Top Tweets for #RCAfirst
‼️#CaseSolution‼️
1) #RCAfirst:
Access: Snuffbox right; Sheathless 7.5F Eaucath JR 4.0
Wire: SionBlue (tough to wire; 99% heavy calcified prox. RCA)
Ballon: Only 1.25mm and 1.5mm crossable but non-dilatable lesion
RotaEscalation:
➡️ MC (Finecross) via SionBlue (inverse trapping) + Xchange for RotawireFloppy
➡️1.25burr (run 2 + 3 shown; 5 runs total ) at 150.000 UPM + 165.00 UPM
➡️Xchange for BMW-Wire -> NC 3.0 + 3.5
IVUS: SuperHeavy 360° prox. and ostial with cracks!
DE-Stenting: Synergy 4.0x48mm with postdilatation 4.5 via NC🎈
➡️ MSA 12,8 mm2 = 81% and acceptable result
Hey #CardioX...
...#HowWouldYouTreat?
82yo; NSTEMI; LVEF 40% (WMA post. + ant. apical)
Severe PAD; permanent Afib with LAAO
#Result #CABGoffered #PCIwanted
#RCAfirst : 3 DES
#LAD + #LCx in #StagedPCI : 5 DES
8DES = #FullMetalJacket (not proud)🙃
@felixmeincke @ateap0tist @Obisht @sulimov_dmitry @m_leistner @GhanemAlexander @kaschenke @HolgerNef @MoritzSeiffert @sinning_jan @DrThomasSchmitz
#HowWouldYouTreat?
79yo 👴🏽, non-diabetic, CCS3
#Echofirst: LVEF 40%, hypokinesia basal, inferior, lateral
Myocardial Perfusion Scintigraphy: inducable ischemia lateral, inferior and apical
-> Patient refuses CABG!
CAG ⬇️
🚨PART 1🚨
NSTEMI ➡️ongoing chestpain➡️disucssion with the patient (immediate CABG vs staged PCI; Syntax II = both with same recommendation) ➡️patient deferred CABG
So: #RCAfirst to have better perfusion for tricky LCA intervention (#CompleteRevasc) #NoImpella
🫀MY CASE OF THE WEEK 🫀
➡️ How would #Cardiotwitter treat? ⬅️
Follow this #CardioTweet, #CardioPoll and #Discuss with me and the IC-Community
⬇️ ⬇️ ⬇️ ⬇️ ⬇️
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