Dan Memmini

Husband, Father, Coronary CTO Proctor and Sales Trainer for Teleflex. All tweets represent my views only.

[Dan Memmini @DMemmini]

@ziadalinyc @realarainmd @Hragy You are so right. The advances in coils have made them much easier to use. I have personally shown 14 hospitals how to use thrombin in coronary perfs (not proud of that) and I default to coils now. Stocking them is one of the costs of doing business.

[Dan Memmini @DMemmini]

@jbspadoni @Obisht Excellent demonstration of the value of CT. Based on the Angio, I would have bet the farm on calcified arteries and probably would have recommended MCS. Impressive.

[Dan Memmini @DMemmini]

@TWilsonMD @LilYuyu1019 @DrSiyabMD @realarainmd @MichaelMegalyMD Tom, you are too kind. Teaching you was easy. For a new grad, you were very advanced regarding catheter manipulation and wire skills. Kudos to your skills and your fellowship program.

[Dan Memmini @DMemmini]

@realarainmd @evandrofilhobr I wish I could take credit but, I just remember all the OUS Drs. talking about pre proc. CCTA. So I jumped on the bandwagon. I totally agree with your philosophical point as well. I bet less than 10% of the CTO challenges I’ve seen were due to clear anatomic issues. #cantsee

[Dan Memmini @DMemmini]

@evandrofilhobr Evandro,
Great case presentation as always. This is the epitome of the emotional roller coaster of CTO-PCI. The absolute crushing realization of a big perf followed by the euphoria of seeing it dump into the RV. Nothing better!

[Dan Memmini @DMemmini]

@zaidheartsci @evandrofilhobr You are so right. You have to be ready in case the case goes bad. I will not support a case at a new hospital unless I have personally seen the pericardiocentesis kit.

[Dan Memmini @DMemmini]

@Dr_PewPew_65 @DrBrittaniJ “They don’t come back to generate add’l revenue for us either. So, why wouldn’t we do everything we could for this pt? Btw, it’s also the right thing to do and why we chose this business as our careers.”

[Dan Memmini @DMemmini]

@Dr_PewPew_65 @DrBrittaniJ I mean this from the bottom of my heart: F#*+ your admin team. And the horse they rode in on. Keep doing what you’re doing. When I was an administrator and Sr mgmt would say something stupid like what you encountered, I always responded with “dead people don’t need add’l care”.

[Dan Memmini @DMemmini]

@realarainmd @evandrofilhobr @asaadnakhle I respectfully disagree. I think post stent is clearly the most important. I also think pre balloon IVUS is the least important. There are many lesions that can’t be imaged pre balloon. I would vote 3,2,4,1.

[Dan Memmini @DMemmini]

@TWilsonMD @BaoGTran @realarainmd @DrJayMohan @KPujdak @DrRajeshG1 @SrihariNaiduMD @MichaelMegalyMD @djc795 @jl35wilsonMD @rational_doc I have been looking at angios since 1987 and have never seen this before. Very cool.

[Dan Memmini @DMemmini]

@realarainmd I have often found short CTOs to be some of the most frustrating and time consuming cases. They trick you into into thinking they are one thing when actually they are something else entirely. Great job going through your algorithm to get success for this pt.

[Dan Memmini @DMemmini]

@evandrofilhobr Wonderful job. As usual.

[Dan Memmini @DMemmini]

@msjluu Rather be lucky than good.

[Dan Memmini @DMemmini]

@realarainmd A less gracious person would say “I told you so”. I will just say congrats!!

[Dan Memmini @DMemmini]

@realarainmd @jedicath @evandrofilhobr @mornei2011 @DrBIqbal @crfheart I agree. When you first shared this technique with me, I have to admit, I thought there’s no way this is a good idea. I was so wrong.

[Dan Memmini @DMemmini]

@jedicath @realarainmd @AnjaKsnes @evandrofilhobr @mornei2011 Very interesting concept. It would certainly reduce case time, radiation dose, contrast, and possibly equipment. Can’t wait to see how this plays out.

[Dan Memmini @DMemmini]

@aspergian1 Congrats!!

[Dan Memmini @DMemmini]

@evandrofilhobr 2) Careful planning is very important. I also agree there is nothing like seeing a pt who has suffered for years, regain their lifestyle after the successful procedure. Keep up the great work!!

[Dan Memmini @DMemmini]

@evandrofilhobr 1) Evandro, as always you have demonstrated the how and the why of CTO-PCI. A wonderful case and I loved how you “tested” the pt’s tolerance of having their LIMA partially occluded.