FLASH 16 IVC thrombus

💪🏽Torque the catheter quite a bit. Travels nicely and works fast

🌈Can access renal vein and do up and over due to its flexibility

🔥Element sheath very nice. Can inject around it and also aspirate with it on way out to clear access site.

#CardioSky #VascSky #IRAD

Steps for DK crush

1️⃣ vessel prep
2️⃣ stent side branch. 2mm stent protrusion
3️⃣ remove side wire. Crush stent with main branch balloon
4️⃣ rewire side and do first kiss
5️⃣ remove side branch wire
6️⃣ stent left main into main branch
7️⃣ POT
8️⃣ rewire side
9️⃣ perform second kiss
🔟 finish w/ POT

#Cardiosky

a Juicy one! Combo Flowtriever + ClotTriever for occluded IVC Filter with ilofem thrombus

🎥 CTV for pre procedure
👖Bilateral pop access
💞Use T16 or 20 to aspirate filter and acute stuff
✅Both catheters will go through filter
‼️Use short ClotTriever for residual

#DVT #VTE #Cardiosky #Medsky

CMR has been a game changer in cardiology. It’s the most accurate imaging modality for determining EF, Viability, flow assessment, and volume quantification. Access and cost still are an issue but things are improving fast! #Cardiosky #Medsky

Here’s to a successful WATCHMAN WEDNESDAY!

5 watchman’s before 2:30pm! Shout out to the cath lab staff, my cardiac imager, and anesthesia for our most efficient day ever!

#Cardiology #cardiosky #medsky #watchman

In constrictive pericarditis the pericardium becomes thickened and fibrotic not allowing the heart to expand

Patients often suffer from severe right heart failure leading to lifestyle limiting lower extremity edema, abdominal distention, acities and cirrhosis.

#Cardiosky #MedSky

Ablative atherectomy (LASER)

🔫EXCITE ISR- only RCT data we have in PAD with atherectomy
🔫 very useful for single vessel runoff
🔫 variety of sizes (0.9, 1.4, 2)
🔫 can modify calcium with laser bomb (contrast on laser)

A good tool to have for both coronary and peripheral work. #Cardiosky #medsky

The dancing appendage. What a sight! #CardioSky

Severe AI in a 35 year old patient that already have a mechanical bileaflet MV replacement and TV ring (no hx of endocarditis). What’s your thoughts on early valve degeneration? It’s too early for rheumatic disease right? #CardioSky #MedSky