@DavidLBrownMD I really wonder how a cardiologist who’s job description is to save lives would accept the idea of civilian casualties majority of which are women and children.
@MichaelMegalyMD In my experience, penumbra usually works well in fresh clot situations but doesnt work as well in more ogranized thrombus. Also cost is its biggest issue imo. Otherwise, I love using it in the right case!
Dr. Ibrahim had the honor of completing the 150,000th procedure in our cardiac catheterization lab today. Another milestone reached, weeks before we move to our new state of the art labs! Strong work done over the years by our incredible team. @MoIbrahimMD@aicardio@AmirLotfi9
Recent case of a middle aged pt with HCM
Echo performed late morning demonstrated no LVOT obstruction (fasting).
Patient returned for consultation following lunch & was noted to have loud, harsh 4/6 SEM.
Doppler study was repeated which demonstrated severe LVOT obstruction!
@NosairMohamed @LAzzaliniMD How did the left coronary system look? Would consider CABG is significant LAD/LCx dz. Otherwise, laser with contrast or brachytherapy would be options to consider. Not sure how effective IVL would be in this scenario.