Fluoroless PFA #Farapulse pearls (after achieving optimal safety and efficacy):
1) ICE guidance key for contact, left sided ICE especially for right sided veins.
2) Wire tracking.
3) Mapping visualization of catheter confirmation.
4) Projection mapping.
A 19-yo female with CKD on hemodialysis presented with dyspnea. No fever but positive blood cultures (Serratia) and elevated WBC. A TTE shows biventricular dysfunction (LVEF of 12%) and this image at the catheter tip #echofirst #CardioTwitter
700 bodies were discovered in Nasser Hospital. Some with catheters still attached, children with their hands tied, doctors and nurses still in their scrubs. Many were tortured and shot in the back of the head at close range.
#IsraeliCrimes
#GazaGenocide
Balloon assisted coiling provides the necessary insurance during #endovascular management of ruptured aneurysms as well stabilize the micro catheter especially in small #aneurysms .
UB Neurosurgery (UBNS) Mehdi Bouslama, MD, MSc #neurosurgery #cerebrovascular
Nikhil Shah, MD Abhinav Anand Thank you very much for your comment. 1. I will perform a RA mapping using a high-density mapping catheter (atraumatic), and it’s important to mark the His bundle for orientation.
2. Adjusting fluoroscopy views
- I perform usually a few brief fluoroscopies in various views
Case 55: spot image - pulmonary air embolism during dilator exchange while placing tunneled dialysis catheter. What next?
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#irad #virad #meded #MedTwitter #cardiotwitter #Cardiology #CardioEd SIR RFS SIR ECS Society of Interventional Radiology CIRSE BackTable Vascular and Interventional Vascular Society of India