StJohns ascension Detroit hospital structural fellowship graduation dinner . Thank you Amir Kaki, MD and dr schreiber for everything you taught me, will benefit my future patients and colleagues

I am on the lookout for a structural job/complex coronary/peripheral if anyone knows of one… thanks you ! Jon George Jay Giri Amir Kaki, MD Sunil V. Rao Mamas A. Mamas Jay Mathews MD, MS, FACC, FSCAI Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

#CTOPCI at #PennsyInterventions: Successful PCI of distal LM and ostial LCX CTO with Impella pLVAD support in patient with ischemic cardiomyopathy. Penn Cardiology Penn Cardiology Fellows Phila Angio Club ReVascMed

Ef 25. - Impella . Csi lm lcx shockwave to lad., Shock wave to rca. Dk crush left main Jon George Sean Janzer Amir Kaki, MD Jay Giri Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI Mamas A. Mamas

First transradial r2p peripheral intervention done in UP Michigan . 200 cm shaft length CSI and impact dcb . Profunda filled collaterals Jon George Amir Kaki, MD . Has 99 percent calcific ostial right common iliac for tomorrow !

Did first tavr out of structural fellowship back in practice again . Super cool . Bicuspid valve with 5 mm iliacs . Good results . Not easy first one but it’s in the books Amir Kaki, MD Jon George

Ef 15 Surg turn down Perclose would not take femoral .Ultrasound guided axillary access 2 preclose with perfect hemostasis end . Had 6/7 left radial in case bailout needed .Dry closure with9 mm balloon when pulling Impella sheath Jon George Amir Kaki, MD Jay Giri Jay Mathews MD, MS, FACC, FSCAI

Prior tavr patient comes in 95% left main,hostile cfa’s. U/s guided left axillary and Perc ax impella . CSI to left main single stent to lad plus pots. PTA assisted dry closure with2 preclose w excellent hemostasis. Jon George Jay Giri Amir Kaki, MD Jay Mathews MD, MS, FACC, FSCAI

Nothing like nice pedal arch case

First penumbra bolt for limb ischemia upper Pennisula Penumbra Vascular

Nothing like horizontal valve

Impella assisted bav

Iliocaval reconstruction with main body stent . Occluded filter smashed . Frog leg bilateral pop approach .

apple.news/AK79Ak2qsSqGky…

Acute limb femoral pop occlusion tx with 7f bolt Pneumbra . Super impressed .Penumbra Vascular Jon George

Nice asd closure today

Question: 74 yo no surgical patient . Mg 6 mmhg after 34 evolue Oct 2023 now46. Was on eliquis entire time 5 bid due to Afib . Now comes in chf and pedal edema . Ct c/w halt . Do you change Coumadin ? Will that do anything or Viv? Jon George Mamas A. Mamas Jay Mathews MD, MS, FACC, FSCAI