62yo male with bilateral #CLTI, recent right ATK amputation and non-healing foot wounds of the left lower extremity. Declined for surgical revasc. Dr. Saideep Bose MD, MPH at SSM Health St. Mary’s Hospital, St. Louis, performed serial dilatation of the right common iliac CTO with

Nasty nodule this morning. #eruptednodule

Caught a couple nice ones yesterday. #largemouth#bass#allstar#quantum#zoom

Did some mowing with the old ford today. #august#crp#ford#4630

When to knucle How to Knucle? Subintimal tracking and reentry (mini-STAR) #CTO #starman #trusttheknucle Lorenzo Azzalini Dr. Bill Lombardi Mihajlo Kovacic 🫀📕/🔋🕹️ MIЯVΛƬ #IC Natalia Pinilla jedicath աǟզǟʀ.ǟɦʍɛɖ Tsutomu Fujita MD Yader Sandoval Rye Brown George Shenoda Dr. Krzysztof Pujdak Bilal Iqbal Mamas A. Mamas Stefan Harb

LAD #CTO. reattempt case. #TDADR #STAR #TRI #singleaccess UB3with TD method to enter LAD, Knuckling, #TDADR with ST get IP(not TL), sionblack was not able to go to TL. After POBA at IP in CTO, TL was seen by angio. Easy to cross the distal TL by sionblack Daitaro Kanno Takuro Sugie

69M with HTN, CAD, DM and non-healing wound on his right heel. Patient had PAD in all three vessels but Posterior Tibial was targeted for treatment for wound healing. PT was 100% occlusive throughout various segments of vessel.​ The patient was non-compressible and had an initial

70sF w CCS3 angina, inferior ischemia, on 1 AA 💊 (couldn’t tolerate nitrates, no improvement on Ranexa as expected). Ostial RCA J-CTO 3. Teamed up w Tom Wilson to “double” the chances of success. Attempted Retro 🏄‍♂️ but couldn’t connect so switched and able to cross via ADR. SDD

Put some meat in the freezer this morning. #illinois#archeryseason#whitetail#buck#crossbow#ravin

Dad and I both scored on a buck yesterday afternoon! #2k24#illinoisfirearmseason#whitetails#savage#thompsoncenter#hornady#greatday

Harvested this nice doe yesterday morning with my muzzleloader. #2k24#firearm/muzzleloaderseason#T/C#encore#whitetail#doe#goodeats

Short LAD CTO with angina despite medical therapy #HDR

HDR

IVUS guided DES with POT. IVUS showed IP course. All branches preserved.

New Year’s first Intention To Treat HDR. I thought would be easy slam dunk workhorse no go. Gaia N no go and stalled Salman Arain Bilal Iqbal

Got the sled out a few times last week. The riding conditions were awesome! #January#snowmobile#sled#arcticcat#snowpro#slydogskis

Down in Nashville earlier in the week for the National sales meeting. The atmosphere and music didn’t disappoint. #Nashville#nsm#shockweek2025

CTO of "Jailed" LAD. How would you solve it? 🇲🇽🫀🙋🏾‍♂️🔥 ForoEpic Soledad Ojeda MIЯVΛƬ #IC Evandro Martins F. MD Manuel Pan Tom Wilson Jeffrey Wilson, MD Jose Ramon Rumoroso Alex Truesdell Emmanouil Brilakis Yader Sandoval Dr. Krzysztof Pujdak Tsutomu Fujita MD Salman Arain DrPatWJyg Gulf Intervention Society - GIS Ramesh Daggubati Intervencionismo Cardiovascular SIAC Natalia Pinilla

Dr J.D. Corl, MD, FACC, FSCAI discusses the importance of gentle forward pressure while delivering evenly paced pulses to ensure appropriate #IVL coverage of long segmented disease when using #ShockwaveJavelin: evtoday.com/articles/2025-… US Rx only. ISI bit.ly/3iEq7fC

Picked up my 2k24 shotgun buck today. #whitetail#deer#mckenziedeerform#semisneak