Alberto Hendler MD FESC

@SVRaoMD Fantastic!!!!

Very impressive case!

@InvasiveCardiol @DLBHATTMD The outcome??

February Clinical Image: Ascending #AorticRupture Incidentally Revealed at the Cath Lab: Surprising, Rare, and Life-Threatening ➡️ okt.to/h0WnZb @DLBHATTMD #cardioTwitter #cardiology #interventionalcardiology

@Hragy @IMCLIVEcongress wait and watch

A contained septal hematoma, where do you think it is draining? A cavity? Would you coil? Leave? Echo and wait? @IMCLIVEcongress #IMCCongress2024

@evandrofilhobr leave

Maybe an “epimyocardial” channel. No need to touch this. Great case.

@mirvatalasnag CONGRATS!!! REALLY!!!

Thank you Mr President It takes a bold leader to embrace change & innovation #SACIS_Is_You

@SVRaoMD GREAT!!!!

Trying to get challenging femoral access without ultrasound…

@AlfredoERodrig2 @gbiondizoccai Richard Myler is at the second line, the second from the right. He was my mentor a well

@gbiondizoccai The picture is not clear enough However, could be the 1st Andreas Gruntzig PTCA course in Zurich and Richard K. Myler, my mentor and a pioneer of PTCA in USA, was one of the attendees

A must-reply question for any would-be invasive cardiologist: which course are attending these people, and who are them?

@DrRajeshG1 @SyedYNaqvi1 non compaction, fistula ??

Cause for monomorphic VT?

@adrianocaixeta thanks for share!!

SCAD and healing documented by OCT (1/2) An otherwise healthy 57-year-old female patient with no risk factors for coronary artery disease presented to the ER with acute chest pain. The patient had been taking appetite suppressant (dimethylamylamine, Oxyelite Pro) for the last 7 days. Coronary angiography revealed extensive and abrupt lumen narrowing in the obtuse marginal. Optical coherence tomography (OCT) showed an intramural hematoma that was 20mm long, with a 10mm length of near-circumferential dissection (double lumen) with no evidence of atherosclerosis. The patient was discharged after medical management with aspirin, clopidogrel, low-molecular weight heparin. Six months later a new coronary angiography and OCT were performed revealing a complete spontaneous resolution of the dissection. Figs from our paper pubmed.ncbi.nlm.nih.gov/27383563/ @SCADalliance @iSCADregistry #CardioOCT #ScaliburRegistry @hect2701 @mmamas1973 @CMichaelGibson

@Steph_Achenbach @thiele_holger @HolgerNef @Drroxmehran @beatscaduk @escardio could you present the technical details of the PPCI?

Some might argue but IMHO this is Takotsubo caused by ACS caused by spontaneous coronary artery dissection (SCAD) in a 71 yo female. LAD occlusion too distal to cause wall motion abnormality seen here. #CardioTwitter @thiele_holger @HolgerNef @Drroxmehran @beatscaduk @escardio

@ANazmiCalik @PCRonline @sbrugaletta @mirvatalasnag @gabor_gt @guilbon @KardiologieHH @aayshacader @mmamas1973 @GreggWStone @kiadeb87 @ABeneduceMD @DrMarthaGulati @Sticchi_Alex A and D

👩🏻‍🦱 45 yo, pw/ #NSTEMI ⬆️ hsTrop I = 0.792 ng/mL 🚫 No atherosclerotic risk factors ↔️ Stable hemodynamic status 🔍 Invasive CAG👇 What is next? A. PCI B. This is #SCAD 👉 Conservative C. CABG D. I need IC imaging @PCRonline @sbrugaletta @mirvatalasnag

@angna_86 @luciotpadilla @LCathlab @mornei2011 @BotCardiology @EkgHacks @smithECGBlog @IC_SIAC @EM_RESUS @PCRonline @SOCiME_ @marioalrb84_a cath lab

🧔49y. No diseases. Start with CP 3hrs ago. ER AP 218/115mmHg. Dyspnoea. ACS? OMI? NOMI? Cathlab? what do you think? @LCathlab 🇲🇽 #Cardiology #EKG #MedTwitter #CardioTwitter @mornei2011 @BotCardiology @EkgHacks @smithECGBlog @IC_SIAC @EM_RESUS @PCRonline @SOCiME_ @marioalrb84_a

Amazing, TK for share

If you never saw a #SAM #HCM

@arun_kahlon The angle is favorable for PCI. The LCX is free of disease (angiographycally), so PCI from LM to LAD crossing over LCX.

Male in early 20’s. Would you CABG or PCI. If PCI, would you try to “nail the ostia” or go into LM?

@AsherElad @PCRonline @sbrugaletta @Ortega_Paz @aayshacader @ANazmiCalik @Guilbom @hect2701 @NicolaRyanI1 @DrPascalMeier @w_jyg @ICigalini Sometimes the less is more Thanks for sharing!!!

Before and after. Sometimes the simplest PCI can make you feel great 💪 @PCRonline @Sbrugaletta @Ortega_Paz @aayshacader @Anazmicalik @guilbom @hect2701 @NicolaRyanI1 @DrPascalMeier @W_jyg @ICigalini

@Iqbal48 @mirvatalasnag @njohncamm @mmamas1973 @imi_haf @ShariqShamimMD @aayshacader Bifurcation??

What is going on here? @mirvatalasnag @njohncamm @mmamas1973 @imi_haf @ShariqShamimMD @aayshacader @ gary mintz.

@CerrahpasaC @TKDsosyal @PCRonline @mirvatalasnag @ANazmiCalik @KardiologieHH @mmamas1973 @djc795 Angiographycally seems SCAD

An unfair penalty for a couple of 🍺, 27 years old male, no sign of atherosclerosis and no risk factors @TKDsosyal @PCRonline @mirvatalasnag @ANazmiCalik @KardiologieHH @mmamas1973 @djc795 @

@angioplastyorg @DrAnkushG PCI

This case has generated many comments w/suggestions from cutting balloons & short stents to IVUS even to CABG! Eagerly awaiting the denouement and post-procedural shots (w/appropriate musical accompaniment) from @DrAnkushG!

@luciotpadilla PCI to ostial LCX with very mild protussion and PCI to RAMUS

👨🏻‍⚕️56 male NO DBT Anterior ischemia Refuse surgery Which is your approach? #Cardiotwitter #MedTwitter #cardiology #hemodinamia #cardiologia