Misael Medina MD @misamed
Interventional and Structural Cardiologist 🇲🇽 gdlcardiologia.com Guadalajara, Jalisco Joined November 2009-
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@fvassallomd @BKSCardiology @pjsm83 @SOCiME_ @solaci_online @smexcardiologia @AncisssteMx You can use the typical Electrocauter Pen and the put the power between 20-40 watts (i usually use 30 watts) on "cut" and while the needle is lean on PFO u deliver the energy until u see the crossing on the Echo and/or Angio
Sometimes Transeptal puncture can be difficult if u dont have the Radiofrecuency dedicated Needle Here some TIPS - Avoid Pushing - use the stylet or the back of a 0.014” coronary guide wire to pinch septum - use a conventional Elctrosurgical pencil #transeptalpuncture
Challenging case of LAAC with a 27 mm #WatchmanFlx device. 22.5 mm of maximal Landing zone but just 15-16 mm of coaxial depth thus 27 mm device was Choose instead of the 31 mm device. Several implants until completa coverage of the proximal lobe and no PDL was observed by Echo
@drnbajaj76 @SOCiME_ @solaci_online @smexcardiologia @AncisssteMx great tips Thnx!
@hellojoni @SOCiME_ @solaci_online @smexcardiologia @AncisssteMx this was Echo guided infero-posterior puncture for LAAC so true FOP was puncture, we didnt expect this difficulty but it appears FOP was very fibrous. LAAC was done without complications. Patients was discharged 24 hrs latter.
Need to treat paravalvular leak? Our comprehensive review is now out in @CircIntv 💣 Huge thanks to @freixa_xavier for mentorship and to @ejfu0209 and all co-authors for their collaboration! ahajournals.org/doi/10.1161/CI…
@ATTVIP_MX quisiera reportar un #Fraude en una de sus tiendas en Av. Chapultepec sur 560, Guadalajara, Jalisco ya que no veo ningun email o telefono para atencion
very good state of the art to understand role and hot to apply DCB in bifurcation @BifurcationClub @EuroInterventio @PCRonline @TCTMD @AmBifClub
-Drug-coated balloons for coronary bifurcation lesions -@FezziSimone et al. explore the role of #DCB as a stent-sparing strategy in bifurcation #PCI, highlighting procedural optimisation, hybrid approaches, and future research needs. eurointervention.pcronline.com/article/drug-c… @Dr_TRissanen
AMAC: Anchor the Mother to Advance the Child – A technique for complex PCI faced with a tough RCA CTO and multiple failed attempts, the AMAC technique changed the game. Anchoring the system gave the support needed to cross and treat the lesion—no stent, no compromise. A smart move in complex PCI. @KambisMashayek1 shorturl.at/jqFt0 #CTO #PCI #AMACtechnique #InterventionalCardiology #CathLabLife #StentFreePCI #InnovationInCardiology
Understand the best practices for BP measurement for #hypertension patients with this infographic. 👇 Access the infographic, patient case quizzes & more 🆓 education w/ ACC's online course: bit.ly/4dUOal5 #ACCEd #WorldHypertensionDay #HighBloodPressureMonth #cvPrev
Multi Modality #Watchmanflx AngioCT for Planning TEE + ICE + Fluoro for guidance Perfect result @BSCCardiology @BostonSciLatam @PCRonline @SCAI @TCTMD @SOCiME_ @solaci_online @smexcardiologia
The LANDMARK trial demonstrated that the Myval transcatheter heart valve (THV) series is non-inferior to both the SAPIEN and Evolut THV series in terms of safety and effectiveness at 30 days. #EAPCI @NielsRoyen Read more: ow.ly/Obqv50UK47x
@cardioelihu @elihu_duran @CiticMexico @solaci_online @LamCTo @latambifclub @ESC_Journals @cadecigdl Excelente video amigo💪🏻
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