No reflow is worse than original occlusion. IVUS = dissection/thrombus/embolism. Normal IVUS; air, microvascular injury or low TM perfusion pressure. IC 💉 must be selective & after MCS “if needed”. 👇 IC 1 mg adenosine, 1 mg verapamil, 0.5 mg nicardipine & integrillin = resolved
90 yrs F STEMI, radial access challenges = small size, stenosis & tortuosity, coronary wire was used to cross while glide wires will not work. Completed diagnostic but needed femoral for pci. One option to use 35 cm slender sheath. Early shift to femoral can be a wise choice.
Another war crime committed by Israel on my Family in Gaza.
Today, my second cousin, Ahmed, was killed along with his very young daughter and his mother in law. They were bombed in their refugee camp.
These daily war crimes should come to an end..
#SilenceIsComplicity
@Old_SchoolEddie@CollinRugg Real question is “will the Israeli fighters let the people of Gaza have the supplies? “ flour massacre happened few days ago tells answer.
Best access for cardiac cath in patients with occluded radial artery is the occluded radial artery. Need to access artery DISTAL to occlusion recanalize & insert 23 cm slender glide sheath. #accfit
60 y old F with chest pain for 40 yrs, recurrent ER visits with negative enzymes, EKG & stress tests, cath done. CCTA inter-arterial course. Back to lab did dobutamine iFR & IVUS, IFR drop to 0.75–> surgery = no more pain. #accfit @md_SsAhmad @DrkumarSundeep
@Obisht @md_SsAhmad @Babar_Basir@DrAmirKaki@evandrofilhobr We have Guidliner and Godzilla but asking for better design than these 2 options. I think one new catheter has hydrophilic coating.
Is there coronary guide extender has hydrophilic coating or it’s better for manipulation tortious vessels? @md_SsAhmad @Babar_Basir@DrAmirKaki@evandrofilhobr
“We don’t give them food. We don’t give the Arabs anything, they will have to leave. The world will accept them.”
These are the words of Daniella Weiss, the former mayor of the settlement “Kedumim” in the West Bank when interviewed at the “Return to Gaza” conference. The conference is about devising a plan to re-establish Israeli settlements in Gaza on top of recently destroyed Palestinian communities.
She affirms that Palestinians will have to leave Gaza because of besiegement, which paves the way for Israel to re-establish its settlements in Gaza.
🇮🇱⚡️ Israeli soldier, Yishai Shalev, in front of Al-Azhar university:
“For all those asking why there is no education in Gaza. We bombed them. That sucks. That’s how you will never become engineers anymore.”
@md_SsAhmad This is not good, don’t believe he needs 40 medicine. Heart failure medicine need to be combined in bill poly bill since list keep increasing every year, scubtril/ARB/SGLT-2 inhibitor/b blocker & spironolactone in one bill.
@MarioNawfal Israel claimed control on northern Gaza, I don’t see them allowing people to go back home, don’t see them allowing humanitarian aid for people still existing in north, don’t think hospitals are working, not single one!!! This is fake conversation, native Arabic speakers can tell.