Misael Medina MD
2.5K posts

Misael Medina MD
@misamed
Interventional and Structural Cardiologist 🇲🇽
Guadalajara, Jalisco Присоединился Kasım 2009
568 Подписки760 Подписчики

Challenging case of LAAC with a 27 mm #WatchmanFlx device.
22.5 mm of maximal Landing zone but just 15-16 mm of coaxial depth thus 27 mm device was Choose instead of the 31 mm device.
Several implants until completa coverage of the proximal lobe and no PDL was observed by Echo
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Sometimes Transeptal puncture can be difficult if u dont have the Radiofrecuency dedicated Needle
Here some TIPS
- Avoid Pushing
- use the stylet or the back of a 0.014” coronary guide wire to pinch septum
- use a conventional Elctrosurgical pencil
#transeptalpuncture
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@misamed @SOCiME_ @solaci_online @smexcardiologia @AncisssteMx Look like thick part of septum ? Is it really true FO in angio ?
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@misamed @SOCiME_ @solaci_online @smexcardiologia @AncisssteMx Can use cautery at back end of needle also. Helps in difficult trans septal punctures like these
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@hellojoni @SOCiME_ @solaci_online @smexcardiologia @AncisssteMx this was Echo guided infero-posterior puncture for LAAC so true FOP was puncture, we didnt expect this difficulty but it appears FOP was very fibrous. LAAC was done without complications. Patients was discharged 24 hrs latter.
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Misael Medina MD ретвитнул

Need to treat paravalvular leak? Our comprehensive review is now out in @CircIntv 💣
Huge thanks to @freixa_xavier for mentorship and to @ejfu0209 and all co-authors for their collaboration!
ahajournals.org/doi/10.1161/CI…

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@ATTVIP_MX quisiera reportar un #Fraude en una de sus tiendas en Av. Chapultepec sur 560, Guadalajara, Jalisco ya que no veo ningun email o telefono para atencion
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Misael Medina MD ретвитнул

very good state of the art to understand role and hot to apply DCB in bifurcation @BifurcationClub @EuroInterventio @PCRonline @TCTMD @AmBifClub
EuroIntervention@EuroInterventio
-Drug-coated balloons for coronary bifurcation lesions -@FezziSimone et al. explore the role of #DCB as a stent-sparing strategy in bifurcation #PCI, highlighting procedural optimisation, hybrid approaches, and future research needs. eurointervention.pcronline.com/article/drug-c… @Dr_TRissanen @Mattialunardi @BernardCortese @FlavioRibichini @MdScarsini
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Misael Medina MD ретвитнул

AMAC: Anchor the Mother to Advance the Child –
A technique for complex PCI faced with a tough RCA CTO and multiple failed attempts, the AMAC technique changed the game. Anchoring the system gave the support needed to cross and treat the lesion—no stent, no compromise. A smart move in complex PCI.
@KambisMashayek1
shorturl.at/jqFt0
#CTO #PCI #AMACtechnique #InterventionalCardiology #CathLabLife #StentFreePCI #InnovationInCardiology

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Misael Medina MD ретвитнул

Understand the best practices for BP measurement for #hypertension patients with this infographic. 👇 Access the infographic, patient case quizzes & more 🆓 education w/ ACC's online course: bit.ly/4dUOal5
#ACCEd #WorldHypertensionDay #HighBloodPressureMonth #cvPrev

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Multi Modality #Watchmanflx
AngioCT for Planning
TEE + ICE + Fluoro for guidance
Perfect result @BSCCardiology @BostonSciLatam @PCRonline @SCAI @TCTMD @SOCiME_ @solaci_online @smexcardiologia
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Misael Medina MD ретвитнул

The LANDMARK trial demonstrated that the Myval transcatheter heart valve (THV) series is non-inferior to both the SAPIEN and Evolut THV series in terms of safety and effectiveness at 30 days. #EAPCI
@NielsRoyen
Read more: ow.ly/Obqv50UK47x

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@cardioelihu @elihu_duran @CiticMexico @solaci_online @LamCTo @latambifclub @ESC_Journals @cadecigdl Excelente video amigo💪🏻
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Micro-Catheter distal perfusion technique
@Elihu_Duran
youtu.be/j9_ZiY4JboY?si…
Manejo de complicaciones
@CiticMexico @solaci_online @LAMCTO @latambifclub @ESC_Journals @HemoMacGregor @cadecigdl

YouTube
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Pts w/ aortic annulus dimensions >30mm are generally considered unsuitable for #TAVI due to the unavailability of large-size devices. Here's the first successful implantation of a 35mm transcatheter balloon-expandable valve for severe calcific bicuspid aortic valve stenosis bit.ly/3y0wNi7 #JACCINT
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