2yr s/p TAVR, now endocarditis, huge veg. Rare but happens. Pt in early 80's, frail, now needed operation. Did well, ambulated post op day 2, d/c day 5. A strong heart team needs depth in all areas to provide patient options and protect patient outcomes. #UABStructural
Thanks to an amazing team at Princeton proving that #TAVR can be executed with efficiency and precision..... and that 23 #TAVR can be done over 3 days all before 4pm everyday! Processing volume efficiently is of paramount importance in medicine today.
#Mitraclip through the IJ. Challenging but can be done successfully. It's similar to running backwards on a treadmill while simultaneously trying multiple combinations to open a lockbox.
Another Massive PE! Inpatient (3V CAD) on floor developed extremis with sustained pulselesness. CPR ➡ Bedside ECMO ➡ Catheter directed thrombolysis. ECMO weaned after 48hrs. Now alert and ambulatory. #PERT#echofirst#PrincetonAlabama
Structural❤ options for patients with no other options. Electrified wire laceration (lampoon through TAVR) of calcified mitral leaflet then transseptal valve in MAC. No MR, No LVOTO, NYHA IV➡I/II, Home on day 2! #❤Team #CathLabA#TMVR#PrincetonAlabama