Top Tweets for #Cusp_Overlap
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
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
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
Two Cases of TAVR #evoluteR 26mm with #cusp_overlap (both end with SR with no ECG 🔄)& #Commissural_alignment (both with easy coronary access)done with my young talented implanter Colleagues @DrAlsaiediAB @rashaalbawardy
We usually use L Judk 3.5 for 23&26mm & LJ 4 for 29 & 34mm
76y♂️ severe AS, ca+++, BAV type 1b, EF25%,LBBB. presented to other hospital Cardi shock,🎈valvoplasty done to stabilize him complicated by stroke with minimal residual deficit. Today TAVR #Commissural_alignment #cusp_overlap #CPD #evolutepro29 Excellent result MG5, LBBB, NO PVL.
@Hragy @Almanfi_Cardio @mirvatalasnag @GilbertTangMD @GuiAttizzaniMD @ZeroTLR @TAVRBot @colum_owens @jedicath @rashaalbawardy @bogamisa @DrAlsaiediAB @lamelaspablo @MogneeA @adnanalkhouli @fjsawaya @evandrofilhobr @ElhayekMD @karrowni I agree with him...i took me> 350 cases to be comfortable in implanting high and the #cusp_overlap tech made it much easy.. You have to believe in #cusp_overlap & #Commissural_alignment to have good results.
@GilbertTangMD
@mirvatalasnag @GilbertTangMD @GuiAttizzaniMD @Almanfi_Cardio @ZeroTLR @TAVRBot @colum_owens @jedicath @rashaalbawardy @bogamisa @DrAlsaiediAB @lamelaspablo @Hragy @MogneeA @adnanalkhouli @fjsawaya @evandrofilhobr @ElhayekMD @karrowni You have to look at the depth of the valve after excluding the parallax.
The 1st image left are LOA/CAU & the 2nd image the right are #cusp_overlap RAO/CAU (both shallow after excluding parallax)
The final(the one with LM engament LOA/CRAN)with parallax,this is why look deep.🙏
My trip to Kansas today to help & proctor the #TAVR team at @SalinaRegional Health Center.
2 great cases with #Commissural_alignment #Cusp_Overlap & #LAO_depth_assessment Great team work & awesome results. @d7battin it was nice working with you & your team 👏
@MDT_StructHeart
Before complete deployment, LM angio>good flow, parked stent removed. Excellent result trace PVL, MPG5 with #pro_tech #cusp_overlap (no ECG chang) #Commissural_alignment coronary re-access(IVUS revealed good LM Stent apposi)
Few years ago,proctoring new TAVR centers where focused on how to deploy the #evolute &leave the room,w/out #cusp_overlap #Commissural_alignment. Now it's totally different with these 2 techniques. Most of the new implanter now do it easily with low PPM & Coronary re-access. eg👇
82y♀️severe AS, evolutR 26mm #cusp_overlap & #Commissural_alignment with CA at the end of TAVR, MPG6, ECG no chsnges
#cusp_overlap & #Commissural_alignment is game changer,should be attempted in any anatomy:
78y♂️severe functional BAV(1a,L-R),area524, LM6.6m,SOV33, horizontal aorta (annular ang>70), #evoluteR 34 (landerquist) #cusp_overlap #Commissural_alignment (with CA)
MPG 3,ECG SR.
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