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Craig Basman, MD, FACC, FSCAI

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@CraigBasman

Associate Director, Structural and Congenital Heart Disease, Hackensack University Medical Center
New York, USA Joined March 2016
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Craig Basman, MD, FACC, FSCAI Verified account @CraigBasman
On my way to @crfheart for @TCTConference and I'm excited to see numerous cases from @JACCJournals and#JACCcasereports with @GilbertTangMD

In this edition we highlight two different techniques for managing excessively protruding aorto-ostial stent.

RASE technique @RaghavG_MD @evandrofilhobr @agtruesdell @lindsey_cilia (Image below- to essential fracture the stent, wire through ostial port and then create a rail from fracture site to ostium to 'yank' it out) and EXPOSE technique @AbdullahAlabcha @claireraph @adnanalkhouli @rajivxgulati @MayoClinicCV @MayoCVFellows (snaring ostial and then removing).

Both techniques come with risk... so benefits/risks remain in question.. removal of stent percutaneously can obviously injure the vessel.

Previously, we published "kissing balloon inflation" to manage protruding ostial stent with TAVR and reduce risk of stent injury and/or balloon rupture. pmc.ncbi.nlm.nih.gov/articles/PMC10…

Perhaps one of these techniques would be a better option (RASE technique was extraction followed by balloon-expandable TAVR)...
Dr. Gilbert Tang Verified account @GilbertTangMD Oct 29
Welcome to our OCTOBER 28 issue of #JACCCaseReports @JACCJournals
jacc.org/journal/case-r….

Full PDF here:
jacc.org/doi/10.1016/S2…

@minnowalsh
@hmkyale

Coronary Peripheral and Structural Interventions:
Extraction of Protruding Ostial Stents to Enable Percutaneous Coronary Interventions: The EXPOSE Technique
jacc.org/doi/10.1016/j.…

The RASE Technique for Extraction of a Protruding Aorto-Ostial Coronary Stent
jacc.org/doi/10.1016/j.…

Aorto-Ostial Stenting: Dealing With the Illusion of Precision
jacc.org/doi/10.1016/j.…

Anomalous Retro-Aortic Left Circumflex Artery Identified During Transcatheter Patent Foramen Ovale Closure: Procedural Implications
jacc.org/doi/10.1016/j.…

Look Before You Leap?: Coronary Assessment Before PFO and ASD Device Closure
jacc.org/doi/10.1016/j.…

Inoperable Retroatrial Hematoma Causing Shock After PCI: A Life-Saving Epicardial Bailout
jacc.org/doi/10.1016/j.…

Percutaneous Thrombectomy of a Thrombus in Transit Through a Patent Foramen Ovale: A Novel Approach
jacc.org/doi/10.1016/j.…

Improvement in Recurrent Ascites From Multilevel Venous Obstruction With Transcatheter Caval and Iliac Vein Recanalization
jacc.org/doi/10.1016/j.…

IVUS-Guided Exclusion of Right Coronary Artery Aneurysm in Multivessel Coronary Artery Disease Using Hybrid Stenting
jacc.org/doi/10.1016/j.…

Multivessel Spontaneous Coronary Artery Dissection in Non-ST-Segment Elevation Myocardial Infarction: Compassion Instead of Stenting
jacc.org/doi/10.1016/j.…

Caseous Peripheral Medial Arterial Calcification With Inflammation and Luminal Occlusion
jacc.org/doi/10.1016/j.…

Successful Mechanical Thrombectomy Using a Stent-Retriever Device for STEMI of the Left Main Coronary Artery
jacc.org/doi/10.1016/j.…

Acute Coronary Syndrome After High-Voltage Electrocution: A Shocking Diagnosis
jacc.org/doi/10.1016/j.…

Seventy Seconds of Asystole: Delayed Atrioventricular Block Post-TAVR From His-Bundle Injury and Phase 4 Block
jacc.org/doi/10.1016/j.…

Renal Denervation for Uncontrolled Hypertension in a Patient With Mast Cell Activation Syndrome
jacc.org/doi/10.1016/j.…

A2VF Technique: Venous-Puncture–Free Foot Arteriovenous Fistula Creation in Chronic Limb-Threatening Ischemia
jacc.org/doi/10.1016/j.…

Superficial Femoral Artery Stent Fracture With Pseudoaneurysm Evaluated by Angioscopy
jacc.org/doi/10.1016/j.…

Transjugular Patent Foramen Ovale Closure in the Setting of Inferior Vena Cava Interruption
jacc.org/doi/10.1016/j.…

Rhythm Disorders and Electrophysiology:
Acute Postcardioversion Left Atrial Appendage Stasis During Left Atrial Appendage Closure Procedures
jacc.org/doi/10.1016/j.…

