mel sharafuddin

Urgent 3v PMEG rescue of symptomatic T1a EL in less than 3 hrs, including back-table time (less than anesthesia time). @FotehMazinMD @cfbechara @mattsmeds @GustavoOderich #VascTwitter #VascSurg #AortaEd @UIowa_Surgery

@monegenix I’m a vascular surgeon. AI and robots won’t be replacing what I and my colleagues can do in the foreseeable future. Not just the technical aspects, but the judgment than comes from years of evaluating and treating patients.

@rocknrollofall Agree

@BrendanCarneyDO @UIowa_IR @PennCardiology That case is 🔥. Great job. Usually, what happens is the wire gets stuck in the filter and this is what you will have to remove. It is unusual to dislodge the filter unless you’re pulling very hard or the cava is too large. Do you know what the cava diameter was?

@heatherlgornik I feel you pain. I still use end note.

I’m working on a book chapter. Using Endnote for the first time in about 8 years…surprised at very little advancement in tech or speed or ease of use. What ref managers do you all use? Any tips and tricks for Endnote to speed up/facilitate use ? #AcademicTwitter

@cfbechara @AruRobbie @farkomd @AWBeckMD @westleyohman Agree. We’ll see what the final cardiac workup including ischemic stress shows. I would favor open approach. Also can make PMEG or FenTreo work if not with low profile sheaths, then with a conduit.

@MelSharafuddin @AruRobbie @farkomd @AWBeckMD @westleyohman 🔪 looks like you can getaway with suprarenal clamp and aorta-bi-iliac. If endo, you might be able to come up with the pmeg device from right and a 14-16 sheath from left PSA’s for cannulation.

How would you manage this asymptomatic 6.6 cm juxtarenal AAA in a 60-year-old man presenting with appendicitis? Smoker, history of cryptogenic stroke, stable claudication, CHF (EF 40%). Pay close attention to anatomy! @farkomd @AWBeckMD @westleyohman #AortaEd

@westleyohman @farkomd @AWBeckMD lol, sorry. If you click on the images and it will display the entire length including distal 3D. Here are the centerline MPRs. Rt: PT/Pe to ankle, Lt: only AT-DP to foot.

@MelSharafuddin @farkomd @AWBeckMD Oh you… need the rest of the runoff. This is not the primary reason I always get a AIF for AAA, but it’s a distant second.

@NavyashGupta @farkomd @AWBeckMD @westleyohman Yessir, type 2a

@MelSharafuddin @farkomd @AWBeckMD @westleyohman Persistent sciatic arteries

@farkomd always sharp as a whistle, Dr Arko 👏

This CTA moves so fast. But you need to focus towards the back

@AruRobbie @farkomd @AWBeckMD @westleyohman Fair assessment. externals definitely look small. Here's why... Take a look at the full reconstruction. @cfbechara

@MelSharafuddin @farkomd @AWBeckMD @westleyohman Small externals / RRA challenges endo success. If negative stress, then open repair after 1 month of smoking cessation and prehab. RP approach with flattened hips - clamp above SMA, bevel proximal to include RRA (renal flush), reimplant LRA, and sew to R hypo with jump to EIA.

@DanHan @kmadass @farkomd @DGlaucomflecken @ChengaziMD @kevinmd @RealDoctorMike @_backtable @Atul_Gawande @EricTopol @LessneVIR @Watts_IR 😂

@kmadass @farkomd @DGlaucomflecken @ChengaziMD @kevinmd @RealDoctorMike @_backtable @Atul_Gawande @EricTopol @LessneVIR @Watts_IR Buy Bitcoin. 🤣

Knowing what you know now...What's the one thing you wish you could tell yourself on day one of medical school as you start your journey into medicine? @farkomd @DGlaucomflecken @ChengaziMD @kevinmd @RealDoctorMike @_backtable @Atul_Gawande @EricTopol @LessneVIR @Watts_IR @AmputationSuck @RKTvascular @JayMathewsMD @EricSecemskyMD @choo_ek @ReneLizola @t_intheleadcoat @bahetimd

@cfbechara @farkomd @AWBeckMD @westleyohman Lap appy done. Now what?

@MelSharafuddin @farkomd @AWBeckMD @westleyohman Let’s start with appendectomy first and worry about the rest later 😉

@SeminarVascSurg @SZettervallMD @CaitlinWHicks @UWVascsurg @ElsevierNews Congrats Sara👏👏

We are expanding! Introducing one of our new Editorial Board members for #SemVascSurg: @SZettervallMD. Welcome to the team! 👏 @CaitlinWHicks @UWVascsurg @ElsevierNews

@doclauravater @GavinPrestonMD How about conceiving, and conducting research.

Hidden hours that clinicians work: - Writing notes, charting, & answering EMR messages - Peer to peers w/ insurance - Coordinating care with specialists - Prepping for clinic - Home call - Writing student evals and LORs What did I miss?

@JHHVascular @AlexisLauria1 @CaitlinWHicks @WenKawaji Love it! Shape memory? impedes bouncing around

Treating some type 2 endoleak with the #DreamTeam 😎🙌🏼

@russsellcrow @FPWellman What, no eyeliner?

@FPWellman JD, fabulous in Greenland!

This is the best day ever. This is real and glorious.

@elonmusk Face it, he’s a better jumper than you Elon 😍

That’s a happy picture 🥰

@cfbechara @RushMedical So proud of you Carlos. Congratulations. Sky is the limit.

As of today, I am the James A. Hunter Endowed chair in Surgery @RushMedical. Growing up in Lebanon during the war, I wasn’t sure what the future will hold for me. I am very thankful for God, my parents and my family for believing in me.

@PYNKIE3 Write a song about it !

Pic I took of the moon rolling down a hill yesterday 🌕 👀