Bruno Faillace

Challenging case. Thanks for your help, @leofcguimaraes .

Returning to Twitter with a very interesting case. ViV TAVR through left subclavian artery. Perclose at the end.

@Chintanpmd @SCAI @jedicath @rwyeh @NeilGheewalaMD @kalazizimd @ajaykirtane 88y. I would prefer percutaneos approach. Complex and High-risk Coronary Intervention (CHIP) in the Left Main with ventricular assistance and rotational aterectomy. Share with us your decision.

88 very functional, independent male admitted for typical anginal pain dx NSTEMI with trop of 0.8. Hx of MI in 80s never had angio but somehow got a biv ICD. Mean AV grad of 36 mmhg & PP 25/PIG5 2. What next? @SCAI @jedicath @rwyeh @NeilGheewalaMD @kalazizimd @ajaykirtane

@AdrianoT @AugustoDaige @crisguedesb @alfredoneto @evandrofilhobr @antoniofdfreire @tietamedeiros @valenteTC @jedicath @carlos__campos I confess that we did not expect this complexity. Ideas came up during the procedure. #RadialFirst #complexpci

OM with high take off. This shows another trick in which we use a heat gun to shape a MC. @AugustoDaige @crisguedesb @alfredoneto @evandrofilhobr @antoniofdfreire @tietamedeiros @valenteTC @jedicath @bruno_faillace @carlos__campos

@gdodo92 @stefano_garzon @pedronicz @tietamedeiros @caiodeamtavares @drwilsonjr @INC_CathLab @evandrofilhobr @AntoniousAttall @antoniofdfreire @mmamas1973 I agree with @phcraveiro and @pedronicz. ACS with multivessel disease deserves complete revascularization. Thanks for sharing.

We should abandon oculo-stenotic reflex and approach non culprits by physiology and control PCI with imaging. @stefano_garzon @pedronicz @tietamedeiros @caiodeamtavares @drwilsonjr @INC_CathLab @evandrofilhobr @AntoniousAttall @antoniofdfreire @mmamas1973

62yo male, ACS. #RadialFirst CAG w/moderate disease on RCA/PLA, Circ CTO w/ collaterals to 2nd OM and moderate to severe lesion on 1st OM and ulcerated lesion on LAD. Negative IFR on RCA and 1st OM and IVUS guided PCI on LAD (IFR pre 0.84 and post 1.00)

@DLBHATTMD @DLBHATTMD , was it an ecmo?

Innovative heart procedure saves local woman's life wcvb.com/article/innova…

@dimitri_zappi @ferdikiem @Tesslagra @DrMauricioCohen @ShariqShamimMD @willsuh76 Perfect !!

@bruno_faillace @ferdikiem @Tesslagra @DrMauricioCohen @ShariqShamimMD @willsuh76 Good point and it allows more autonomy in right-handed patients

Dear #cardiotwitter folks, if you have to perform CAG in a (right handed) patient who is a “lonely” caregiver of his wife that had a major stroke. How will you do it? @ferdikiem @Tesslagra @DrMauricioCohen @ShariqShamimMD @willsuh76

@ShariqShamimMD @EM_RESUS @smithECGBlog @ECGfan @Vadeboncoeur_Al @amalmattu @DanielPauly9 @Kabirjt @DrRyanPDaly @KoushikReddyMD @iamritu WPW syndrome. QRS oscillates during tachycardia. Delta wave after reversal.

Interesting 12 lead EKG at the time of palpitations which terminated on 12 lead!!! What’s the diagnosis?