Should We Pay More Attention to Left Atrial Appendage Physiology During Rhythm Restoration?
jacc.org/doi/10.1016/j.…

Immediate Cardioversion During Left Atrial Appendage Occlusion in Three Patients With Left Atrial Appendage Thrombus
jacc.org/doi/10.1016/j.…

Malignant Arrhythmias Caused by Pericardial Lipomas: Benign, Yet Deadly
jacc.org/doi/10.1016/j.…

Fluoroless PVC Ablation Via the Internal Jugular Vein in Interrupted Inferior Vena Cava
jacc.org/doi/10.1016/j.…

Choosing the Best Route: Arrhythmia Transcatheter Ablation in Patients With Interruption of Inferior Vena Cava
jacc.org/doi/10.1016/j.…

Recurrent Torsades de Pointes Precipitated by Berberine Supplement
jacc.org/doi/10.1016/j.…

Subacute Apical RV Lead Microperforation in CRT Implantation: An Electrical Diagnosis
jacc.org/doi/10.1016/j.…

Utility of Small Dose Pilsicainide in Suppressing Atrial Fibrillation and Inducing a Target Slow-Fast AVNRT
jacc.org/doi/10.1016/j.…

Bradycardia-Dependent Loss of Atrial Capture After Single-Chamber Leadless Atrial Pacemaker Implantation
jacc.org/doi/10.1016/j.…

Hemophagocytic Lymphohistiocytosis Complicated With Reversible Cardiomyopathy and Severe Sinus Node Dysfunction
jacc.org/doi/10.1016/j.…

V-on-A Tachycardia Misclassified as Ventricular Tachycardia by Atrial Blanking: A 4-Question Electrogram Approach
jacc.org/doi/10.1016/j.…

Retrieving Dislodged Leadless Pacemaker With Percutaneous Coronary Angioplasty Balloon-Assisted Snaring: A Novel Technique
jacc.org/doi/10.1016/j.…

Contrast-Free Dual-Chamber Leadless Pacemaker Implantation Using Intracardiac Echocardiography and 3-Dimensional Electroanatomical Mapping
jacc.org/doi/10.1016/j.…

No Leads, No Dye, No Problem?
jacc.org/doi/10.1016/j.…

Loss of Biventricular Capture After CRT-D Implantation: Device Malfunction or Something Else?
jacc.org/doi/10.1016/j.…

A Curious Change in QRS Width: Timing Is Everything
jacc.org/doi/10.1016/j.…

Heart Failure and Cardiomyopathies:
Chagas Cardiomyopathy: New-Onset Biventricular Failure and Refractory Ventricular Arrhythmias
jacc.org/doi/10.1016/j.…

Septal Myocarditis Mimicking Proximal Left Anterior Descending Artery Occlusion
jacc.org/doi/10.1016/j.…

Depressed LV Contractility as a Sentinel of Fulminant Systemic Scleroderma
jacc.org/doi/10.1016/j.…

Fall of the Titans: Anabolic-Androgenic Steroid Use in a Patient With a TTN Truncating Variant
jacc.org/doi/10.1016/j.…

Microaxial Flow Pump and Ivabradine for Tachycardia-Induced Cardiogenic Shock Caused by Automatic Atrial Tachycardia
jacc.org/doi/10.1016/j.…

Critical Care Cardiology: Key Tenets of Clinical Management
jacc.org/doi/10.1016/j.…

Improving Iron Deficiency Screening in Veterans With Heart Failure
jacc.org/doi/10.1016/j.…

Congenital Heart Disease:
Transcatheter Superior SVASD With PAPVR Repair Using Custom 8-cm Covered Stent and Superior Locking Technique
jacc.org/doi/10.1016/j.…

Left Bundle Branch Area Pacing in Repaired Tetralogy of Fallot Evaluated by Advanced Echo Parameters
jacc.org/doi/10.1016/j.…

Staged Biventricular Conversion in an Older Adolescent Patient With a Hypoplastic Left Ventricle
jacc.org/doi/10.1016/j.…

Left Ventricle Hypoplasia in an Adolescent Patient
jacc.org/doi/10.1016/j.…

Adolescent Survival in Thoracoabdominal Ectopia Cordis With Complex Single Ventricle Physiology and Complete Atrioventricular Block
jacc.org/doi/10.1016/j.…

@NAkhterMD
@aroniskn
@CraigBasman
@JACabreraCardio
@MiChen__
@aabha_divya
@MarcEngels7
@sarano_maurice
@Miho_Fukui_
@CardioOncCO
@MMarinCuartas
@Nishaki1
@ChrissyMD2000
@ACHDocTMoe
@PanjrathG
@jsaef1
@Kentso987
@TagliariPaula
@m_taramasso
@SyedZaidMD
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Craig Basman, MD, FACC, FSCAI Verified account @CraigBasman
New edition of @JACCJournals #JACCcasereports -- one of the papers I reviewed from @UCCardsFellows @UofC @jbspadoni on percutaneous removal of fibroelastoma (a great 'How we did it'... TEE guided, snare assisted angiovac of the PFE).

