Snehashish Mishra’s Post

PulseCath BV iVAC 2L #LVAD device demonstrates significant potential in supporting left ventricular outflow volume during various #interventional #procedures. By #reducing the oxygen demand on the left ventricle through the use of a mechanical valve operating in sync with cardiac cycles, the device aids in achieving #hemodynamic #stability in patients. This device is routinely utilized as a first-line circulatory support system in patients with an ejection fraction (#EF) below 35%. Additionally, it has proven effectiveness in patients with severe cardiac conditions, such as chronic total occlusion (#CTO), lesions in the left anterior descending artery (#LAD), or distal diagonal branches. Kudos to Dr. Zoltán RUZSA and Team for their outstanding work! #PCI #protectedPCI #pVAD #MCS #coronaryintervention #PulseCath #iVac2L #DHSHungary #DeliveringHealthcareSolutions

Challenging case today: Heavily calcified and severely diseased mid RCA in a 65 y.old diabetic patient with a history of CABG. IVUS guided PCI was done using RotaShock: 1.75 burr crossed the lesion with difficulty after 6 x 10 sec runs, well tolerated. Predilatation using NC balloon was then perfomed but the IVUS control showed persistent focal 270 degrees calcification arch on mid RCA. It was treated with IVL with a good final result after implantation of 2 DES ( 3.5 and 4 mm)#centrehospitalierIntercommunalVilleneuveSaintGeorges #bostonscientific #Shockwavemedical

Recent AWMI with LAD ostioproximal long segment stenosis followed by total occlusion and large ramus had critical stenosis and RCA had significant stenosis. LCX non dominant small vessel too occluded Patient refused CABG Complete revascularization using 1 DES to RCA and TAP technique using 3 DES LMCA to ramus and LAD POT KBI AND REPOT Got good result with TIMI 3 flow for all three major epicardial vessels

Seven has always been a nice figure! Cook CMD Branched Thoracoabdominal Device for 85 mm Thoracoabdominal and bilateral iliac arteries Aneurysms: 1. Hepatic: BGP+ and Viabahn 2. Splenic: BGP+ and Viabahn 3. SMA: BGP+ (2x) 4. Right Renal: BGP+ and Viabahn 5. Left Renal: BGP+ and Viabahn 6. Right iliac: Cook ZBIS and BGP+ 7. Left iliac: Cook ZBIS, BGP+ and Viabahn Plus IMA embolization with Balt Coils to prevent type II EL #aortaEd #vascular #endovascular #hcuv

Diagnosing Lateral Canal BPPV with the "Bow and Lean" Test This recent study suggests that the Head Pitching Test (HPT), or "Bow and Lean Test", is effective for diagnosing Lateral Semicircular Canal BPPV. It demonstrated 75% agreement with the Head Yaw Test (HYT), or Supine Roll Test, the current gold standard. The HPT: - detected nystagmus in 80 of 100 cases, effective for both geotropic and apogeotropic forms. - helps measure slow-phase velocity (SPV) to identify the affected side. While HYT remains more reliable, HPT provides a useful alternative for clinicians. 📄 Reference: Califano L, et al. Otol Neurotol. 2024 Sep;45(8) . doi: 10.1097/MAO.0000000000004256. Note: abstract only https://lnkd.in/gSfjxKtw #vestibularhealth #BPPV #BowAndLeanTest #SupineRollTest #vesticam #altiusgruppen

#COMPLETE #REVASCULARIZATION IN A #PATIENT WITH #OCCLUDED #BYPASS #GRAFTS AND #RENAL #FAILURE A 68-year-old patient with a history of CABG-4 performed 20 years ago presented with stable angina pectoris class III despite optimal medical therapy. The baseline eGFR was 26. The LIMA graft was patent, but the distal LAD was severely diseased. The Ao-RCA and Ao-Cx saphenous grafts were occluded. The Ao-Diagonal graft stenosis was treated with stenting, followed by RCA-CTO stenting. Finally, the LMCA and CX were successfully treated. Five days later, the eGFR remained at 26. The total amount of contrast used was 65 cc. #dirençlihipertansiyon #renaldenervasyon #yüksektansiyon #tedaviyöntemleri #sağlıkbilgisi #böbreksağlığı #hipertansiyontedavis #yeniuygulamalar #tansiyonsorunları #sağlıklıyaşam #inme #beyinkanaması #görmekaybı #böbrekyetmezliği #periferikdamarhastalığı #aniölüm #chippci #complexpci

Myocardial changes especially Desmin May be an important marker to determine timing of operation for restrictive VSD. https://lnkd.in/ds3wMyv3

With tissue-selective ablation the FARAPULSE™ #PFA System spares damage to surrounding structures. The system has been used to treat more than ~70,000 patients to date with zero reported instances of esophageal fistula, permanent phrenic nerve palsy, and PV stenosis. Discover more about FARAPULSE MANIFEST-17K Registry: https://lnkd.in/dyzwuYRD #BSCEMEA #EP #ClinicalData

MODUS FOCUSED ESWT SHOCKWAVE THERAPY Non-invasive treatment method to use for diabetic foot ulcers and chronic injuries

Prepare well to achieve success 👌 51 years gentleman, with positive family Hx. (His seven brothers died with CAD at the same age)….. Presented with anterior STEMI and received thrombolytic at a remote hospital with successful reperfusion then referred for PCI… CA showed critical LM bifurcation stenosis and the pt was refferred to us after he refused to do CABG…. We decided to: 1. PCI IVUS guided with minimal contrast 2. Circulatory support with low dose of norepinephrine due to Borderline BP (no available MCS device) 3. Mini crush for LM bifurcation to reduce steps and time of LM occlusion by balloons and stents…… 4. Radial 7F approach for better rehabilitation afterwards Our plan succeeded very well and the patient did very well, discharged after one day with no pain nor HF symptoms…… Planned and done as usual with my CHIP journey companion Dr. Aly Tohamy 🫶 #CHIP_Assiut #bostonScientific #IVUS