Thank you Andrius Berukstis PhD, MD for the first coronary case presentation of the Bolt IVL CAD360 system! Excellent treatment highlights of an eccentric & nodular calcified lesion. #BoltIVL #IVL #euroPCR
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In this case by Dr. Annette Förschler, Schlosspark-Clinic Charlottenburg in Berlin, a basilar tip aneurysm was treated with stent-assisted coiling using the #ACCLINO #heal #Stent. After positioning the microcatheter in the posterior cerebral artery, the #ACCLINO #heal Stent 4.5 x 25 mm was deployed from the PCA into the basilar artery, crossing the bifurcation and covering the #aneurysm neck with the middle segment of the device. The opening behaviour of the lasercut stent was satisfying both at the distal and proximal end. After full deployment of the #ACCLINO #heal Stent, two coil packages were deployed using the coil-through technique. A sufficient reduction of blood flow into the aneurysm could be detected at the final angiographic evaluation.
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Post-op case of AVSD; young boy has double orifice mitral valve Classification of Double Orifice Mitral Valve: (1) hole type (accessory orifice surrounded by leaflet tissue that may have a chordal ring), (2) complete bridging (fibrous bridge in the plane of the mitral valve sails, dividing the mitral valve opening into two parts that may be equal or unequal). and (3) incomplete bridging (small strand of fibrous tissue connects only the tips of the anterior and posterior leaflets. #echocardiography #AVSD #double #orifice #mitralvalve #diagnosis #prime #echosingh
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Consultant Cardiologist and Electrophysiologist, Glenfield Hospital, University Hospitals of Leicester NHS Trust
Intracardiac echocardiography remains an invaluable imaging tool in ablation of intracavitary structure, in conjunction with the use of appropriate ablation tool (RF vs cryo). This is a case of successful radiofrequency ablation of PVC from the tip of posteromedial papillary muscle (PMP) guided by #CARTOSound at University Hospitals of Leicester NHS Trust. Initial mapping with #QDot catheter localised the PVC to tip/body of PMP (25ms pre-QRS) before refinement of the PVC exit to tip of the PMP (35ms pre-QRS on #QDot micro-electrodes), the most challenging position for catheter stability. Catheter placement at tip of PMP changes from bigemini to trigemini and transient PVC suppression before ablation! Great mapping support from Matthew Greig, and ICE support from JAMES Mason and Mark Holliday of Biosense Webster
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To my knowledge, this is the first idiopathic PVC/VT #ablation using the #BostonScientific #FaraPulse #PFA system. The #PVC was mapped to the aorto-mitral continuity (#AMC) area. The FaraPulse, configured in a basket shape, was used to ablate this region. Initial results over the first few days have been promising👍 While the FaraPulse is designed primarily for pulmonary vein isolation (#PVI), it can also be effective for certain PVC and #VT ablations. In this case, we used #ICE to visualize the left main artery, ensuring we were sufficiently distant to avoid coronary vasospasm. The potential advantage of using the FaraPulse for AMC PVCs is its ability to achieve better depth and transmurality of the lesion, which is crucial for this type of PVC that originates deep within the tissue. Los Robles Regional Medical Center #arrhythmia #ventura #oxnard #camarillo #thousandoaks
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CT scan 128 slice coronary angio S/P CAG-TVD CABG LIMA -LAD;SVG-RAMUS
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Congratulations to Kevin Makati and team for playing a lead role in the 4D ICE and PFA combination! This is the beginning of a potentially disruptive shift in the way Afib patients are treated in the future. Streamlining workflows, reducing resource utilization, reducing fluoro and treating patients for optimized outcomes are the result.. We are excited to announce the successful completion of the first two commercial cases utilizing the AcuNav Lumos 4D ICE catheter and Pulsed-field Ablation (PFA) technology. Notably, one of these cases was completed without Electroanatomic mapping, marking a significant achievement. Thanks to the advanced 4D ICE capabilities, this success demonstrates a considerable reduction in fluoroscopy usage. We have optimized procedural workflows by integrating 4D ICE with PFA technology and set a new industry benchmark. This innovative approach is a testament to the potential for significantly improved patient outcomes and procedural efficiency. Congratulations to the team who performed this case, Kevin Makati, MD, and Breanna Heitzman. Learn more: https://bit.ly/3Awc0Ee. #EPeeps #AcuNavLumos #ZeroFluoro
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52 YEARS old presented with NSTEMI his coronary angiography MVD including double bifurcation LAD D and LCX-OM Patient refused CABG after heart team consultation.. Plan:IVUS guided MVD PCI Approach right radial 7f ebu3.5 (was femoral in diagnostic CA) PCI TO RCA Minicrush for LAD-D Lcx om Stent with final kissing.
