29 S3 is a really amazing #tavr, takes in select anatomy from 27-32 or more, this one tricuspid. Area 792mm, perimeter derived 32.7mm. good implant +4mls, fair play to @DanBlackman7 on the front end of this case
8/ The discordance typically occurs in short lesions supplying a large territory where the gradient at rest is small but results in a large gradient at hyperemia resulting in a potential FFR/iFR discordance.
@ncurzen@GreggWStone It is hard to walk away and your cath lab colleagues will think you haven't finished it! Limited meta-analysis suggests lower rate of SB stenosis and higher rate of MV stenosis at FU with routine KB for 1-stent bifurcation approach.
Invasive assessment of myocardial bridging in patients with angina and no obstructive coronary artery disease via @EuroInterventio https://t.co/msd1Az2RJi
Final poll results: 45% PCI, 30% no Rx, 25% want more info. Equipoise! Here's what happened (Gupta & Chhikara, EHJ). They left it, pt remained stable, routine FU at 6 mo showed resolution of the angio lesion. We need a large study to determine if this is the right approach.
We got a valve from sorin tested on bench with 20 & 22 bard true and atlas gold balloons. It does not crack or modify. Balloons burst at 24 atm. Easy valve for #tavr in SAVR but fixed surgical ring
Is transcatheter aortic valve replacement safe when performed without interruption of oral anticoagulants? Find out in this issue of #JACCINT: https://t.co/u1YR8v5KuK #TAVR#Anticoagulation
Dial in to Leeds for the Medtronic #tavr advanced symposium. Join me and my awesome colleagues Dan and Mike as well as a galactico international faculty. 4 great live cases and some up to the minute opinion, discussion and data. 3rd & 5th November. C u then - but register early!
The left iliac vein has to cross under the right iliac artery in all of us, and is subject to relative compression/stasis. Thus, even in systemic causes of edema, the left leg often swells first, stays slightly more swollen, and comes down last during diuresis.
Long pacing run heavily sedated. Initially too low slid down, recaptured partially and nailed it on another pacing run. Pressure on the wire until contact. Not easy #tavr we tried double marker pigtails but LC pig kept displacing.
Pure AR #tavr not an easy project. Annulus and LVOT 26.5mm longish LVOT. What valve? and what size? and any niche tips to share. Our result shortly....
Leeds 11 #tavr cases this week, well done team👏. Including this, it went in as a 15f I sleeve but came out as a mangled mess, en bloc on the Lotus catheter. No harm done bit something to watch for
Long wire technique for common origin innominate&carotid. #sentinel#protectedTAVR#tavr. R4 and glide wire, deploy on a patient breath-hold, moderately stiff coronary wire, weaken the system by partially deploying proximal basket. We caught a big fish