@gdodo92 @DrPeterOKane @mmamas1973 @mbmcentegart @ShrillaB @ShaziaTHussain1 @cardioPCImom @CaraCarahendry @LCC_DrMalik @drandrewsharp @colmhanratty @AntoniousAttall @WomenAs1 @DrAsifQasim @Drroxmehran @SukhNijjer @SVRaoMD @sanjaysastry @stefano_garzon @evandrofilhobr @Fernand34179610 What was the stent length? 40cc? I know you can do better. 😄 👏🏻👏🏻👏🏻

@DrPeterOKane @mmamas1973 @bruno_faillace @mbmcentegart @ShrillaB @ShaziaTHussain1 @cardioPCImom @CaraCarahendry @LCC_DrMalik @drandrewsharp @colmhanratty @AntoniousAttall @WomenAs1 @DrAsifQasim @Drroxmehran @SukhNijjer @SVRaoMD @sanjaysastry @stefano_garzon @evandrofilhobr @Fernand34179610 40cc of dye. Full plaque coverage and adequate expansion. #imagefirst

Great talk about Ca2+ in pci by @mbmcentegart 🔹angio only picks up 40%Ca 🔹>180Ca decreases stent expansion 🔹if ca>0.5mm thick and >180 difficult yo fracture with 🎈 🔹Oct score preficts stent expansion @ShrillaB @ShaziaTHussain1 @cardioPCImom @CaraCarahendry @DrPeterOKane

@gdodo92 @DrPeterOKane @mmamas1973 @mbmcentegart @ShrillaB @ShaziaTHussain1 @cardioPCImom @CaraCarahendry @LCC_DrMalik @drandrewsharp @colmhanratty @AntoniousAttall @WomenAs1 @DrAsifQasim @Drroxmehran @SukhNijjer @SVRaoMD @sanjaysastry @stefano_garzon @evandrofilhobr @Fernand34179610 A multi modal evaluation. Congrats!

@DrPeterOKane @mmamas1973 @bruno_faillace @mbmcentegart @ShrillaB @ShaziaTHussain1 @cardioPCImom @CaraCarahendry @LCC_DrMalik @drandrewsharp @colmhanratty @AntoniousAttall @WomenAs1 @DrAsifQasim @Drroxmehran @SukhNijjer @SVRaoMD @sanjaysastry @stefano_garzon @evandrofilhobr @Fernand34179610 Long LAD Lesion. MLA 2.3 FFR 0.74. 100% image guided PCI

WAIT FOR IT... If this happens don’t panic. First get patient in slight trendelenburg for bubbles in case. Then CAREFULLY walk ruptured balloon into sheath. The biggest mistake folks make is deforming the delivery sheath which can make access a mess.

@gdodo92 @pedronicz @antoniofdfreire @stefano_garzon @drwilsonjr @evandrofilhobr @ilkinguliyevv @DrAmirKaki @Radial_ICG @INC_CathLab @AntoniousAttall @tietamedeiros @mmamas1973 @agtruesdell @AHKajita Perfect. #RadialFirst

Friends, how do you choose access site on CKD patients on Dyalisis ? @pedronicz @antoniofdfreire @stefano_garzon @drwilsonjr @evandrofilhobr @ilkinguliyevv @DrAmirKaki @Radial_ICG @INC_CathLab @AntoniousAttall @tietamedeiros @mmamas1973 @bruno_faillace @agtruesdell @AHKajita

Sapien 3 Valve Approved in Europe for Low-Risk Patients dlvr.it/RHmVGD

@adrianocaixeta @angioplastyorg ST elevation in AVR and ST depression in multiples derivations suggest lesion in The Left Main. Spasm? Dissection?

40 y/o with typical chest pain. What's the culprit lesion based on #EKG #cardiotwitter #Cardiology @angioplastyorg?

@gdodo92 @evandrofilhobr @drwilsonjr @stefano_garzon @INC_CathLab @LeonardoSeli @antoniofdfreire @AdnanSultanMD @DrAmirKaki Any reason not to do this PCI by radial approach?

"Do an femoral angiogram after the PCI Just for the Records" "Ok !" "WTF ?" "That explains the pulse reduction on the femoral site before puncture" @evandrofilhobr @drwilsonjr @stefano_garzon @INC_CathLab @LeonardoSeli @antoniofdfreire @AdnanSultanMD @DrAmirKaki

Elective PCI of a tortuous RCA. Intracoronary balloon assisted tracking. #RadialFirst #ComplexPCI

@BigMaqMD This happened to me in few cases. So I advanced the MC as far as I could. Then advanced the rotawire through the lesion carefully.

End of Acurate Neo TF Implanters Training course. Excellent experience. @msztejfman @evandrofilhobr @CleversonZukow1