You have a patient who needs mTEER and LAAO. Do you:View quoted post on X
Ivan Hanson
@IvanHansonMD
Director, Cardiac Catheterization Laboratory, William Beaumont University Hospital, Corewell East
221 Following 397 Followers 81 Posts
Latest posts 5
You have a patient who needs mTEER and LAAO. Do you:
- Do a combined procedure? 3
- Do TEER first, then LAAO? 5
- Do something else? 1
I had a similar case... a 1.5 mm Rota burr exited an RCA on the 5th pass. Was told by BSCI that the wire probably "fatigued" and fractured inside the vessel. Was able to seal the perf with covered stents but pt also had a large stroke and died. @BeaumontCards @BeaumontIC
Rota-shit happens #scarymovie
(how to prevent, how to solve)
@Dchipayog @HennesseyBreda
Transvascular Balloon Occlusion: A Novel Bailout Strategy in Large Lef... sciencedirect.com/science/articl…View quoted post on X
We address risk factors for Impella-related vascular injury 👉🏻 factorshttps://onlinelibrary.wiley.com/doi/full/10.1002/ccd.30485. PAD can be an issue for Impella. Suggest up front distal aortography and u/s to completely assess access points and inflow, low threshold for #PercAx
Excellent job @dr_rothschild, perfect indication for trans-catheter closure, CTA inaging crucial for these cases whenever possible. Note: this is just a routine case for @BeaumontIC @BeaumontCards trained interventionalists! #CardioTwitter
59yoF w anterior STEMI complicated by mechanical VSD. Underwent emergent surgical patch/CABG. Returned w right heart failure 5mo later--> patch dehiscence. Lost to follow up, represents with 50lb weight gain, ascites, severe RV dysfunction. Percutaneous VSD closure, 18mm ASOView quoted post on X
