Top Tweets for #Commisural_alignment
At King Faisal Cardiac Center
70y, severe AS, Severe MR, mod to severe TR,PASP70 mmHg, RBBB, Declined surgery.
TAVI with high implant achieved with precision #evoluteFX 23mm, #cuspoverlap #commisural_alignment
The MR became mild the TR moderate, PASP 40 & no ECG changes
@AlrahimiJ @bogamisa @mirvatalasnag @Nabeelosis @MosaAbbadi1 @DrLeventoz
85 y♂️with severe AS TYPE II BAV with Sub-annular calcification, TAVI done using Evolut FX 26 mm for the first time “Stable and predictable deployment”
Excellent final results #commisural_alignment #cusp_overlap
No PVL or ECG ↔️,MPG6

80y♂️ severe low flow/grad AS, EF20%, LVEDP 30, diffuse LM 80%, LAD 80%.
High risk IVUS guided PCI to LAD & LM with #IVL & impella.Two #Medtronic Onyx Frontier DES & evolute 23mm #commisural_alignment #cusp_overlap
No PVL or ECG ↔️,MPG4
@ShockwaveIVL @Abiomed
@AlkashkariWail
85y presents with atypical chest pain 6mo after #TAVI with #evolute #Medtronic.
With #commisural_alignment it was easy to access the Coronary.
King Abdulaziz Specialist Hospital in Taif
@AlkashkariWail @mirvatalasnag @assiri99 @kaashtaif
75y♂️, severe type 0 BAV stenosis, perimeter 27.2,area570. Evolute 34 with predi and post 25mm🎈and #cusp_overlap #commisural_alignment
Shallow implant with coronary access. Trace AI, No ECG changes, MPG5

90y♀️ P/w CP+SOB+dynamic ECG changes,high Trop NSTEMI,CXR🫁edema,#echofirst calcified AV Ef40% MPG60 #yesCCT ca extend to STJ & tortuous Ao. PCI to 90% prox LAD & osteal RCA #evolute 26 #TAVR #TAVI @Medtronic #cusp_overlap #commisural_alignment no AI,No ECG↔️ &coronary re-access
Three cases of severe Ca+++ AS. #TAVR #TAVI with #evolute pro with shallow implant #cusp_overlap & #commisural_alignment . No ECG↔️ easy coronary re-access in all the patients and trace AI. Home next day. Excellent work by @MosaAbbadi1 @drAhmedsayed326 @KamelHaider3
80y♂️ severe AS heavily ca EF35%,
RBBB, LAD prox-mid 90% calcified lesion. PCI to LAD then #TAVR with #evolute_29. Pre&post🎈. #commisural_alignment #cusp_overlap. shallow implant. No ECG↔️,PG3, NO AI. Easy coronary re-access.
@mirvatalasnag @ZeroTLR @rashaalbawardy @DrAlsaiediAB
84y♀️ sever AS, perim 62,area 300, SOV 26.6, LM 6.8. #lifetime_management #TAVR @Medtronic #evolute 23mm #cusp_overlap #commisural_alignment
MPG 4, No AI, no ECG change
@DrAlsaiediAB @MogneeA @rashaalbawardy @bogamisa @AlrahimiJ @TAVRBot @mirvatalasnag @GilbertTangMD @colum_owens
What a wonderful day proctoring three successful TAVI cases at prince Mohammed bin Naser cardiac center in Gizan with three wonderful operators @HazaaHaider @MosaAbbadi1 @drAhmedsayed326
#cusp_overlap #commisural_alignment
With immediate coronary access and no HB.
Strong team

Do it right ✅ and make the future easy for yourself and the patient.
#evolute29 @MDT_StructHeart
#cusp_overlap #commisural_alignment
Sinus rhythm, no AI, PG 4mmHg
75yF critical BAS type 0 MPG70, BSA1.5, severe LVH, Memb septum 4mm.
#medtronic_evolute 26mm, #cusp_overlap #commisural_alignment pre-dil & post-dil. Final MPG5,trace AI,sinus with nice coronary engagement with LJ3.5.
@rashaalbawardy @DrAlsaiediAB @AlrahimiJ @bogamisa @MogneeA

One of my colleague @DrAlsaiediAB sent me this angio for a TAVI patient (presented with ACS turned to be Covid19) we did couple of year ago with #commisural_alignment .
Easy access 5 minutes procedure.
78♂️ severe AS MPG65,heavily calcified ++++ with mod to severe LVOT calcification. Annular perimeter 547. #medtronic evolute 34mm with #cusp_overlap #commisural_alignment. Final MPG6, sinus + no LBBB. Mild AI (after 23 🎈).. waited for 20mint the AI Trace on #echofirst

78y severe AS. #EVOLUTE_MEDTRONIC 29mm
MPG 5, trace AI, sinus without LBBB
#cuspoverlap & #commisural_alignment
- start deployment mid-pig tail
- wire coaxial
- slow controlled release
At the end we demonstrated how to access the coronary to ensures the concept of #commisural_alignment
Very successful starting day at Gulf intervention society conference @GisGulf. We conducted live transmission TAVR case using #evolutePRO_medtronic 29 with #commisural_alignment & #cuspoverlap & #sentinel_CPD. Difficult access & heavily ca+ valve. Pre/Post🎈.
Final trace AI,PG4.
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