Diagnosis?

Super tip.

ORBITA-STAR at #EuroPCR is a fascinating & successful study of type of chest pain as a predictor of PCI success. Very difficult to ascertain if angina caused by ischemia is what patients felt. This was a concern of Gruentzig's 40 yrs ago! Christopher Rajkumar Rasha Al-Lamee #AngioHistory

Surprised to find this much hard, hypertrophic IAS.
48y old male, previous PMBV 19y ago now re stenosis and re PMBV.
IAS stained with contrast and then pushed hard, drilling to puncture and even had to push harder to pass the mullen sheath.
Not sure why it is.

“Haziness” can mean so many things
Nice discussion by Nicolas Amabile at #EuroPCR2024 PCRonline 🫀

Erwin Mulia BCM Cardiology AKUCardiology Waleed Kayani Osama Bisht Jeffrey Wilson, MD SCAI Now American College of Cardiology Texas Chapter - ACC Mamas A. Mamas Dr Shariq Shamim Hany Ragy Khalid Minhas, MD FACC Hooman Bakhshi Jing Liu, MD Nyal Borges Poonam Velagapudi Dr Imran Hanif Hashmi Dr. Krzysztof Pujdak Great discussion! Here’s what we did:

1. Upfront multiple slow runs of aspiration (penumbra)
2. Protected rPDA
3. IVUS-guided stenting

We were ready with distal vasodilators in case there was no reflow, but did not need it.

Triple therapy x 1 month. Then Plavix + Apixaban.

Extremely complex CTO scenario, how to treat when you just have one shot... #interventionalcardiology #PCR PCRonline 🫀 SOLACI Bartolome Finizola-Flores Dr. Ángel G. Nájera Albarrán Julio Lopez Cuellar Julio Farjat Pasos CathLab López Mateos 🙋🏾‍♂️🇲🇽

Inferior STEMI 💔 Ectatic RCA. Filled with extensive clot. What would be ur strategy? 🪡

#CardioTwitter #ACCFIT #Cardiology #MedTwitter BCM Cardiology AKUCardiology Waleed Kayani Osama Bisht Jeffrey Wilson, MD SCAI Now American College of Cardiology Texas Chapter - ACC

Airmail stenting..

Efectos en la microvasculatura con la sono-trombólisis cardíaca
Dr. Ángel G. Nájera Albarrán

maplespub.com/article/cardia…

Who would actually think that this midsegment RCA would be this calcification or fibrotic?
Multiple attempts with NC balloons up to 3.0 at high pressure failed to dilate the mid RCA lesion
Wolverine 3.0 saved the day followed by NC 3.25 balloon then stenting up to the ostium

De esas cosas que son tan fáciles de hacer y parecen ofrecer buenos resultados, aunque no apto para esos que viven en el pasado, urge un estudio más grande para poder implementarlo a gran escala

Se aceptan dudas, comentarios, felicitaciones, mentadas de madre, pero solo después que lo lean jajajajaja

researchgate.net/publication/38…

Micro-Catheter distal perfusion technique
@Elihu_Duran
youtu.be/j9_ZiY4JboY?si…

Manejo de complicaciones

CITIC SOLACI @LAMCTO LATAM Bifurcation Club European Society of Cardiology Journals @HemoMacGregor CADECIGDL

Robot DaVinci en acción.

Bypass Gástrico.