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

Bloomfield Hills, MI
Joined April 2018
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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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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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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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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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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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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