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This patient underwent #cryoballoon ablation, and #radiofrequency ablation of pulmonary vein isolation (PVI), cavotricuspid isthmus (CTI), posterior wall, and roofline, yet failed to cardiovert him to sinus rhythm. A redo of the same ablations with #PFA using #BostonScientific #FaraPulse technology was performed n got the patient to sinus rhythm, at least for now ! In addition to enhancing safety and efficiency, PFA ablation may improve the likelihood of successful treatment in patients with prior failures of RF n Cryo ablations, potentially due to its distinct mechanism for targeting abnormal tissue, diverging from temperature-based approaches. Map is post PFA ablation: #Carto #Biosense Los Robles Regional Medical Center #thousandoaks #Camarillo #oxnard #ventura #AFib #arrhythmia
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I think I had open-heart surgery because the tests seem aimed at finding problems whether there are any or not. I had the surgery on August 3rd, 2024, and ut turned out to be one of the worst experiences of my life. In my particular case, since I have an SNP at rs671A Allele that produces an altered ALDH2 enzyme, ALDH2*2 that tends to muck up a lot of what cardiologists use to test people with. In particular, this SNP has a set of conditions associated with it that are not recognized by Western Medial Science to any significant degree. One of them is the tendency for the coronary arteries to spasm under certain biological cues. Normally, I have this problem at 3:00 AM in the morning. But I have found other triggers as well: Excessive Cortisol, when under stress, ramming my heart with the catheter tip, causing palpitations that make me seem to have a lower ejection fraction than I really did: And the spasming arteries appear to be extensively blocked when the dye hit them. They said I had "80% blockage" on my left coronary artery, and "100% blockage" on my right." They then sold me the operation out of fear, like I was a piece on the assembly line. They wanted to do the operation right then! I put them off 2 months before I gave in. I have regretted having it ever since. I have been reviewing my records, and I have found they did not listen to me, recorded the wrong symptoms, and therefore made the wrong decisions based upon inaccurate testing and medical dogma instead of medical science. https://lnkd.in/gZTsBn9q https://lnkd.in/gTrvzuSi https://lnkd.in/gG-6ZUvA https://lnkd.in/gD3P_CZy
Coronary CT Angiography (CCTA) shows significant stenosis of the Left Main (LM) ostium. However, no stenosis was found at Coronary Angiography. Who’s right ? Who’s wrong? I really don't know. A paper on this topic was recently published with the following results: “Compared with Quantitative Coronary Angiography (QCA), our results demonstrate CCTA MLA exhibits a stronger correlation with IVUS based assessment […..] QCA analysis of LM did not correlate as robustly with IVUS. In keeping with previous studies, QCA appeared to underestimate LM vessel area and diameter stenosis when compared to other modalities” https://lnkd.in/d_JnST3j What do you think? #coronary #ct #angiography #AiCE #AreaDetector #Canon #AquilionOne #OneBeat #yesCCT
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👇Rare VT Mechanism: Bundle Branch Reentry VT with Exit in the LV and RV. 2 VTs treated with 1 burn👇 👉 A 40-year-old patient with no known preexisting conditions presents with incessant tachycardia over the past two days, refractory to both pharmacological therapy and electrical cardioversion. 👉 During the EPS, two VT morphologies were identified: BBR-VT with a clockwise reentry circuit and exit in the LV, presenting as RBBB, and BBR-VT with a counterclockwise reentry circuit and exit in the RV, presenting as LBBB. 👉 A single burn at the right bundle branch terminated the arrhythmic storm🤩🤩 #EPeeps If you find my first depiction of the two reentry circuits correlated with the ECG interesting, I can prepare additional overviews of tachycardias and EPS findings. Philipp Sommer Moneeb Khalaph Dr.med. Vanessa Sciacca Thomas Fink Maxim Didenko, MD Alessandro Parlato Stephan Winnik David-André Azoulay Biosense Webster Stephan Molatta AGEP_DGK
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