Joaquim Spadoni Barboza
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🇧🇷Interventional Cardiologist, NorthwesternMed. Over, under, around, or through. There is always a way.
301 Following 1.5K Followers 822 Posts
Latest posts 5
@SandeepNathanMD haven’t hired me yet 😂
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.…View quoted post on X
Nail the ostium better than LM crossover? Hold your horses!
jscai.org/article/S2772-…
Retrospective study defining ostial lesions by angiography (within 5 mm), not IVUS. LM crossover patients had more calcium (38.6% vs 23.3%) and required more lesion preparation.
Was ostial stenting chosen because a safe landing zone existed, or crossover because disease truly involved the ostium and was more severe? Selection bias matters!
Bottom line: IVUS confirms a safe landing zone, and clear ostial visualization on angiogram ->Ostial stent. True ostial disease or poor visualization ->LM crossover.
jscai.org/article/S2772-…
@JSCAI @mmamas1973 @SandeepNathanMD @mirvatalasnag @realarainmd @agtruesdell
@SripalBangalore @evandrofilhobr @DocSavageTJU @MichaelMegalyMD @TWilsonMD @Babar_Basir @lvjulien_md @aspergian1
jscai.org/article/S2772-…
Retrospective study defining ostial lesions by angiography (within 5 mm), not IVUS. LM crossover patients had more calcium (38.6% vs 23.3%) and required more lesion preparation.
Was ostial stenting chosen because a safe landing zone existed, or crossover because disease truly involved the ostium and was more severe? Selection bias matters!
Bottom line: IVUS confirms a safe landing zone, and clear ostial visualization on angiogram ->Ostial stent. True ostial disease or poor visualization ->LM crossover.
jscai.org/article/S2772-…
@JSCAI @mmamas1973 @SandeepNathanMD @mirvatalasnag @realarainmd @agtruesdell
@SripalBangalore @evandrofilhobr @DocSavageTJU @MichaelMegalyMD @TWilsonMD @Babar_Basir @lvjulien_md @aspergian1
www.jscai.org Ostial vs Left Main Crossover Stenting in Isolated Ostial Left Anterior Descending Stenosis: A... Limited data exist on the optimal stenting strategy for isolated ostial left anterior descending coronary artery (LAD) lesions. The aim of this study was to compare the outcomes in patients who had a... Managing tortuosify can be trick:
Large guide for support
Micro options (small with conform, large will straighten)
Caravel without wire to sort pseudo from dissection
DCB for the win
Large guide for support
Micro options (small with conform, large will straighten)
Caravel without wire to sort pseudo from dissection
DCB for the win
0:55