St. Francis Emory Healthcare’s Post

Off-pump CABG utilizing composite LIMA RIMA "Y" configuration: https://lnkd.in/db7PFwaP Although On-pump CABG remains the gold standard for surgical revascularization, Off-pump CABG utilizing bilateral IMAs for total arterial myocardial revascularization may be more beneficial for high-risk patients, reducing the risk of stroke and improving overall survival. The choice of surgical technique should be tailored based on individual patient factors, including co-morbidities and surgical risks.

Intracranial stenting for atherosclerosis with high grade stenosis in blood vessels of the brain remains a treatment option for carefully selected patients, it is a challenging condition to treat with a high degree of morbidity if not treated timely and yet stenting the artery has its share of risks. While most patients are managed medically and often they are able to stabilize on medications alone, some selective cases need interventional management. Sharing a case treated at Memorial Hermann Health System The Woodlands Medical Center, young patient admitted with unilateral body weakness and loss of speech, high grade near occlusive stenosis in the left middle cerebral artery - supplying blood to the speech and strength center. Despite maximizing medical therapies patient remained very blood pressure dependent with return of symptoms each time blood pressure lowered. After a multidisciplinary discussion, decision made to treat stenosis with intracranial stenting using Medtronic Resolute onyx frontier balloon mounted stent (off label). Excellent patency of blood vessel post deployment of stent , intentionally landed it proximal to the bifurcation to avoid jailing the branches, patient did very well immediately post op as well as on followup in clinic with normalization of blood pressure. Better dedicated ICAD stents remain an unfulfilled need in the neuro space. #Lessons learnt from Woven and Weave registries. #intracranial stenting #highgradestenosis #MCA #stroke

Unlocking Precision Patient Management with CCTA/CT-FFR; diagnosis and PCI planing. CCTA disrupts traditional coronary diagnostic and intervention planning approach, by providing both in-depth anatomical and physiological information in a single non-invasive examination. With CCTA emerging as the first diagnostic choice in patients with chest pain, the number of patients arriving to cathlabs with preceding CCTA exponentially increases. It is neccessary for (invasive) cardiologist to be fluent CCTA readers, which will likley translate into improved patients’ outcomes and more efficient diagnostics and treatment. 

The 2023 ACC/AHA/ACCP/HRS Atrial Fibrillation Guidelines are out and there are 10 top take home messages (link below). I draw your attention to number 5, Early Rhythm Control: "With the emergence of new and consistent evidence, this Guideline emphasizes the importance of early and continued management of patients with AF that should focus on maintaining sinus rhythm and minimizing AF burden." To me this implies that diagnoses need to be made quickly and accurately. Recent evidence suggests that some ambulatory cardiac monitors are better than others at delivering diagnostic yield and reducing unnecessary delays caused by the need for retesting. Other evidence suggests that some monitors are better at defining a true AF burden than others. I will post links to to some of that evidence in the comments.

🚨 New Insights on Thoracentesis: Wall Suction vs. Gravity Drainage 🚨 Our recent multicenter, single-blinded randomized controlled trial has shed light on the long-standing debate of whether wall suction or gravity drainage is more effective—and comfortable—for patients undergoing large-volume thoracentesis. The study, involving 221 patients with effusions ≥500 mL, compared procedural chest discomfort between the two methods. Key Findings: 1. No significant difference in postprocedural chest discomfort between wall suction and gravity drainage (P = .08). 2. Secondary outcomes like dyspnea, procedure time, and complication rates were also similar across both groups. 3. The only notable difference? Gravity drainage took about 3 minutes longer. ✨ Takeaway: Both wall suction and gravity drainage are equally effective for patient comfort and clinical outcomes in large-volume thoracentesis. It comes down to procedure preference and time efficiency! #Pulmonology #Thoracentesis #MedicalResearch #PatientCare #HealthcareInnovation

Heart disease doesn’t just impact older adults. As more younger patients opt for minimally invasive TAVR procedures(1), more patients are needing subsequent valve replacements (valve-in-valve) when their existing TAVR calcifies. Over time, the valve opening gets smaller, leaving patients with reduced blood flow that can’t support their body’s needs. At Anteris, we are working with physicians to change this. With its outstanding hemodynamic performance and anti-calcification tissue, our pre-market DurAVR™ TAVR valve is poised to help younger, active aortic stenosis patients get back to living their best lives. #HeartMonth #aorticstenosis #TAVR #TAVI Sources: (1) https://lnkd.in/g-gDTxVp Disclaimer: INVESTIGATIONAL USE ONLY. NOT AVAILABLE FOR COMMERCIAL SALE. EU: Exclusively for clinical investigations. US: CAUTION – Investigational Device. Limited by Federal (or United States) law to investigational use.

A spinal tap, also known as a lumbar puncture, is a vital medical procedure used for diagnostic testing and pressure relief by collecting cerebrospinal fluid. It plays a crucial role in diagnosing conditions like meningitis and multiple sclerosis. Key Truths about Spinal Taps: - Purpose: Besides diagnosis, spinal taps can administer medications like chemotherapy or anesthesia. - Procedure: Typically performed under local anesthesia, patients may lie on their side or sit up. - Risks: Common risks include headache, back discomfort, bleeding, and rare infections. - Recovery: Most patients recover quickly; some may experience discomfort for a few days. How Unity Health Pharmaceutical’s HealPoint Series Can Help: 1. Precision and Safety: Designed for precise insertion, reducing complications like post-lumbar puncture headache. 2. Sterility: Maintaining high sterility standards to prevent infections. 3. Comfort: Focused on ergonomics and sharpness to minimize discomfort. 4. Versatility: Includes a range of IV access accessories supporting patient care comprehensively. Unity Health Pharmaceutical's HealPoint series stands out as a trusted choice for clinicians performing spinal taps, prioritizing patient safety and comfort. #Healthcare #MedicalDevices

Another milestone at CM Vita-Medica in Warsaw! 🌟 We had the privilege of treating a 76-year-old female patient with Pelvic Congestion Syndrome (PCS), presenting with severe symptoms and venous insufficiency involving the left ovarian vein and right internal iliac vein. ➡️ Procedure highlights: 1️⃣ Sclerotherapy with STS 3% to address associated varicose veins. 2️⃣ Embolization of the right internal iliac vein performed under balloon protection, ensuring patient safety and precision. 3️⃣ Access via the brachial vein allowed a minimally invasive approach for optimal results. This comprehensive treatment approach demonstrates our dedication to utilizing cutting-edge techniques to manage complex venous pathologies. 📍 CM Vita-Medica, Warsaw – Where innovation meets patient care. #PelvicCongestionSyndrome #VenousInsufficiency #Embolization #InterventionalRadiology #VitaMedica #InnovativeMedicine

PPG is an effective tool for measuring changes in blood volume related to water retention in cardiovascular patients. Its non-invasive nature, combined with real-time monitoring capabilities and advanced analytical techniques, positions it as a valuable asset in managing conditions like heart failure where fluid balance is critical. #telehealth #remotepatientmonitoring #cardiovascular #patientcare