Raïd Faraj

We like to find what we believe. My #cathlab highlights from #CAD 2024 European GL: #radialfirst Class 1A: the end of ‘femoralists”! #FFR Class 1A in intermediate lesions: the end of 1 angio=1 stent! #IVUS/#OCT Class 1A for complex #PCI : the end of ‘I don’t need imaging’ guys!

Grateful for the chance to present my research at ESC Congress 2024 in London. I learned so much from the incredible sessions and discussions with fellow experts. @escardio #ESCCongress2024 #ESCCongress

@DrRajeshG1 This is a common scenario in our practice. To facilitate wire passage, having the patient take a deep breath and pulling down the arm can be very effective. Otherwise, we consider changing the access route.

For fellows. During CAG my fellow told me that right subclavian seems totally occluded as no wire is passing. What is your comment

@drahmedmohsen85 @DrRajeshG1 @DrJayMohan @The_echo_lady @Abdul_alkindy @Ivan_Echocardio @ASE360 @echotalk That’s what i tought. Thank you for your answer dear friend !

@farajraid95 @DrRajeshG1 @DrJayMohan @The_echo_lady @Abdul_alkindy @Ivan_Echocardio @ASE360 @echotalk I think aortic root abscess On top of bicuspid aortic valve

47 YO, admitted for febrile convulsions. Cerebral MRI: Cerebellar infarction with occipital hematoma. ECG: Anterior necrosis sequelae with high troponin levels.@DrRajeshG1 @DrJayMohan @The_echo_lady @Abdul_alkindy @drahmedmohsen85 @Ivan_Echocardio @ASE360 @echotalk

@DrRajeshG1 @DrJayMohan @The_echo_lady @Abdul_alkindy @drahmedmohsen85 @Ivan_Echocardio @ASE360 @echotalk Still alive. He will undergo surgery. Thank you for your response.

@farajraid95 @DrJayMohan @The_echo_lady @Abdul_alkindy @drahmedmohsen85 @Ivan_Echocardio @ASE360 @echotalk Did the patient survive for surgery?

Can someone tell me where this branch of the right coronary artery is heading? (RAO view) 👀 #CardioTwitter @drahmedmohsen85 @Saar_Minha @mmamas1973 @BotPci @mirvatalasnag @Abdul_alkindy @sbrugaletta @DrRajeshG1 @KardiologieHH @DrJayMohan @Mesmoba @WalidBenBrahi16

#ImageOfTheWeek by Raid Faraj, Nouhaila Lahmouch and Jamila Zarzur, from the Cardiology B department, Ibn Sina university hospital, Mohammed V university, Rabat, Morocco, sent this question: A 26-year-old male, with a history of anabolic steroid use, presents with chest pain. What anomaly is identified on coronary angiography? bit.ly/3UJQfsS #cardioed #ESCYoung #cardiology

A patient with dyspnea. Spectral Doppler recording thru LVOT. What are the abnormalities? Difficult but solvable

Tough #PeripheralCTO? But No #CTOcrossingDevice? No problem Try 1 of these 20 peripheral #CTOcrossingTechniques with basic tools & Join us at #FYA2024 in London, UK on Jan 26-28 2024 where IR/VS/IC collaboration is thriving fya-congress.com researchgate.net/publication/37… @FadiSaab17 @mirvatalasnag @DLBHATTMD @NickMouawadMD @monteromiguel @DougDrachmanMD @jaygirimd @kerrigjl @EmileMehanna @rahilraf @PK_MountSinai @khellox @_backtable @Murmur_MD @SCAI @MichaelMegalyMD @esbrilakis @RinfretStephane @VladLakhter @RiyazBashir @t_intheleadcoat @KardiologieHH @BagaiJayant @andresvargasECU @Angiologist @shishem @JunLiMD @lindsey_cilia @DrBillLombardi @KateKearney4 @duanepinto @ChetRihal @DrDarshanDoshi @sahilparikhmd @DrCardiV @kush_r_desai @adnanalkhouli @nicolas_shammas @AWBeckMD @farkomd @dandu_n @bahetimd @kmadass @monteleoneMD @DrAsifQasim @limbsalvagedr @ATYounesMD @heartdoc45 @hjcox_pvd @monteromiguel

@FBardooli @jedicath IMHO, Culotte may not be the ideal choice for wide-angle bifurcations for which ⬆️ stent distortion to accommodate the SB (LCx) is required. ⬆️ distortion can result in stent under expansion, malapposition, and eventually ISR. @Ryvetsprog @EuroInterventio 2022;18:e273-e291

Trying to stent SCAD…

Complex Coronary Artery Fistula in a Young Adult: Not Seeing the Wood for the Trees researchgate.net/publication/37…

@LKoliastasis Nice result 👌🏻👏🏻

Megatron is so satisfying too watch 🤌🦾

@JoySanyal74 @mandeep_mayo @DrRajeshG1 @echotalk @Ahmed43101178 Yes, maybe. Thank you 🙏🏻

@farajraid95 @mandeep_mayo @DrRajeshG1 @echotalk @Ahmed43101178 May be HCM

A 31 YO 👩🏻, AHF. ECG: LVH/RVH/LAH. TTE: rheumatic MS + biventricular hypertrophy. Moderate TR, sPAP=123 mmHg. Any idea how to explain her biventricular hypertrophy (No HTN, No significant AR)? 🤔 @mandeep_mayo @DrRajeshG1 @echotalk @Ahmed43101178 #echofirst #CardioTwitter

@DrRajeshG1 @mandeep_mayo @echotalk @Ahmed43101178 That's what we thought. We will proceed with a cardiac MRI. I still have some questions: - How can we have such an elevated mitral gradient even if the LA is huge + diastolic dysfunction due to LVH?- How can the RV function be good even if the sPAP is extremely high? Thank you 🙏🏻

@farajraid95 @mandeep_mayo @echotalk @Ahmed43101178 If no AS/HTN, think about rare situation of 2 in 1 like coexisting HCM. There is no rule that rheumatic fever should not affect someone with HCM.

@mandeep_mayo @DrRajeshG1 @echotalk @Ahmed43101178 We've confirmed that there is no hypertension. It might be the coexistence of RHD and HCM. We will proceed with a cardiac MRI. Thank you for your answer 🙏🏻

@farajraid95 @DrRajeshG1 @echotalk @Ahmed43101178 I can’t explain LVH with RHD. May have to bring in another etiology to explain it. Will scan renal arteries and do urine metanephrines. Look for secondary causes of hypertension.

@ManiSD93 @mandeep_mayo @DrRajeshG1 @echotalk @Ahmed43101178 There is no HTN. The blood pressure of our patient is 90/65mmhg

@farajraid95 @mandeep_mayo @DrRajeshG1 @echotalk @Ahmed43101178 Could RV hyper trophy be explained by MS and subsequent pulmonary HtN and then the LV hypertrophy due to eg HTN? Or is this just HCM with biventricular involvement? Really interesting case!

@BhaskarArora_MD @Ivan_Echocardio @Ahmed43101178 @mirvatalasnag @Abdul_alkindy @EACVIPresident @WalidBenBrahi16 @reda_lahjouji @Mesmoba