Interventional Cardiology

Mohammed Saad - Deputy Head of Cardiology - University Hospital Schleswig-Holstein -Kiel-Germany

[European Society of Cardiology Journals @ESC_Journals]

Case report of rare highly aggressive cardiac tumour: the intimal sarcoma https://t.co/Xf4nOCzAVE

#EHJCaseReports #YesCCT #EchoFirst #ImageFirst #whyCMR @aayshacader @ANazmiCalik @KardiologieHH @EHJCREiC @TJ_Yeo @cfcamm @FarhanaAra

[Interventional Cardiology @IntervnCard]

A case to do once in life 😀
I enjoyed doing this case with you Dr Amr Elhadidy https://t.co/zocbHIMDim

[Range Gregoire @gregoirerange]

Nstemi 85 F, 40%LVEF, EKG : ASA neg T, ETT apical akinésie. How do you manage this LM nightmare ?

[Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI @DrJayMohan]

Wow! “Corking the bottle” technique

[J. Airton Arruda @jairtonarruda]

Fine adjustment is crucial in BE TAVR. Look at this little adjustment during rapid pacing: 1- we slightly pull back after dog bone; 2- We kept it some push forward (observe the delivery system in the great aortic curve). Myval #23. 88 yo male Pte. AS.

[Interventional Cardiology @IntervnCard]

@srdeleiras @KardiologieHH I though about LAmbre ... but I do not think the disc was going to cover the whole lower lobe and it may cover the LUPV

[Interventional Cardiology @IntervnCard]

the most difficult LAA anatomy I have faced 😅
Failed to implant Amulet 34 mm (Landing zone 28-30 mm)
planned implantation of 2 occluders (Watchman 20 mm and Amulet 16 mm). After release of amulet --> dislocation an retrieval

[Interventional Cardiology @IntervnCard]

@jairtonarruda you mean in my cath lab? no .. I have both.

[Interventional Cardiology @IntervnCard]

@Obisht Let the tip of the catheter in the ascending aorta above the valve . Take the wire of the catheter out and use a straight tip stiff terumo to cross the valve. Push the tip of the catheter in the LVOT and replace the terumo wire with the TAVI wire

[Qasim Raza, 𝘔𝘋 @QasimRazaMD]

#CardioTwitter what's off about this picture?
@ECUCards

[Interventional Cardiology @IntervnCard]

@VinoyPrasadMD Yes

[Interventional Cardiology @IntervnCard]

Recurrent progressive LMT-Aneurysm after Implantation of a graft stent 1 year ago. Management: Coiling of the Aneurysm + implantation of a new graft stent.

[Interventional Cardiology @IntervnCard]

@RiSanz2020 @Obisht The aneurysm was covered with the first graft stent and it did not get thrombosed. To not to have the same situation again, and if the graft stent membrane was disrupted again, the coils will assist to get the aneurysm thrombosed.

[Interventional Cardiology @IntervnCard]

@DrRajeshVijay Did you think about MIDCAB to LAD and graft stent to LAD/D1?

[Interventional Cardiology @IntervnCard]

@DrRajeshVijay Do you have a follow up angio? You have a stent mal apposition in the Aneurysm with a high possibility of thrombosis in the aneurysm which will definitely affect the ostium of D1 (part of the aneurysm) and probably will protrude in the LAD through the stent struts.

[Interventional Cardiology @IntervnCard]

@DrRajeshVijay Nice case. You just coiled the aneurysm and put a non graft stent in the LAD?

[Interventional Cardiology @IntervnCard]

@DrRajeshVijay It is the disruption of the membrane of the 1st graft stent. That is why I could easily enter with the wire and micro cath into the aneurysm. If you see the form of the dye filling, the dye gets directly from LMT to the aneurysm.

[Interventional Cardiology @IntervnCard]

@MusaSharkawiMD @Obisht 12 mmHg … yes otherwise an Evolut 23 mm would be the first choice

[Interventional Cardiology @IntervnCard]

TAVI Valve-in-Valve in a very complex anatomy using Sapien 3 Ultra 20 mm in Hancock II 21 mm.
Playing car racing track using TAVI 😅

[Interventional Cardiology @IntervnCard]

12 mmHg … yes otherwise an Evolut 23 mm would be the first choice