#STEMI & cardiac arrest in ED —> Impella —> LM trifurcation PCI (T stenting)

@DrMarwanRefaat @Maisara_Alrayes Sorry for your loss; الله يرحمهم

@JHRo67 @kelsey_brugman Yes, used Sentinel device. Luckily there was no embolization.

#ICE image of @PenVascular Flash cath aspirating large #Tricuspid valve #vegetation; IJ vein approach.

Variable depth of implant in TAV-in-TAV in different patients to avoid significant leaflet overhang. Target node 6 or 5 of Evolut #TAVR

@rosensteinl I agree. I hope all is well!

@GaneshMuthappan @Adolfoferrero No we didn’t see central leak

@CardiacCTson Thanks Gardar! Yes it should help; this patient did have very small LV and wouldn’t have been candidate otherwise.

@GaneshMuthappan Thank you! We could have used the 29 but the predicted neoLVOT with Lampoon was much smaller; also the 26 is Ultra so have longer skirt which is helpful.

Revascularization of #CTO of popliteal artery through primary pedal access #TAMI and using drug coated balloon angioplasty #CLIFighters

Our case series of inter/high risk acute PE pts treated w low-dose tPa infusion through peripheral IV (rather than CDT)!!might be as effective & needs less resources. 5 mg tPa IV bolus —> infusion 2 mg/hr for 10 hr (+ Heparin 500 U/H) #PERT #EHJcasereports

Challenging (but rewarding) two #Mitraclip cases on last clip day; first secondary MR with severely restricted P2P3 & second with primary MR with P3 prolapse in non-surgical patient.

@Alshehri_MD Thank you; yes we did CT for planning

@fjsawaya @bostonsci This was CLS 3.5, 6Fr