How many times can you externalize wires in a retrograde CTO PCI? We did it four times in this case #CTO #CHIP

In post CABG patients the distal cap can be heavily calcified and presents a challenge for retrograde approach: power knuckle can be performed retrograde to overcome such challenges #CTO #CHIP Henry Ford Hospital Cardiology Fellowship

When the Stingray ADR (stick and drive) works on first attempt 😎 #CTO #CHIP

SKB inflation Diag/Septal to allow access to proximal cap - the kissing balloons open sesame approach- Successful AWE of LAD #CTO2024 Henry Ford Hospital Cardiology Fellowship

🦇 🦇 🦇 BAT #radialfirst

RCA CTO in old stent - unable to cross true lumen antegrade or retrograde so we opted dissecting outside part of stent to make the connection. #CardioTwitter #CTO Henry Ford Hospital Cardiology Fellowship

Thank you #ACC24 American College of Cardiology for the wonderful opportunity Henry Ford Hospital Cardiology Fellowship Henry Ford Health Khaldoon Alaswad MD Coronary live case: 3VD complete revascularization including CTO PCI of OM-I using retrograde epicardial collaterals Final results attached

in light of the recent SMART trial and increased interest in self expandable valves it is critical to recognize and manage ostial coronary lesions as it will be challenging to PCI after deployment Our case from today:

Heavily calcified CTO diag crossed with pj wire but can’t advance MC, can’t deliver Sapphire or Takeru balloons- one solution is STAR using dual lumen MC get to subintimal space and crush the calcium from outside

Tomorrow morning we will be joining our colleagues in Egypt with a live case from Henry Ford Hospital Cardiology Fellowship Henry Ford Health

Next destination after SCAI #CVI2024 Henry Ford Hospital Cardiology Fellowship Pedro Villablanca MD, MSc, FACC, FSCAI

Used Agent-DCB for first time yesterday CTO LCx-OM within two layers of stents crossed antegrade and used Guide extension to deliver DCB which is recommended in torturous vessels and distal targets Mohammad Al-Qarqaz Henry Ford Hospital Cardiology Fellowship Henry Ford Health #CHIP #CTO #DCB

After 2 years and 1034 procedures My training journey Henry Ford Hospital Cardiology Fellowship has come to an end. So grateful for the teaching and the friendship Khaldoon Alaswad MD Pedro Villablanca MD, MSc, FACC, FSCAI Herb Aronow, MD, MPH (he/him/his) Babar Basir Mohammad Al-Qarqaz #crdiotwitter

Had the pleasure of presenting at #CVI2024 for complex case competition. Always grateful to Khaldoon Alaswad MD and Pedro Villablanca MD, MSc, FACC, FSCAI for their mentorship during my time Henry Ford Hospital Cardiology Fellowship

Just out 🔥🔥 our newest meta analysis on outcomes following TAVR in patients with cardiogenic shock 🫀 ❗️We observed higher 30-day mortality in patients with CS due to their critical condition compared to those without CS. sciencedirect.com/science/articl… Pedro Villablanca MD, MSc, FACC, FSCAI 👑

See you in DC Henry Ford Hospital Cardiology Fellowship Khaldoon Alaswad MD Ahmad Jabri Raef Ali Fadel DO Cardiovascular Research Foundation TCT Conference

NSTEMI Anomalous LCx disease calcified lesion, had to use shockwave

Six years after translational research at University of Buffalo the seeds are still growing: Galectin-3 Predicts Long-Term Risk of Cerebral Disability and Mortality in Out-of-Hospital Cardiac Arrest Survivors mdpi.com/2962340 #mdpijpm via JPM_MDPI MDPI