@vandanMD , myself and @ryankaple editorial link below
Summary:
1.) CEPD mandated (for now, we have to assume embolization rate >1%.. we don't have any large case-series)
2.) Risk of fibroelastoma causing CVA vs procedure carefully weighed
3.) If you are going to do it-> institution should be comfortable with left sided angiovac procedures and electrosurgery

jacc.org/doi/10.1016/j.…
Dr. Gilbert Tang Verified account @GilbertTangMD Oct 22
Endoarch Repair of Ruptured Extra-Anatomic Ascending to Descending Bypass Graft in Hypoplastic Arch With Coarctation
jacc.org/doi/10.1016/j.…

TEVAR as a Lifesaving Strategy in Infected Complex Aortic Graft Rupture
jacc.org/doi/10.1016/j.…

Novel Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm in Repaired Tetralogy of Fallot
jacc.org/doi/10.1016/j.…

Unexpected Postoperative Remodeling of a Retroesophageal Descending Aorta After Neonatal Arch Reconstruction
jacc.org/doi/10.1016/j.…

Transcatheter Sinus Venosus ASD Closure in Severe Pulmonary Hypertension
jacc.org/doi/10.1016/j.…

Myocardial Calcification After Severe Sepsis: 3-Patient Case Series, Multimodality Imaging, and Review of the Literature
jacc.org/doi/10.1016/j.…

Elongated Channels Between Surgically Excluded LAA and LA: Detected by CTA but Missed by TEE
jacc.org/doi/10.1016/j.…

Residual Communications After Surgical Left Atrial Appendage Closure: Complementary Roles of TEE and CCTA
jacc.org/doi/10.1016/j.…

Acute Myocarditis Presenting as Neck Pain With Severe Systemic Inflammation
jacc.org/doi/10.1016/j.…

Psychosocial Stress–Induced Takotsubo Syndrome in a Male Patient: Breaking the Stereotype
jacc.org/doi/10.1016/j.…

Left Atrial Mass After Patent Foramen Ovale Closure
jacc.org/doi/10.1016/j.…

Ischemic Stroke as the Presenting Feature of Anterior STEMI Complicated by LV Thrombus and Pseudoaneurysm
jacc.org/doi/10.1016/j.…

The Cascading Hazard of Delayed-Presentation STEMI Unmasked by a Stroke
jacc.org/doi/10.1016/j.…

Sudden Cardiac Death in the Late-Phase Kawasaki Disease: Fatal Coronary Stenosis Without Aneurysms at Autopsy
jacc.org/doi/10.1016/j.…

Late Failure of Decellularized Cryopreserved Aortic Homograft
jacc.org/doi/10.1016/j.…

Looking Beyond Durability: Lessons From Very Late Failure of a Decellularized Aortic Homograft
jacc.org/doi/10.1016/j.…

Subclavian VA-ECMO–Supported TAVR and Rotational Atherectomy in Cardiogenic Shock
jacc.org/doi/10.1016/j.…

Unmasking Latent Left Ventricular Outflow Tract Obstruction in Hypertrophic
Cardiomyopathy: Invasive and Noninvasive Assessment
jacc.org/doi/10.1016/j.…

Catheter-Based Ventricular Assist Device–Induced Severe Hyperthermia
jacc.org/doi/10.1016/j.…

Author’s Handles:
@torres_valj
@carlosdiaz013
@CarlosVergaraMD
@zeyadmedhat5
@SephienMD
@RamiKahwash
@JSlivnickMD
@SarswatNitasha
@Ayesha12
@LitwinSheldon
@gkfram
@arturogiacaman
@karimnomatch
@EZancanaroMD
@mkvidula
@Ahmedgonnah1
@jbspadoni
@KhalilIbrahimMD
@HemaKrishnaMD
@JoshuaA_MD
@craigbasman
@vandanMD
@slakemokrytzki
@mardigomberg
@Harshi_md
@AjmalShahaban
@DrManjunathBV
@MarounCh3
@ssakai83968203
@shivkumarmd
@aronismd
@christianpaez_
@efredman
@juanfm_MD
@bapat_savrtavr
@dorasachi
@DLBhattMD
@Sarah_Noorani
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Craig Basman, MD, FACC, FSCAI Verified account @CraigBasman
Fantastic issue @JACCJournals #JACCcasereports with a bit of everything from around the world.
One of the best cases I reviewed came out of Guangzhou, China..
Delayed perforation of anterior leaflet in a patient with prior m-TEER for FMR..
With clip in place, they crossed and plugged. (We have done this and rapid paced to make easier for straight glidewire to cross).
Dr. Gilbert Tang Verified account @GilbertTangMD Oct 15
Welcome to our OCTOBER 16 issue of #JACCCaseReports @JACCJournals on simultaneous publications from the 37th #GreatWall #GW-ICC/AHS2026
jacc.org/journal/case-r….
jacc.org/events/confere…

Thank you @Kentso987 and @MiChen__ on representing the Journal moderating our session at the meeting!

