Cutting Edge Cardiovascular Cases - Monument Health...10/18/2019 1 Cutting Edge Cardiovascular Cases Annual Regional Health Cardiovascular Disease and Wellness Symposium 2019 Bhaskar

10/18/2019

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Cutting Edge

Cardiovascular Cases

Annual Regional Health

Cardiovascular Disease and Wellness

Symposium 2019

Bhaskar Purushottam MD

72 y.o. woman with a NSTEMI

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Diffusely Diseased LAD

Poorly Expanded RCA Stent

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Under Expanded LCX Stent

IVUS of LM and LCX

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Under Expanded LAD Stent

Dog Bone

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LASER of LAD

The Beast

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Expansion of the LAD Stent

LASER of LCX

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LASER of RCA

Final Angiograms-LAD

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Final Angiograms-LCX

Final Angiograms-RCA

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64 y.o. man with Cardiogenic Shock

Diagnostic Coronary Angiograms

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Rotational Atherectomy

Final RCA Angiogram

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BiPella

BIPELLA

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Minimal Skin Incision

70 y.o. man with a non-healing left 5th toe ulcer

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Diagnostic R LE Angiograms

Transmetatarsal Arterial Access

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Transmetatarsal Arterial Access

Retrograde Wiring

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Antegrade Wire into Retrograde Catheter

Final Right LE Angiograms

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57 y.o. man with lifestyle limiting Angina and

heart failure with reduced left ventricular

systolic function

Diagnostic Coronary Angiograms

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Diagnostic Coronary Angiograms

Simultaneous Coronary Angiograms

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Retrograde Approach

Retrograde Approach

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Flossing of the Heart

Final Angiograms

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65 y.o. woman with lifestyle limiting LE

Claudication

Diagnostic Left LE Angiograms

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Left SFA Stent Puncture

Left Lower Thigh Sheath

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Re-Entry

Final Left LE Angiograms

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19 y.o. woman who is 2 weeks’ postpartum

presents with a massive left iliofemoral DVT

Clot - Abdomen to Toes

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Treatment

Treatment

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Catheter Modification

Multiple Access

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Day 2

Stent Assisted Flow

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Day 3

Final Venograms

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Clots Removed

IVC Filter Removed

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Thanks