interventional cardiology, Vascular interventions. Director cath lab at Troy Beaumont Hospital

Joined April 2018
104 Photos and videos
28 Jan 2024
1/2 71M presents e UTI syncope fever EKG e Inf stemi but no cp hs trop 570. ST⬆️ resolves in ER cath day 3. #cardiotwitter @ekgpdx @RajTayal2 @heartdoc45 @DrAmirKaki #ACCFIT @HadyLichaaMD @DrJayMohan @chadialraies @BaoGTran @AKassier @raatassi @ShariqShamimMD @trivaxheartmd
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28 Jan 2024
2/2 large RCA-RA /CS fistula. AO 90/63 PA 53/15. O2% RA 61 PA 65 AO 96. How do you explain RA sat( I expected 80s) and normal RV size? @ramymandoMD @IvanHansonMD @amrabbasmd @BeaumontIC @BeaumontCards @Babar_Basir @CMichaelGibson @NalassaadNihad @ANbilolikar
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20 Jan 2024
50 yo healthy TIA 3 month ago - WU no fever just had TEE looks like small myxoma. Anticoagulate vs OR? #cardiotwitter @RajTayal2 @heartdoc45 @DrAmirKaki #ACCFIT @HadyLichaaMD @DrJayMohan @chadialraies @BaoGTran @AKassier @dr_rothschild @raatassi @ramymandoMD @ShariqShamimMD
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20 Jan 2024
OOOPS the pusher was not pulled back 😳😳. #cardiotwitter @ekgpdx @RajTayal2@heartdoc45@DrAmirKaki #ACCFIT @HadyLichaaMD@DrJayMohan @chadialraies @BaoGTran@AKassier⁩ ⁦@dr_rothschild⁩ ⁦@raatassi⁩ ⁦@ramymandoMD⁩ ⁦@ShariqShamimMD
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R ICA stenosis tortuous AO ē type III arcH.Stent via radial possible ē Terumo R2P. #cardiotwitter @ekgpdx @RajTayal2 @heartdoc45 @DrAmirKaki #ACCFIT @HadyLichaaMD@DrJayMohan @dr_rothschild @chadialraies @BeaumontCards @JayMathewsMD @BaoGTran @agtruesdell @Amyers235
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80 yo cp foreign body on CXR failed attempt to snare IR( wire?) brought to cath snaring through T24 planned. Turned out to be kyphoplasty embolism.think twice before snaring KP. Eventually was able to retrieve with INARI Flowtriever disk. #cardiotwitter @ekgpdx @RajTayal2
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I’ve snared a lot of FB in the past but this was definitely different and challenging. A long thin Structure that coiled on itself and hardened every time you grab it with a snare a small piece breaks and settles in a distal branch.still better than taking a risk of large prox PE
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20 Mar 2022
50yo DM,dialysis, digital gangrene rest pain.6 month post Bilat ulnar PTA.what a change! #cardiotwitter @ekgpdx @RajTayal2 @DrAmirKaki@CLIfighters#ACCFIT @HadyLichaaMD@DrJayMohan @chadialraies @BeaumontCards @JayMathewsMD @BaoGTran@raatassi@agtruesdell
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12 Mar 2022
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12 Mar 2022
You can see the vegetation getting sucked into T24 @Amyers235 @dr_rothschild
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15 Aug 2021
45yo DM dialysis bilat digit gangrene.100 ulnar focal radial if dissection after PTA would you use coronary DES? Anyone used TACK in arm? #cardiotwitter @ekgpdx @RajTayal2 @heartdoc45 @DrAmirKaki@HadyLichaaMD@DrJayMohan @chadialraies @JayMathewsMD @BaoGTran #clifighters
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15 Aug 2021
I did PTA of ulnar and got good flow but the radial is bigger and has 3 areas of focal stenosis. Ulnar was occluded so I got nothing to lose if it closed again but it’s different fir the radial
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