Rayan Jo Rachwan

Interventional Cardiologist @OSFHealthCare | Via @UMich, @UWMadison, and @IndianaUniv | Co-Creator of MADISON and CAD-LT Risk Scores | Host @thedailybeatmd

[Rayan Jo Rachwan @rjrachwan]

🚨 Score Alert!

The MADISON Score is a simple, non-invasive tool to predict left main or 3-vessel CAD — guiding triage, transfer & angiography timing while informing prognosis.

Try it 👉🏻 https://t.co/7Hqbd1n327

#Cardiology #HeartDisease #ACS

[Rayan Jo Rachwan @rjrachwan]

🇱🇧🇺🇸 The Lebanese-American Heart Surgeon Who Saved His Own Life?! 🫀

Dr. Michael DeBakey revolutionized heart surgery. But at age 97, he developed an aortic dissection—and survived thanks to surgical techniques he helped pioneer! 🤯❤️

💜 https://t.co/uBvwyxSPGA
💙 https://t.co/B8NSJVvS8v
❤️ https://t.co/tcGrG1xGyq

#MichaelDeBakey #Lebanese #HeartSurgery #Cardiology #MedicalHistory #AorticDissection

[Rayan Jo Rachwan @rjrachwan]

❤️ Happy Interventional Cardiology Day!

On this day in 1977, Dr. Andreas Grüntzig performed the first coronary balloon angioplasty—helping launch a new era in cardiovascular care.

Today, we celebrate the innovation and teams that continue to transform lives, one artery at a time. 🫀

Minimally invasive. Maximum impact.

#InterventionalCardiologyDay #Cardiology #PCI #Angioplasty #CathLab

[Rayan Jo Rachwan @rjrachwan]

⛷️ One way to navigate tortuous radial anatomy.

0.035″ won’t advance?
Angiography → 0.014″ non-polymer wire → Glide catheter → exchange back to 0.035″.

❤️ https://t.co/5MDLtlSqsv
💙 https://t.co/tNFtI40xMU

#RadialFirst #CathLab #InterventionalCardiology

[Rayan Jo Rachwan @rjrachwan]

🫀 Unprotected Left Main PCI | Prior CABG with Occluded LIMA

❤️ https://t.co/uBvwyxSPGA
💙 https://t.co/B8NSJVvS8v

A complex case of unprotected left main coronary disease in a patient with prior CABG and an occluded LIMA graft, requiring a percutaneous revascularization strategy.

#InterventionalCardiology #LeftMainPCI #ComplexPCI #CathLab #Cardiology

[Rayan Jo Rachwan @rjrachwan]

🫀 Complex LAD–Diagonal Bifurcation PCI | DK Nano-Crush Technique

A step-by-step case demonstrating an IVUS-guided DK Nano-Crush PCI for severe proximal LAD–diagonal bifurcation disease using an upfront two-stent strategy.

#InterventionalCardiology #ComplexPCI #DKCrush #BifurcationPCI #CathLab

[Rayan Jo Rachwan @rjrachwan]

🫀 Complex LAD–Diagonal Bifurcation PCI | DK Nano-Crush Technique

A step-by-step case demonstrating an IVUS-guided DK Nano-Crush PCI for severe proximal LAD–diagonal bifurcation disease using an upfront two-stent strategy.

#InterventionalCardiology #ComplexPCI #DKCrush #BifurcationPCI #CathLab

[Rayan Jo Rachwan @rjrachwan]

🫀 The CAD-LT website has been completely renewed!

We’ve redesigned the CAD-LT risk calculator to make it simpler, faster, and more user-friendly (on both mobile and desktop) for clinicians evaluating coronary artery disease risk in liver transplant candidates.

Check it out and let us know what you think!

https://t.co/aOGGAvNaXe

#LiverTransplant #Cardiology #Hepatology #Transplantation #CADLT @JHepatology

[Rayan Jo Rachwan @rjrachwan]

💊 The new cholesterol “miracle pill”? Enlicitide (LIPFENDRA™) 👀

Let’s explore.

❤️ https://t.co/0pzuhTlK2D
💙 https://t.co/jbe3Z6lmyF

#Enlicitide #LIPFENDRA #Cholesterol #PCSK9 #HeartHealth

[Rayan Jo Rachwan @rjrachwan]

@soccertorey Ramos

[Rayan Jo Rachwan @rjrachwan]

😱 How We Fixed the Most Dangerous
Heart Blockage 💔

🚨 Left main artery case
⚠️No room for error

Follow for more:

❤️ https://t.co/0pzuhTlK2D
💙 https://t.co/jbe3Z6lmyF

@ShockwaveIVL @abbottglobal #cardiology #interventionalcardiology #impella #shockwave

[Rayan Jo Rachwan @rjrachwan]

Outside of cardiology, I also make music. 👨🏻‍⚕️🎵

Sharing 2 of my songs today:

🎵 With You (feat. Nes Mburu)
🎵 (I Found) Beirut in Your Lips (with Aabkar)

Available on Spotify, Apple Music, YouTube Music, and more.

#Cardiologist #Doctor #Medicine #OriginalMusic #Doctorlife

[Rayan Jo Rachwan @rjrachwan]

🫀 TAVR: Replacing a Heart Valve Without Open-Heart Surgery

A groundbreaking procedure that transformed the treatment of aortic stenosis.

❤️ https://t.co/0pzuhTlK2D
💙 https://t.co/jbe3Z6lmyF

#Cardiology #TAVR @EdwardsLifesci @MDT_StructHeart @EdwardsEurope @Medtronic

[Rayan Jo Rachwan @rjrachwan]

💨 #tee #echo #LAA

[Rayan Jo Rachwan @rjrachwan]

😱 How We Fixed the Most Dangerous Heart Blockage 💔

🚨 Left main artery case
⚠️ No room for error

❤️ https://t.co/0pzuhTlK2D
💙 https://t.co/jbe3Z6lmyF

@JNJNews @AbbottGlobal @ShockwaveIVL #cardiology #interventionalcardiology #impella #shockwave #cathlab

[Rayan Jo Rachwan @rjrachwan]

💔 64 F with 10/10 radiating squeezing chest pain.

👇🏻 ECG and Angio

❓ Culprit?

[Rayan Jo Rachwan @rjrachwan]

🎉 Milestone accomplishment

The CAD-LT risk score is now central to international and European guidelines (ILTS/LICAGE) for the evaluation of liver transplant candidates.

A major advance in standardized cardiovascular risk assessment in liver transplantation. 🫀🌍

#LiverTransplant #Cardiology #TransplantMedicine #ILTS #LICAGE #Guidelines

[Rayan Jo Rachwan @rjrachwan]

55-yo male, prior CABG, presenting with NSTEMI.

Angio: atretic LIMA; LAD CTO with well-developed L→L and R→L collaterals.

Successfully crossed with Fielder XT and treated with 1 DES.

[Rayan Jo Rachwan @rjrachwan]

🫀 First CTO case as Staff!

#СТО #PCI #InterventionalCardiology

[Rayan Jo Rachwan @rjrachwan]

🐍 How large is that RCA? (5F JR4 for reference)

#Cardiology

[Rayan Jo Rachwan @rjrachwan]

🤔 What is the craziest CTO you’ve seen?

👇🏻