoc1 @Pooh_Velagapudi @JingLiu_MD @minhaskh @BakhshiHooman @HadyLichaaMD @AntoniousAttall @Almanfi_Cardio @evandrofilhobr Learning so much from your cases, thank you!

Umair Khalid profil fotoğrafı
Umair Khalid2 yıl önce

@BifurcationClub @BCMHeart @AkuCardiology @mmamas1973 @adityadoc1 @Pooh_Velagapudi @JingLiu_MD @minhaskh @BakhshiHooman @HadyLichaaMD @AntoniousAttall @Almanfi_Cardio @evandrofilhobr Thank you. I learn so much for #cardiotwitter friends everyday!

Pardha Saradhi Sivakoti profil fotoğrafı
Pardha Saradhi Sivakoti2 yıl önce

@BifurcationClub @BCMHeart @AkuCardiology @mmamas1973 @adityadoc1 @Pooh_Velagapudi @JingLiu_MD @minhaskh @BakhshiHooman @HadyLichaaMD @AntoniousAttall @Almanfi_Cardio @evandrofilhobr Impella assisted PCI from LM to LAD with Rota/IVL, Spot stenting of LCX and DEB to ramus

Umair Khalid profil fotoğrafı
Umair Khalid2 yıl önce

@BifurcationClub @BCMHeart @AkuCardiology @mmamas1973 @adityadoc1 @Pooh_Velagapudi @JingLiu_MD @minhaskh @BakhshiHooman @HadyLichaaMD @AntoniousAttall @Almanfi_Cardio @evandrofilhobr Great thoughts. Thanks. We do not have DEB yet at our institution.

Antonious Attallah, MD, FACC, FSCAI profil fotoğrafı
Antonious Attallah, MD, FACC, FSCAI2 yıl önce

@BifurcationClub @BCMHeart @AkuCardiology @mmamas1973 @adityadoc1 @Pooh_Velagapudi @JingLiu_MD @minhaskh @BakhshiHooman @HadyLichaaMD @Almanfi_Cardio @evandrofilhobr Upfront MCS. Fix the circ proper first. Dk crush large ramus into Lm-lad. Latter will require atherectomy +\- IVL. In an 82 yo would treat RC medically for now. Quad therapy as hard as you can for HFrEF. All IVI guided of course.

Joy Sanyal,MD, DM, profil fotoğrafı
Joy Sanyal,MD, DM,2 yıl önce

@BifurcationClub @BCMHeart @AkuCardiology @mmamas1973 @adityadoc1 @Pooh_Velagapudi @JingLiu_MD @minhaskh @BakhshiHooman @HadyLichaaMD @AntoniousAttall @Almanfi_Cardio @evandrofilhobr Stabilise,MCS ,Rota LM,prepare Cx and RI may be DCB -provisional LM LAD

Dr Why profil fotoğrafı
Dr Why2 yıl önce

@BifurcationClub @BCMHeart @AkuCardiology @mmamas1973 @adityadoc1 @Pooh_Velagapudi @JingLiu_MD @minhaskh @BakhshiHooman @HadyLichaaMD @AntoniousAttall @Almanfi_Cardio @evandrofilhobr Med rx if no angina

jedicath աǟզǟʀ.ǟɦʍɛɖ profil fotoğrafı
jedicath աǟզǟʀ.ǟɦʍɛɖ2 yıl önce

@mmamas1973 @adityadoc1 @Pooh_Velagapudi @JingLiu_MD @minhaskh @BakhshiHooman @HadyLichaaMD @AntoniousAttall @Almanfi_Cardio @evandrofilhobr Agree with the surgeons. Will any revascularization change the prognosis. If Angina then needs a convo with the patient

Umair Khalid profil fotoğrafı
Umair Khalid2 yıl önce

@mmamas1973 @adityadoc1 @Pooh_Velagapudi @JingLiu_MD @minhaskh @BakhshiHooman @HadyLichaaMD @AntoniousAttall @Almanfi_Cardio @evandrofilhobr He has both angina + HF. Had multiple long discussions with the patient & family now plan for high risk PCI (shared decision making). What % risk of major complications would u quote during discussion with the patient?

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