@minnowalsh
@hmkyale

An Adrenal Adenoma as the Culprit Behind 30 Years of Recurrent Syncope
jacc.org/doi/10.1016/j.…

Progressive Dilated Cardiomyopathy in a 24-Year-Old Male: A Rare Manifestation of Propionic Acidemia
jacc.org/doi/10.1016/j.…

Exercise-Induced Ventricular Arrhythmia: Initial Presentation of Occult Barlow Syndrome Unmasked by Stress Testing
jacc.org/doi/10.1016/j.…

A Fish Bone Penetrating the Oesophagus Into the Left Atrium
jacc.org/doi/10.1016/j.…

Optical Coherence Tomography–Guided Calcium Modification for a Complex Calcified Nodule With Circumferential Calcium: From Debulking to Fracturing
jacc.org/doi/10.1016/j.…

Intraoperative ST-Segment Elevation Myocardial Infarction Complicating Ruptured Abdominal Aortic Aneurysm Repair
jacc.org/doi/10.1016/j.…

Pregnancy-Related Right Atrial Appendage Tachycardia Requiring ECMO and Hybrid Ablation
jacc.org/doi/10.1016/j.…

Low-Frequency Whole-Body Vibration and Isometric Exercise in Cardiac Rehabilitation: Improved Capacity and Triglyceride-Glucose Index
jacc.org/doi/10.1016/j.…

Perioperative B-Cell–Targeted Therapy for High-Risk Valve Surgery in Active Primary Sjögren's Disease
jacc.org/doi/10.1016/j.…
Recurrent In-Stent Restenosis and Accelerated Neoatherosclerosis in a Middle-Aged Female With High Inflammatory Burden

jacc.org/doi/10.1016/j.…
First-in-Human Axillary Vein Implantation of a Leadless Pacemaker: Breaking the Access Barrier

jacc.org/doi/10.1016/j.…
Ablation in Dextrocardia With Interrupted Inferior Vena Cava and Azygos Continuation to Coronary Sinus

jacc.org/doi/10.1016/j.…
Vascular Plug Closure of Delayed Leaflet Perforation Post-TEER in Patient With Multiple Implantable Devices

jacc.org/doi/10.1016/j.…
Tachycardia Initiation by Dual-Mode PVC on Ambulatory ECG: Pattern Discovery and Invasive Electrophysiological Characteristics

jacc.org/doi/10.1016/j.…
Novel SCN5A Variant in a Patient With Dilated Cardiomyopathy Complicated by Conduction Disorders and Recurrent Ventricular Arrhythmias

jacc.org/doi/10.1016/j.…
Laparoscopic Renal Denervation and Perirenal Adipose Tissue Debulking for Refractory Hypertension in End-Stage Renal Disease

jacc.org/doi/10.1016/j.…
Multimodality Imaging of Blood Supply in Intramyocardial RCC Metastasis With Double Primary Malignancies

jacc.org/doi/10.1016/j.…
Perioperative and Surgical Management of a Ruptured Mycotic Coronary Artery Aneurysm Secondary to MRSA

jacc.org/doi/10.1016/j.…
Coronary Visual Intelligence System (CorVIS) Guided Complex Percutaneous Coronary Intervention

jacc.org/doi/10.1016/j.…
Catecholamine-Induced Cardiomyopathy Masquerading as Acute Myocardial Infarction

jacc.org/doi/10.1016/j.…
Successful Guidewire-Guided Ethanol Ablation for PVCs Originating From Epicardial Anterior Interventricular Groove Adjacent to LAD

jacc.org/doi/10.1016/j.…
Transcatheter Adrenal Arterial Embolization for Life-Threatening Pheochromocytoma Crisis

jacc.org/doi/10.1016/j.…
@aroniskn

@CraigBasman
@JACabreraCardio
@MiChen__
@aabha_divya
@MarcEngels7
@sarano_maurice
@Miho_Fukui_
@CardioOncCO
@MMarinCuartas
@Nishaki1
@ChrissyMD2000
@ACHDocTMoe
@PanjrathG
@jsaef1
@Kentso987
@TagliariPaula
@m_taramasso
@SyedZaidMD
Author’s Handles:

@LydiaMessele

@chu_jiapeng
@Dingyu1989
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