RCA thrombus evaluated by IVUS #ICFIT #pcicase

1/3 ADR technique for CTO recanalization.

My takeaways and step-by-step description

#pcicase #cto101

'A patient had a nail removed from his chest along with repair of a right ventricular laceration. He returned with an enlarging, symptomatic RCA pseudoaneurysm with fistula, managed with a covered stent.'

doi.org/10.1016/j.jtcv…

#PCICase #RadialFirst #EchoFirst #CardioEd

A follow-up, a mini-tweetorial on bridging in #CTO #PCI (would love to learn from opinions).
Both cases had well-developed channels (let's call them channels here) that provide antegrade flow. It is easier to find the caps in the first case (1/14)
#cardiotwitter #PCI case #CTO 101

Nasty px/ostial calcific RCA lesion. Upgraded from #RadialFirst to #safefemoral 8F femoral. Turnpike Spiral to deliver rotawire ES. 1.5 burr. IVUS. Single DES. #pcicase

Recanalisation of RCA #STEMI by contrast Injection.
#aNewTechnique #RadialFirst #PCICase #CardioTwittwr Erik Rafflenbeul Karsten Schenke 📯 @kaschenke.blsky.social AGIK Young DGK Holger Nef MIЯVΛƬ #IC Alexander Ghanem A.Nazmi Calik Elon Musk

NSTEMI #pcicase today. Sequential critical calcified mid RCA stenoses. Difficult to wire and device uncrossable. Primary rotawired and #RotaPro . Wiggle Wire enabled mid RCA stent delivery after multiple predilation/buddy wire/guide extension.

Morning started with this Shepherd's crook RCA PCI. #pcicase #cardiotwitter

What do you think this tortuosity is in the RCA?
#CardioTwitter #cardioed #cto101 #pcicase Ziad Ali DKarmpaliotis Yoshinobu Murasato Lorenzo Azzalini jcspratt Mohaned Egred Margaret McEntegart

66yo 3d post surgery bowel CA. CP + NSTEMI + EF 35%, posterior Scar. Decision LAD Stent. Expansion with NC 24 atm. Unlucky.... #PCICase Karsten Schenke 📯 @kaschenke.blsky.social @a_Klumb Nader Joghetaei, MD Rostislav Prog @agikinterv Sukh Nijjer Alex Truesdell @ajaykirtane Sunil V. Rao Evandro Martins F. MD jedicath աǟզǟʀ.ǟɦʍɛɖ David J. Cohen, MD, MSc Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI

STEMI der Vorderwand. Dann das. How would you handle? Die bzw. eine mögliche Lösung morgen in AGIKconnect! #PCICase #PCITwitter #CardioTwitter #RadialFirst AGIK Erik Rafflenbeul Karsten Schenke 📯 @kaschenke.blsky.social MIЯVΛƬ #IC Marc M. Vorpahl, MD ECMO_Doc David M. Leistner Alexander Ghanem

#SneakySTEMI : U never know what u’re getting into...
#ACCIC #ACCEarlyCareer #Cardiotwitter #pcicase
Umair Khalid Fadi Sawaya Ankitkumar Patel MD MPH FACC FSCAI RPVI Ankur Kalra Sabeeda Kadavath Sanah Christopher Briana Costello MD Alex Truesdell Vladimir Lakhter Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI Aaysha Cader PCRonline 🫀 Raj Tayal CNCFCardio SCAI Now

DK crush for LAD/Diag bifurcation 👍🏻
#RadialFirst #pcicase

This is why we should let most of SCADs without complete vessel occlusion heal spontaneously. The same young female patient in Dec 2022 and March 2023. No angina and good LVEF on follow up.
#PCICase PCRonline 🫀 Mamas A. Mamas Lorenzo Azzalini Evandro Martins F. MD Hany Ragy MIЯVΛƬ #IC

76👨🏻‍🦳. LAD/Diag calcified bifurcation. Atherectomy for both limbs + DK crush. IVUS optimization.

Voila! #pcicase

#pcicase

NSTE-ACS, Troponin ↑, apical/anterior hypokinesia, known coronary artery disease with outwards stenting of LAD and D1 several years ago. Now #IVUS -guided PCI of culprit between the stents.

#RadialFirst #PCICase #CardioTwitter #YoungPCI AGIK Erik Rafflenbeul Karsten Schenke 📯 @kaschenke.blsky.social

Safe intubation of the LCA ostium with BAT at an unfavorable angle (balloon filled with saline) Dr. Krzysztof Pujdak Karsten Schenke 📯 @kaschenke.blsky.social Michael Klinkhammer Erik Rafflenbeul Prof.N John Camm Rostislav Prog Dmitry Sulimov Osama Bisht #pcicase #RadialFirst

#pcicase of 👵🏻 88 yo, elevated trop after > 24h of Aflutter 160/min.
You find this huge RCA with ostial stenosis. You do #imagefirst with IVUS . What would be your MLA cutoff to perform PCI. Poll and another angio in reply. Erik Rafflenbeul AGIK Timm Matthiesen 📯

#Vstenting still can be choice of procedure in very selective anatomy.
67 Male, refractory angina, Left dominant. LAD RI Severe disease. LCX wide angle. LM LAD mismatch.
Successful V-stenting of LAD-RI.
#PCIcase #InterventionalCardiology