Akram W. Ibrahim

From the CABANA trial: Patients with #HFpEF benefited even more from #Afib ablation regarding: 🔸Death/CV 🏥 🔸AF recurrence Despite the greater benefit for HFpEF pts, their risk of recurrence remained ⬆️ than in those w/out HFpEF 📎: jacc.org/doi/10.1016/j.… #JACCHF

Impact of commissural alignment on the hemodynamic performance of supra-annular self-expandable THV Is it associated with lower transvalvular gradients & intra-prosthetic regurgitation progression at 1-year❓ 🔗 onlinelibrary.wiley.com/doi/full/10.10… @ignamatsant @mirvatalasnag @JCigarroaMD

20 #PeripheralCTO crossing techniques w/o #CTOcrossingDevice. Our paper in @JVETjournal journals.sagepub.com/doi/10.1177/15… Collaboration between IR, IC and VS is thriving #EndoVascular @FadiSaab17 @DNFeldmanMD @mirvatalasnag @KateKearney4 @DLBHATTMD @JunLiMD @GreggWStone @Angiologist

@HadyLichaaMD @Vascularman @SamKMehta @RealKushAgrawal @TimYatesMD @kmadass @SDhandMD @SriniTummala @Indoventional @adityadoc1 @heartdoc101 @DrAmirKaki @ekgpdx @LessneVIR @keithppereira @mms62786 @Watts_IR Only manual. Perclose in very few cases when vessel is large and non calcified.

Is anyone closing brachial arteries? And with what off label device? @Vascularman @AkramWIbrahim @SamKMehta @RealKushAgrawal @TimYatesMD @kmadass @SDhandMD @SriniTummala @Indoventional @adityadoc1 @heartdoc101 @DrAmirKaki @ekgpdx @LessneVIR @keithppereira @mms62786 @Watts_IR

@HadyLichaaMD @mcbunte @KardiologieHH @mirvatalasnag @PCRonline @kerrigjl @Umair2017 @DrJayMohan @VladLakhter @RajTayalMD @jcgeorgemd @monteleoneMD @pkothapalliMD @SanChris999 @Pooh_Velagapudi @agtruesdell @EricSecemskyMD @DrDrewKleinPHI Great case @HadyLichaaMD and love this approach and technique 💪

#R2R #Radial2Renal stenting approach Hoping to see trials showing particular benefit: ⬇️ #bleeding / #VascComplications in these patients w refractory #ResistantHTN @mcbunte @KardiologieHH @mirvatalasnag @PCRonline @kerrigjl @Umair2017 @DrJayMohan @AkramWIbrahim @VladLakhter

@karrowni Very nice Wassef! 💪

Antegrade #Lampoon followed by #TMVR Edwards Ultra 26 + 5 cc for non-surgical patient with severe MAC and mixed disease

Proud to be involved in this late breaking project along side great people! Thanks Gilbert and Tim! @GilbertTangMD @timothybyrne

@karrowni @fjsawaya @AlkashkariWail @WassimShatila @AbdallahRebeiz @DrAFrangieh @HadyLichaaMD @Tabaza @maybanks_katie @KMansour300 Yeah agree with above , if short and quick, it can be done if needed.

Is intra-procedural #Heparin needed during #BAV? I did BAV today on a pt admitted with UGI bleed and didn’t not use #Heparin. A recent small RCT looked at that & showed that it is safer not to use #Heparin with no increased ischemic events! #CardioTwitter sciencedirect.com/science/articl…

Our New study on Aortic Regurgitation: - LV remodeling is different in AR vs. MR for same severity - AR needing AVR occurs often with lower severity cutoffs than in Guidelines -Threshold for mod/severe AR should be lower than for MR @JACCJournals @ACCinTouch @ASE360 @SCMRorg

Amazing redo #TAVR live case Brasil @MountSinaiHeart with DrSaminSharma @DoctorKini @KHERA_MD @DrAnoop_Koshy @LilyLeiZhang1 et al 26 S3 Ultra in 6yo 29 Evolut Pro w/ 4+ AR. No AR post trace PVL. @GuiAttizzaniMD @CathElectroSurg @mirvatalasnag @J_Sathananthan @igeorge1975 @djc795

The ballooning aspect of balloon-assisted LAMPOON in a calcified anterior mitral leaflet is one of the most visually rewarding scenarios.

