Question: 74 yo no surgical patient . Mg 6 mmhg after 34 evolue Oct 2023 now46. Was on eliquis entire time 5 bid due to Afib . Now comes in chf and pedal edema . Ct c/w halt . Do you change Coumadin ? Will that do anything or Viv? @jcgeorgemd @mmamas1973 @JayMathewsMD
Acute limb femoral pop occlusion tx with 7f bolt Pneumbra . Super impressed .@PenVascular @jcgeorgemd
Iliocaval reconstruction with main body stent . Occluded filter smashed . Frog leg bilateral pop approach .
First penumbra bolt for limb ischemia upper Pennisula @PenVascular
Prior tavr patient comes in 95% left main,hostile cfa’s. U/s guided left axillary and Perc ax impella . CSI to left main single stent to lad plus pots. PTA assisted dry closure with2 preclose w excellent hemostasis. @jcgeorgemd @jaygirimd @DrAmirKaki @JayMathewsMD
Ef 15 Surg turn down Perclose would not take femoral .Ultrasound guided axillary access 2 preclose with perfect hemostasis end . Had 6/7 left radial in case bailout needed .Dry closure with9 mm balloon when pulling Impella sheath @jcgeorgemd @DrAmirKaki @jaygirimd @JayMathewsMD
Did first tavr out of structural fellowship back in practice again . Super cool . Bicuspid valve with 5 mm iliacs . Good results . Not easy first one but it’s in the books @DrAmirKaki @jcgeorgemd
First transradial r2p peripheral intervention done in UP Michigan . 200 cm shaft length CSI and impact dcb . Profunda filled collaterals @jcgeorgemd @DrAmirKaki . Has 99 percent calcific ostial right common iliac for tomorrow !
Impella . Shockwave . One stent to lcx to lm. Left cto lad alone . Shockwave right . Two stents . With inflation impella completely unloaded lv took 15 min to recover phasic flow . Weaned w swan impella dry closure (kaki schreiber method) thx @jcgeorgemd for input @DrAmirKaki
Ef 25. - Impella . Csi lm lcx shockwave to lad., Shock wave to rca. Dk crush left main @jcgeorgemd @JanzerSean @DrAmirKaki @jaygirimd @DrJayMohan @mmamas1973 – at Marquette, MI
Richard Markiewicz MD retweeted
#CTOPCI at #PennsyInterventions: Successful PCI of distal LM and ostial LCX CTO with Impella pLVAD support in patient with ischemic cardiomyopathy.
@PennCardiology @PennCVFellows @GPAngioClub @ReVascMed
I am on the lookout for a structural job/complex coronary/peripheral if anyone knows of one… thanks you ! @jcgeorgemd @jaygirimd @DrAmirKaki @SVRaoMD @mmamas1973 @JayMathewsMD @DrJayMohan
StJohns ascension Detroit hospital structural fellowship graduation dinner . Thank you @DrAmirKaki and dr schreiber for everything you taught me, will benefit my future patients and colleagues
