Evandro Martins F. MD @evandrofilhobr
🇧🇷Interventional Cardiologist #RadialFirst #CTO #imagefirst Tweets=own opinion≠Medical advice. Freestyle proceduralist passioned to make people feel better! linkedin.com/in/evandrofilh… Maceió, Brazil Joined August 2010-
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@KambisMashayek1 with discussion around utility of super high pressure balloon - key is sizing and case selection #TCTAP2024 @summitmd_cvrf
Today we had the pleasure to work and learn with @evandrofilhobr ! What a great day!
Impressive 👏🏻👏🏻
Impressive data from yoshinobu murasato at #TCTAP2024 around imaging use in lms pci in japan- 98%. In uk we're only at 75% nationally and US much less. Need to do better
44👨🏻🦰, ischemic CMP. LCx STEMI w/ CS in September/23 on top of RCA/LAD CTOs. EF 30s. LAD was recanalized during LCx PPCI. LAD Re-occluded. Very symptomatic. Was referred for CABG but turned down unfortunately. Now LAD IS-CTO antegrade PCI & RCA CTO PCI using retrograde approach.…
Young patient. Single vessel disease. RCA CTO - AW w/ BSC Fighter. 3 DES & IVUS optimization.
LAD CTO PCI using AW - BSC Fighter (got SI) then Judo 6. DCB for 1st Diag.
Single access #MHA #CTO #knucling to get TL. #IVUS guided PCI do not need contra injection. @DaitaroK @calcbreaker @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct #cardioTwitter @mornei2011 @uziyahya46 @DrBIqbal…
IVUS guided PCI. (Culotte technique) #showmetheeight @AntoniousAttall
#ReverseWiringTechnique ↩️through a #DualLumenMC #ShorteningAGuide for distal reach when a specific 90 cm #CoronaryGuide is unavailable @PCRonline @SCAI @MyJSCAI @AGoldsweig @mmamas1973 @BagaiJayant @jaygirimd @EricSecemskyMD @sahilparikhmd @MichaelMegalyMD @AntoniousAttall…
Thx for your partnership @evandrofilhobr Team 🇧🇷 CHIP rules!!!💪👊🙌
Thx for your partnership @evandrofilhobr Team 🇧🇷 CHIP rules!!!💪👊🙌 https://t.co/TYOBQHd671
Happy to scrub with @GEICC3 and other colleagues from Porto Alegre performing 4 CTO cases (program started with more simple & low JCTO cases) as part of educational training program supported by @BostonSciLatam
Extensive PCI of LM to LAD presenting with NSTEMI, moderate AS, EF 25%, and LM ISR. IVUS was done after pre-dilation 3.0 as it wouldn't deliver. What is your strategy? No targets. Already 2 layers LM. Agent not available yet @evandrofilhobr @UICcardfellows @Laserrman
Our microcatheter anchor technique (MAT) published. Working around retroflexed graft insertion sites can be difficult. MAT adds to our current balloon anchor toolbox (eg BASE and side BASE) and can be used for wiring, MC tracking in other difficult coronary anatomies.
LCx CTO PCI post failed AW attempt - SI tracking & investment procedure w/ undersized balloon @LAzzaliniMD @KateKearney4
LCx CTO in post CABG w/ degenerated and failing SVG. Bidirectional approach using failing SVG as retro conduit.
LAD CTO PCI. AW w/ soft tappered polymer jacketed wire. Failed to rescue 1st Diag - dissection - failed ⭐️ rescue.
Warsaw CTO 2024 is around the corner! Check out our new promo 🎥 🗓Mark your calendar: April 26, 2024 👉 warsawcto.pl @SmithElliotjs @GLGasparini @rotamonster @swissCTO @KovacicMihajlo @BarberoUmberto @RafalWolny @arek_pietrasik @WAR_CTO
RCA CTO. JCTO 2 (blunt / calcium). Mamba Flex & Hornet 14. MC uncrossable. Guidezilla to increase support and allow MC cross. Rota 1.25. 3 DES. IVUS optimization.
Mamas A. Mamas @mmamas1973
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1K Followers 274 Following MS5|KEMU|Internal Medicine and Cardiology aspirant |♥️ food, literature,Netflix and shopping@KambisMashayek1 with discussion around utility of super high pressure balloon - key is sizing and case selection #TCTAP2024 @summitmd_cvrf
Today we had the pleasure to work and learn with @evandrofilhobr ! What a great day!
