Tamás Baranyai

Interventional cardiologist

[Tamás Baranyai @bartamas]

@gbiondizoccai Very effective antiplatelet therapy 😁
Thx for sharing. Very valuable case to learn/analyze.

[Tamás Baranyai @bartamas]

@Bgheyath What did he mean by terrible pulmonary disease? Which sign?

[Tamás Baranyai @bartamas]

Heavily calcified and long lesion. #Orbitalatherectomy from PD to the osrifice, multiple runs. PL and lesion before crux was treated w/ #DCBonly, pRCA+mRCA DES. Important dilemma what extent and which segment to treat. #PCI #calcified #complexPCI, #CHIPintervention

[Tamás Baranyai @bartamas]

@evandrofilhobr Very nice pci! 2 lesions (toughest in coronaries): ostial rca and cx. Very challenging!

[Tamás Baranyai @bartamas]

@DrIHHashmi1 Very educative case☝️☝️
Thx for sharing. All of us had a similar case.

[Tamás Baranyai @bartamas]

@evandrofilhobr @realarainmd @nadig_cardio Fully agree, this is the exact way I fight against mc/balloon uncrossable lesions.
My usual debate is how far I could go with plaquemodification without compromising wire sacrifice and rewiring in case of a wedged mc.

[Tamás Baranyai @bartamas]

52M, paraplegia (car accident). Inferoposterior STEMI, SCD, BLS+ALS (5+20min), 14× DC shock, ROSC. After wiring, intracoronary verapamil, nitrate, eptifibatide, adenosin and stent. Many-many unanswered questions. #cardiotwitter, #stemi, #PCI

[Tamás Baranyai @bartamas]

@SyedYNaqvi1 Thx, very inspiring case for me as well. First dcb after rota.

[Tamás Baranyai @bartamas]

@BURZOTTA_F
@incathlab
@PSandesara_MD
@ikutkutMD
@BaoGTran
@DrJMHill
@jcspratt
@rajradhaswami
@evandrofilhobr
@DrRajeshG1
@PCRonline
@mandeep_mayo
@SyedYNaqvi1
@jamiemccabeMD
@georgegirgis74

[Tamás Baranyai @bartamas]

80F, HBR, Hgb 9.9, NSTEMI.
Calcified mRCA lesion. MC-uncrossable lesion despite AL1, GEC and ES-wire. 0.75mm sc balloon-uncrossable. Wedged MC direct Rotafloppy wiring, rotablation, more nc POBA, 3.5x30mm DCB.

[Tamás Baranyai @bartamas]

@rajivxgulati
@AEslamiDO
@luciotpadilla
@MichaelMegalyMD
@rotamonster
@twj1974
@realarainmd
@EuroInterventio
@mbmcentegart
@JuanLuisGutChic
@Laserrman
@shahrukh_bakar
@SmithElliotjs
@esbrilakis

[Tamás Baranyai @bartamas]

@DrRajeshG1 Of course, misspelled it, thx

[Dr G Rajesh (Gopalan Nair Rajesh). @DrRajeshG1]

Our first pulmonary valve implantation with 35 mm large MyValve in a post TOF ICR severe PR with large annulus.

[Tamás Baranyai @bartamas]

#ACHD, #GUCH, #PAH

[Tamás Baranyai @bartamas]

43F, accidental finding.

1) L pulm artery is normal, supplies upper lobe.
2) L lower lobe is only supplied by an anomalous artery originated from desc aorta.
Both drains to the LA.

+ L-->L shunt (9L/min systemic cardiac output)
+ reactive pulmonary hypertension.

--> ASALLL

[Tamás Baranyai @bartamas]

@shahrukh_bakar
@darwinjeyaraj
@PedroMDMSc
@erichorlick
@Mahmoud__Raslan
@mandeep_mayo
@EuroInterventio
@incathlab
@ikutkutMD
@DrRajeshG1
@PCRonline
@jamiemccabeMD
@Cardio_doc_sid

[Tamás Baranyai @bartamas]

ASALLL - abnormal systemic artery to the left lower lobe

[Tamás Baranyai @bartamas]

@shahrukh_bakar
@darwinjeyaraj
@PedroMDMSc
@erichorlick
@Mahmoud__Raslan
@mandeep_mayo
@EuroInterventio
@incathlab
@ikutkutMD
@DrRajeshG1
@PCRonline
@jamiemccabeMD
@Cardio_doc_sid

[Tamás Baranyai @bartamas]

44F, 15 years ago (!) lost guidewire during ICU admission. Now CTEPH was diagnosed.
PVR: 1018 dynes*sec*cm-5
PA: 110/29/55 Hgmm (S/D/M), SO2: 67%