One technique for engaging difficult Ant take off RCA with poor support. Loop wire in sinus and anchor balloon to deliver guide-liner. Sometimes only feasible way to engage after Medtronic TAVR valve. #aacfit

Chordae prolapse in LVOT, Venturi effect, Brockenbrough-Braunwald-Morrow sign. #ACCFIT #cardiotwitter

If you have difficulty advancing IVUS or moving back & forth, u can do imaging inside guideliner. It should be clear except at tip of catheter. These IVUs images from inside guideliner. #ACCFIT

Can’t believe this could ever happen by human being to babies.

🇺🇳🇵🇸🇮🇱 UN ACCUSES IDF OF 11 EXECUTIONS WITH FAMILIES IN THE NEXT ROOM “On 19 December 2023, between 2000 and 2300 hours, IDF reportedly surrounded and raided Al Awda building, also known as the “Annan building”, in Al Remal neighborhood, Gaza City, where three related families

Today, my mother’s cousin along with 8 of her other cousin’s grandchildren were killed in an Israeli air strike where they were sheltering in Southern Gaza (Rafah). Their whole neighborhood in Rimal, northern Gaza was razed to the ground. War crimes must stop. Ceasefire now.

non aesthetic things 🐕‍🦺 Doggy doctor, solves the nhs problem easy.💕

Comment on a post about Israeli soldiers mocking people of Gaza struggles, loosing home & forced displacement, this person had this cruel comment that is not backed by any evidence. Hate in heart & sickness in mind. Why this hateful speech allowed in twitter. Elon Musk

American politicians sign the fourth batch of humanitarian aid for the children of Palestine…🇺🇸🇮🇱

🇮🇱⚡️ Israeli soldier, Yishai Shalev, in front of Al-Azhar university: “For all those asking why there is no education in Gaza. We bombed them. That sucks. That’s how you will never become engineers anymore.”

One of the most heartbreaking videos I’ve seen in a while 💔 Watch the woman and the child walking ahead of everyone 😢

“We don’t give them food. We don’t give the Arabs anything, they will have to leave. The world will accept them.” These are the words of Daniella Weiss, the former mayor of the settlement “Kedumim” in the West Bank when interviewed at the “Return to Gaza” conference. The

Is there coronary guide extender has hydrophilic coating or it’s better for manipulation tortious vessels? @md_SsAhmad Babar Basir Amir Kaki, MD Evandro Martins F. MD

60 y old F with chest pain for 40 yrs, recurrent ER visits with negative enzymes, EKG & stress tests, cath done. CCTA inter-arterial course. Back to lab did dobutamine iFR & IVUS, IFR drop to 0.75–> surgery = no more pain. #accfit @md_SsAhmad sundeep kumar

Best access for cardiac cath in patients with occluded radial artery is the occluded radial artery. Need to access artery DISTAL to occlusion recanalize & insert 23 cm slender glide sheath. #accfit

non aesthetic things this dad is a legend ❤️

Another war crime committed by Israel on my Family in Gaza. Today, my second cousin, Ahmed, was killed along with his very young daughter and his mother in law. They were bombed in their refugee camp. These daily war crimes should come to an end.. #SilenceIsComplicity

90 yrs F STEMI, radial access challenges = small size, stenosis & tortuosity, coronary wire was used to cross while glide wires will not work. Completed diagnostic but needed femoral for pci. One option to use 35 cm slender sheath. Early shift to femoral can be a wise choice.

No reflow is worse than original occlusion. IVUS = dissection/thrombus/embolism. Normal IVUS; air, microvascular injury or low TM perfusion pressure. IC 💉 must be selective & after MCS “if needed”. 👇 IC 1 mg adenosine, 1 mg verapamil, 0.5 mg nicardipine & integrillin = resolved