Obai A

[Obai A @ObaiAbdullah1]

@johaniMD Have you tried tracking with 5fr pig through the guide?
It never failed me when needed with left or right sided interventions.

[Obai A @ObaiAbdullah1]

@LKoliastasis @panosxap @PCRonline The palliative approach. 102 things could go wrong.

[Obai A @ObaiAbdullah1]

@mirvatalasnag @mmamas1973 @sbrugaletta @agtruesdell @thiele_holger @alaide_chief @DrSaritaRao2 @saraceciliamtz @Hragy @Allison_Dupont @KardiologieHH @HadyLichaaMD @ANazmiCalik @AntoniousAttall @SimoneBiscaglia @twj1974 @MogneeA @DrAlsubei @DocSavageTJU @fischman_david @poojaotherwise @adityadoc1 @Babar_Basir @AlkashkariWail Heart team for impella 5.5 and cabg. If not then index procedure XB, wire lad, wire lcx. Quick preballoon inflationx1, 3.5 Ostial lm stent, ivus, post dil accordingly and prayers. Serious talk with pt and family prior. Stage RCA.

[Obai A @ObaiAbdullah1]

@ziremozay @nalperenyldrm Highest score I’ve ever seen. Good job. You have a bright future.

[Obai A @ObaiAbdullah1]

@MdSomov @SVRaoMD @mmamas1973 @AgostoniPF @LAzzaliniMD @KovacicMihajlo @dautov_MD @KPujdak @SanjogKalra @Rentgenhirurg @Hragy @cardiowiis Regardless to etiology
Would wire, direct stent onyx 3.5 lm-lad, Ivus, Post dil accordingly. 30 min case.

[Obai A @ObaiAbdullah1]

@andreapicci990 Great save but why stent across diagonal to start with?

[Obai A @ObaiAbdullah1]

@ramonlopezpalop @Obisht Leave alone
Heparin
Dapt
Relook 48 hours

[Obai A @ObaiAbdullah1]

@gbiondizoccai @minhaskh Typically if all fails, deep sedation with propofol would do the trick.

[Obai A @ObaiAbdullah1]

@ICPeteB Upfront micro cath and workhorse then exchange for wiggle. Took my a while to appreciate wiggle wire. It does wonder.

[Obai A @ObaiAbdullah1]

@PurumittalDr @Hragy @DrRajeshG1 @DrRajeevagarwa3 @IntervnCardio @mandeep_mayo @mmamas1973 @evandrofilhobr Lad is cto

[Obai A @ObaiAbdullah1]

@ilamazx @DrBmfa

[Jad Omran, MD @JadOmranIC]

Nice Echo demonstration of tip to base LAMPOON in MViR. Notice how the anterior mitral valve leaflet is being arrested by both catheters from the aorta and the LA.

[Obai A @ObaiAbdullah1]

@smithECGBlog What’s ekg indication?

[Obai A @ObaiAbdullah1]

@DrPayItBack Not fake. Genes. Need statin.

[Obai A @ObaiAbdullah1]

@jtsaxon It’s always the fellow. And probably >50% it isn’t. Wrong approach.

[Obai A @ObaiAbdullah1]

@yourheartdoc1 Enjoy. Took a month off and was asked about this “gap” a handful of times. Most recently when applying for a mortgage.

[Obai A @ObaiAbdullah1]

@uroojmd1 Good job wiring. Tough one

[Obai A @ObaiAbdullah1]

@mandeep_mayo Small distal wire perf. Serial echos. Tap if needed. Wait for ACT to go down. Probably gna seal itself.

[Obai A @ObaiAbdullah1]

@BaoGTran Great save. Was plavix load on table? I had a very similar cto I used cangrelor and loaded with brilinta on the table (despite non ACS) given fear of this happening. Pt did well.

[Obai A @ObaiAbdullah1]

@JadOmranIC @Cardio_Guy @adam_ta1eb @HashimKhan_1 0.90