While removing ballon from ostial LAD in thrombotic LAD occlusions, it’s a good practice to flush catheter with saline while removing balloon 👇: lest thrombus can migrate into cx causing hemodynamic collapse @sreekanthshetty@Obisht@mmamas1973@cardio73@cardio_gotya
Rota Day. Thanks to @BSCCardiology I was able to mentor a very talented group of early career IC colleagues on RA and IVUS that are otherwise not available in 🇧🇷 public health system. Mentoring fellows and early career colleagues is certainly one of my favorite activities 🙏💪🙌
@agtruesdell Perfect Alex. In fact I’ve created a mnemonic to facilitate communication between fellows and IC staff on call. Once we agree pt has an indication for CAG based on hx, physical exam and ecg they have to give the info below
86yo man, CKD stage V, cardiac arrest during hemodialysis, cardiogenic shock stage C. No MCS due to severe PAD. Ostial cx pre-dilated with Wolverine 3.5x15. Ivus guided TAP with very short neo carina, well expanded stent despite severe calcification
Very proud of my IC fellow @andre_theobald! His first totally independent ivus guided complex PCI (CTO Mg + DK Crush CX/Mg). Was able to watch the whole procedure from the control room🙌. There’s no better XRay protection than this😂😂@KPujdak@mmamas1973@esbrilakis@DLBHATTMD