Alaa Elkhateeb’s Post

👉Coronary stents(BRS)-they will dissolve definitely 😊 👉45yr male,#AWMI,thrombolysed with Tenecteplase at peripheral hospital,ongoing chest pain. 👉#CAG-mid LAD 70% stenosis 👉Plan-BRS implantation (as per patient & his attendant wish) 👉#BMW guidewire (0.6gm tip load) 👉Predilation 3.5x15 mm (artery:balloon-1:1 ratio) 👉#BRS #MeRes 3.5x24mm deployed at 14 atm gradual inflation. 👉Uneventful procedure with #TIMI III flow. 📌#MeRes100 #BRS is the first thin-tip #sirolimus releasing #bioresorbable vascular matrix with strut thickness of 100 micron.It has thin strut thickness,better profile,better trackability & very less thrombosis in comparison to old generation bioresorbable scaffolds. 📌The #BRS is mostly composed of repeating units of bioresorbable polymers. 📌Vascular scaffold gets dissolve in 24-36 months post implantation(except the #platinum markers at both the ends). 📌Post resorption #coronary #artery resumes its #physiological #endothelial #functions without any #residualmetalliccage.

Joint mobilization techniques are manual therapy techniques that use low/high velocity movements to improve joint function and relieve pain. Maitland mobilization can be used for relief of pain due to tightened structures around the joint as well as to regain ROM. Posterior glenohumeral glides facilitate the arthrokinematic motions of flexion and internal rotation of the shoulder. The posterior glide of the glenohumeral joint can be progressed to increase horizontal adduction or to increase posterior gliding when flexion approaches 90 degrees. #physiotherapy #jointmobilization #maitlandmobilization #ROM

Wallerian Degeneration: It's a GOOD THING . Wallerian Degeneration occurs with 2nd degree nerve injury that includes degeneration of the nerve distal to lesion site to encourage regeneration. . Wallerian Degeneration takes place between day 7-21 after injury. The process of Wallerian Degeneration is important for successful outcomes after a nerve injury. . If Wallerian Degeneration is delayed, healing time and recovery are also delayed. Understanding the anatomy and physiology behind an injury is important to inform our practice as hand therapists. . Information from : Rotshenker S. (2011). Wallerian degeneration: the innate-immune response to traumatic nerve injury. Journal of neuroinflammation, 8, 109. . https://lnkd.in/g5FzQAC2 . #htp_west #handtherapypartners #CHT #ASHT #occupationaltherapy #ot #pt #hta #handtherapy #handtherapyacademy #handsurgery #otstudent #ptstudent #learn #share #nerve #walleriandegeneration #injury #axon #schwanncell

Spine Case: Endoscopic decompression, bone grafting, fusion and internal fixation. The patient's symptom: Lumbar spondylolisthesis, lumbar spinal stenosis. The operation was a success. #NCC #IONM system

The CervicalStimTM device is the sole FDA-approved bone stimulator for cervical fusions. With PEMF and high success rates, this modern Atlas offers a non-invasive solution for cervical spine conditions. #BoneHealing #CervicalSpine #Wellness https://ow.ly/2Cbb50R2oS8

Great to see that the technique I firstly described several years ago is spreading more and more Watch the full videos of the technique at the end of the following link : https://lnkd.in/eYqGH7a

Word of the Week: Collagen: The primary structural protein that makes up the body. It is the most abundant protein in the body making up about one-third of the total protein in the body. It is mostly found in connective tissue such as cartilage, bones, tendons, ligaments, and skin. Collagen also provides strength and structure for the blood vessels. There are several different forms of collagen. Recent research has shown that factor IX binds to the collagen IV in the walls of blood vessels, but it’s exact function is still unknown. Check out this word and others in our Hemo B Glossary: https://lnkd.in/gdWZa9bf

At the 2-year follow-up after arthroscopic hip labral reconstruction, treating small defects using indirect head of the rectus femoris tendon and larger defects using iliotibial band resulted in good patient-reported outcome measures with a low rate of complications and failures. #HipLabralReconstruction #HipInjury

🎬 Peritoneal closure in laparoscopic TAPP inguinal hernia repair with exclusive use of glue.  ✅ effective mesh coverage  ✅ reduced operative time  ✅ simple, practical, safe (no risk for nerve injury and pain)  ✅ no peritoneal tears 🖊 TIPS: start from inner edge, apply glue over the lower peritoneal flap (no inta-abdominal spillage), "drip and iron", short steps  📝 ACK: Ielpo Mini-invasive Surg 2021, P Wilson et al Hernia 2019