Dr.Ahmed Ayuna

MBChB, PgDip cardio, MSc cardio, PgDip MedEd, MD, MRCP(UK). CCT Interventional cardiology/GIM, Post CCT TAVI Fellow. Father of 2,🇮🇶🇬🇧👍🫀⚽️

[Dr.Ahmed Ayuna @drahmedayuna]

I am thrilled to have the opportunity to present 2 x complex PCI cases and one poster at #EuroPCR2026. Very good discussion points. Thank you prof #FarzinOrdoubadi for support and guidance and cardiology team at Manchester University NHS Foundation trust team.

[Dr.Ahmed Ayuna @drahmedayuna]

It was my please to present our case at #PCRlondonvalve 2025, great course to learn, teach, share ideas and experience, connect and network with colleagues from all over the globe #PCR Thanks for the organisers

[Dr.Ahmed Ayuna @drahmedayuna]

@SyedYNaqvi1 Looks like myxoma

[Dr.Ahmed Ayuna @drahmedayuna]

@DrIHHashmi1 Thanks.. still I wouldn’t stent, I ll bring back after 6-8 weeks and do an OCT or re-IVUS HD if available. Cardiac CT is a good option as well.

[Dr.Ahmed Ayuna @drahmedayuna]

@SyedYNaqvi1 So you will need to give nitruposside/adenosine.
Regarding stenting, my main concern is stent thrombosis as it does not seem to supply large myocardium, I probably might have done prolong inflation and accept some recoil.

[Dr.Ahmed Ayuna @drahmedayuna]

@SyedYNaqvi1 Acute vessel closure, it could be edge dissection and could be no-reflow and could be both, on way to find out is to pass a microcatheter distal vessel and small injection, if flow that is dissection, if poor flow that’s no-reflow phenomenon due to distal thrombus/plaque debris

[Dr.Ahmed Ayuna @drahmedayuna]

@SyedYNaqvi1 Interested to know what Selution denovo results will be with regard to the siroliumus coated balloons

[Dr.Ahmed Ayuna @drahmedayuna]

@DrRajeshG1 7fr, wires LAD, D1, LCX and high OM1, IVUS guided, stent mid to proximal LAD first, DCB D1, Mini DK crush LMS/LAD/LCX, the rest leave alone.

[Dr.Ahmed Ayuna @drahmedayuna]

@baramink I would stent back to LMS, provisional stenting strategy, definitely image guided, preferably IVUS.

[Dr.Ahmed Ayuna @drahmedayuna]

@husseintaqi86 Congratulations my friend, well done and all the best

[Dr.Ahmed Ayuna @drahmedayuna]

@husseintaqi86 Well done Hussain

[Dr.Ahmed Ayuna @drahmedayuna]

@husseintaqi86 Thanks Hussein, much appreciated! It was a nice course and very educational.

[Dr.Ahmed Ayuna @drahmedayuna]

This morning, presenting our case Double Trouble , thanks #CoronaryComplications During PCI for the opportunity!

[Dr.Ahmed Ayuna @drahmedayuna]

@husseintaqi86 I heard some progress regarding stroke thrombectomy, however, not sure how it will be implemented in our training program.

[Dr.Ahmed Ayuna @drahmedayuna]

Drug-eluting🎈👍

https://t.co/lALlJu0qpr

[Dr.Ahmed Ayuna @drahmedayuna]

@husseintaqi86 Thank you Hussein, much appreciated! I hope to see you in ACI 2023 my friend

[Ahmed Adlan @ahmed_adlan]

3. Drug eluting balloons: should we use them more? By Dr Ahmed Ayuna

In the latest BCS editorial @drahmedayuna makes the case for DEBs…

Who stands to benefit? How do you use them? Find out more..

https://t.co/ZyA0XVFjrG

#CardioTwitter #CardioEd #MedTwitter

[Dr.Ahmed Ayuna @drahmedayuna]

@husseintaqi86 Unfortunately, I think he is largely correct, not sure how the things will be with the new curriculum😅. Important thing for BCIS to address.

[Dr.Ahmed Ayuna @drahmedayuna]

Thymic carcinoma with extrinsic occlusion of the left anterior descending artery: a distinctive case of myocardial … https://t.co/7JJnh99cnd

Our most recent work..interesting case