@GilbertTangMD @KHERA_MD @VascMD @NimeshDesaiMD @igeorge1975 @TsuyoshiKaneko1 @GAilawadiMD @CathElectroSurg @mirvatalasnag @modine_thomas @OPreventzaMD @OuzounianMD @RodrigoBagur @barbanti_marco @lamelaspablo @KendraGrubb We use this technique routinely at Arizona Heart post tavr and works like a charm with no oozing. One tourniquet thru which all 4 perclose sutures are threaded into and cinched

Thoughts on this technique to get hemostasis #ProGlide closure? @KHERA_MD @VascMD @NimeshDesaiMD @igeorge1975 @TsuyoshiKaneko1 @GAilawadiMD @CathElectroSurg @mirvatalasnag @modine_thomas @OPreventzaMD @OuzounianMD @RodrigoBagur @barbanti_marco @lamelaspablo @KendraGrubb

The most comprehensive study on stent thrombosis bit.ly/3MMOyE8 @CMichaelGibson @GreggWStone @SVRaoMD @BifurcationClub @mirvatalasnag @pcronline @nielsrholm @BotPci @KambisMashayek1 @evandrofilhobr @AkramWIbrahim @jedicath @MusaSharkawiMD @agtruesdell @rotamonster

1/12. Corevalve PVL closure tweetorial #UABStructural case with @MustafaAhmedMD my co-fellow @HassanAlkhawam and Interventional imaging expert @GarimaAroraMD

Single access TAVI I saw on twitter: 5 F pig and Neo2 through 14F isleeve and pacing from wire. @ISeropianMD @HolgerNef @DrThomasHovasse @dmylotte @stepoco @AkramWIbrahim @AUBMC_Official

Cardiologists need to develop a standardized way to approach complex percutaneous coronary intervention (#PCI). This article by Quintana et al. focuses on the role of Intravascular ultrasound (#IVUS) in guiding complex PCI 👉 bit.ly/3zXGVoR #USCJournal @AkramWIbrahim

While holding pressure Xchange 035 to 014 thru low profile MC & #BAT a 5F guide @mirvatalasnag @Umair2017 @aayshacader @Pooh_Velagapudi @BaylorCardio @nyalborgesmd @AkramWIbrahim @aelsab @adnanalkhouli @BagaiJayant @DrJayMohan @SriPittaMD @KPujdak @sulimov_dmitry @jedicath

@fjsawaya @DrAmirKaki @AUBMC_Official @AbdallahRebeiz Great work @fjsawaya ! Proud of AuBMC

@DrAmirKaki @AUBMC_Official @AbdallahRebeiz Thanks Amir!

Despite the difficult times in Lebanon, the AUBMC structural team was able to finish the year on a high doing a record volume of structural cases and complex coronaries. Hoping to continue this trend in 2022- Happy New Year! @AUBMC_Official @AbdallahRebeiz

Cardiologists need to develop a standardized way to approach complex percutaneous coronary intervention (#PCI). This article by Quintana et al. focuses on the role of Intravascular ultrasound (#IVUS) in guiding complex PCI 👉 bit.ly/3eciWrI @AkramWIbrahim #USCJournal

#CathLabHack: #UlnarAccess occlusion, Now what? docwirenews.com/cardiology/pra… @SCAI @Amyers235 @RhianEDavies1 @PCRonline @Matter_of_Heart @CardioNerds @ACCinTouch @AGIKinterv @SukhNijjer @mmamas1973 @w_jyg @Obisht @piccoloraf @bcostelloMD @sabeedak1 @mirvatalasnag @AkramWIbrahim