Seeing is believing. Contrary to common opinion, the proximal optimisation technique in bifurcation PCI results in significant elongation, rather than shortening, of the proximal stent segment. This has most relevance in case of left main PCI. https://t.co/p4ayAhMzth
48 Yo man with Angina pectoris. We found this CTO of the RCX and stenosis of the RCA and LAD. We performed PCI of the right coronary artery and planned a PCI-CTO of the circumflex and PCI o the LAD in about one month. Angiography after 90 Days see below @Hoffm_MD
Ostial coronary lesions not just for IVUS. Although OCT can’t see through guide catheters, it images beautifully through guide extenders (see bright circle below). Image while extender in coronary & guide backed out into aorta #radialfirst
“Mother of all coronary thrombi” or Mother-in-law ?!!!
55 year old male with Anterior wall STEMI, in Cardiogenic shock, ECG predicted Left main occlusion, taken for Primary PCI, first injection purposefully in root.Thrombus protruding from LMCA into aortic root. Options?
“32% improved their EF to >35% by 6 months and 62% to >35% by 12 months after initiation of sacubitril/valsartan therapy”
Very nice work here. @DukeHFDoc@JavedButler1 @DrNasrien @JJheart_doc
https://t.co/bFokj1g4nL
The Single Guide-Guide Extension Tunnel In Landslide Technique #TILT for device uncrossable lesions or severe tortuosity just published by @EuroInterventio with the help of @LAzzaliniMD and @FrnMoroniMD see video ⬇️ it works beautifully in the CHIP space https://t.co/4wAGoK2mu2
1/2 What was your youngest patient needing repair of a TRICUSPID aortic valve stenosis and without history of rheumatic fever? This man is just 48y old!! Poll in next threat. #TAVR#cardiotwitter@PCRonline
#cathlabhack for #impella placement. Maybe it is common knowledge but I have just recently heard about it from Dr. Spangenberg and would like to share it: after wire pullback from LV into ao arch->advance the wire into AV sinus-> bingo -> easy positioning of the cannula @BotPci