Michael Megaly(@MichaelMegalyMD) 's Twitter Profile Photo

Reverse wiring is very useful with these takeoffs.
1-DL MC, sion black/2 bends (2 mm and 3 cm)
2-deliver-withdraw MC back, manipulate wire in then trap DL MC out
3-exchange wire with Turnpike LP (to take the curve of the second bend)
4-enjoy

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MIЯVΛƬ #IC(@mirvatalasnag) 's Twitter Profile Photo

SCAI Now PCRonline 🫀 Khaled AlShaibi

75M multiple ASCVD Risk Factors
Presented w ACS & pulmonary edema

IVUS guided PCI of the LM & LAD w Terumo Interventional Systems 3.5 DES w POT using 5.0 NC 🎈

What’s going on in the LM❓

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Michael Megaly(@MichaelMegalyMD) 's Twitter Profile Photo

Cath outside facility 6 days ago-groin closed with vascade. Presented with massive thigh swelling and US should hematoma and DVT!
The compression of the vein was by a 10x10x16 cm hematoma! CT in the comments.
Access management is crucial!

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Umair Khalid(@Umair2017) 's Twitter Profile Photo

How would you tackle this nugget 🪨 of dense Ca+?

a) Ca+ modification strategy?
b) Stenting strategy?
c) MCS?

81🧔‍♂️w/ normal EF & Mod AS (MG 31)

Not a surgical 🔪 candidate

PCICaseBot

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MIЯVΛƬ #IC(@mirvatalasnag) 's Twitter Profile Photo

PCRonline 🫀 @APSIC

PCI LAD & DIAG 2022
Misunderstood instructions & stopped all DAPT instead of SAPT
⤵️
ACS
⤵️
KBI only to establish flow
⤵️
Hemodynamically stable w residual thrombus at ostium of LAD (last view)
🧐🤓
What Next? CABG vs stent into LM?

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MIЯVΛƬ #IC(@mirvatalasnag) 's Twitter Profile Photo

TAVR Bot SCAI Now

1) Same stage IVUS guided LM PCI (revasc is not an easy decision in TAVR, type of THV & timing are impt considerations)

2) Iliac calcification can be challenging & CT helpful predictor but not always esp due to wire bias
-Predilatation of the

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Wayne Batchelor, MD(@_WayneBatchelor) 's Twitter Profile Photo

Proud to contribute to this JACC: CV Interventions manuscript, authored by Dr. Mirvat Alasnag, Dr. Bina Ahmed and multiple members of the ACCIC and CV Team Sections. Raises awareness of the carbon footprint created from the daily activities of CCLs. Healthcare needs to think

Proud to contribute to this JACC: CV Interventions manuscript, authored by Dr. Mirvat Alasnag, Dr. Bina Ahmed and multiple members of the ACCIC and CV Team Sections. Raises awareness of the carbon footprint created from the daily activities of CCLs. Healthcare needs to think
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MIЯVΛƬ #IC(@mirvatalasnag) 's Twitter Profile Photo

PCRonline 🫀

ISR of is the most difficult to treat

IVUS revealed hyperplasia
6Fr is a limitation, so KBI w 1 cutting & 1 NC then 2 NC then 2 DCB

Post IVUS demonstrated a preserved neocarina

References from
1) AGENT IDE
Robert W. Yeh MD Radcliffe Cardiology

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