Late presentation after Anterior #STEMI 💔 s/p Primary #PCI of large wrap-around LAD Did well initially but on day 3, got hypotensive, with a new small pericardial effusion on #EchoFirst Fellows: What happened? #YesCCT below 👇 #CardioTwitter #ACCFIT #Cardiology #MedTwitter
Between innovation and strong basis, the 2024 @WAR_CTO has left me two strong messages: Never underestimate neither the power of community💪🏼, neither the Fielder XT-A🤣
@mmamas1973 @dukwoo_park @Hragy @ziadalinyc @SVRaoMD @Zill_cardio Dramatical change according to increase of IC-imaging in LMPCI is decrease of 2-stent (30%→<10%). It also contributes to improve clinical outcome. IC-imaging makes us endure the attemptation of sB stenting.
Impressive data from yoshinobu murasato at #TCTAP2024 around imaging use in lms pci in japan- 98%. In uk we're only at 75% nationally and US much less. Need to do better
@evandrofilhobr Great result. How far down the RCA did you take the Rota burr?
Tomorrow morning we will be joining our colleagues in Egypt with a live case from @HFHCardioFellow @HenryFordHealth
Good day for our Cardiology team in Hospital do Divino Espirito Santo - Azores: First implants in Portugal of leadless pacemaker micra VR 2 and AV 2 . New generation of leadless pacing technology - better longevity and AV sinchrony ! #micraAV2 Medtronic
@evandrofilhobr That’s good looking Carina ;)
@evandrofilhobr Here's the lesson: not everything that seems easy will be easy! Congratulations!
@g_giustinoMD @HFHCardioFellow would not oversize balloon and take into a count Impella diameter when pick BAV balloon sizing. Haven’t seen malfunctioning of Impella when BAV done with it
OSH transfer for cardiogenic shock, severe AS, 3-v CAD with left main, severe PAD. Stabilized with single access transcaval (TC) Impella CP + BAV via 18Fr DrySeal across cavo-aortic track. Snaring and venoarterial rail for TC done from left radial. @PedroMDMSc @HFHCardioFellow
Single access #MHA #CTO #knucling to get TL. #IVUS guided PCI do not need contra injection. @DaitaroK @calcbreaker @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct #cardioTwitter @mornei2011 @uziyahya46 @DrBIqbal…
@TWilsonMD @jedicath @KeithNguyenSAIF @SudhirFHFT @DKarmpaliotis @RSohnMD @Laserrman @BarberoUmberto @mornei2011 @evandrofilhobr @FurquimThyago There is often misunderstanding on MHA. It was born as a full algorithm in which a single guiding approach is only one part. There are in the meanwhile 10 publications about MHA. I believe it is important to know the theory behind it before applying it.
@jedicath @TWilsonMD @KeithNguyenSAIF @SudhirFHFT @DKarmpaliotis @RSohnMD @BarberoUmberto @mornei2011 @evandrofilhobr @FurquimThyago I completely agree. #MHA is suitable for mid-level and above CTO operators as mentioned @AgostoniPF
@jedicath @KeithNguyenSAIF @SudhirFHFT @DKarmpaliotis @RSohnMD @Laserrman @BarberoUmberto @mornei2011 @evandrofilhobr @FurquimThyago I don’t understand the fascination with “minimalist” CTO PCI.
This was a good month for us in terms of structural heart interventions We did 6 tavis 2 valve in valve Tavis 1 Rupture of sinus of Valsalva device closure Many BMVs -1 pregnant BMV Paravalvular leak device closure #CardioTwitter #CardioEd #MedTwitter @abadkhan2002…
@GEICC3 @PCRonline @SCAI @MyJSCAI @AGoldsweig @mmamas1973 @BagaiJayant @jaygirimd @EricSecemskyMD @sahilparikhmd @MichaelMegalyMD @AntoniousAttall @evandrofilhobr And when I Torque the shortened guide, i make sure that my left hand is grabbing the guide at the junction of the distal sheath and guide, so that the connection does not weaken.
@evandrofilhobr @HadyLichaaMD @PCRonline @SCAI @MyJSCAI @AGoldsweig @mmamas1973 @BagaiJayant @jaygirimd @EricSecemskyMD @sahilparikhmd @MichaelMegalyMD @AntoniousAttall The key step is to do the shortening outside the patient 😄