BackTable Vascular and Interventional’s Post

🎉 Exciting News! CE Approval for Medinol’s EluNIR-PERL™ Drug-Eluting Stent System 🎉 We are thrilled to announce that our innovative EluNIR-PERL™ DES has received CE approval! This marks a significant milestone in our commitment to advancing cardiovascular care and offering pioneering solutions to patients worldwide. The EluNIR-PERL™ DES is designed to enhance procedural precision and improve patient outcomes, building upon the proven performance of the EluNIR™ DES system. With unique features such as four radiopaque markers and a hybrid polymer-metal radiopaque catheter tip, the EluNIR-PERL™ ensures outstanding visualization during PCI procedures. This achievement reflects our dedication to excellence and innovation in medical device technology. We are proud to provide physicians with tools that not only meet but exceed the demands of modern interventional cardiology.   #Medinol #EluNIRPERL #MedicalDevices #Cardiology #Innovation #CEApproval #CardiovascularHealth #DrugElutingStent #StentInnovation #CEMark #Medinol #HealthcareInnovation #PatientOutcomes #HealthTech #cardiovascular #coronary

𝗙𝗶𝗿𝘀𝘁 𝗖𝗮𝘀𝗲: 𝗜𝗻𝘁𝗲𝗿𝗿𝘂𝗽𝘁𝗲𝗱 𝗖𝗼𝗮𝗿𝗰𝘁𝗮𝘁𝗶𝗼𝗻 𝗼𝗳 𝘁𝗵𝗲 𝗔𝗼𝗿𝘁𝗮 (𝗖𝗢𝗔) Excited to share a complex case we recently handled, showcasing our team's expertise and innovative approach to interventional cardiology. 𝗖𝗮𝘀𝗲 𝗢𝘃𝗲𝗿𝘃𝗶𝗲𝘄: A simultaneous contrast injection via the right femoral and left radial artery revealed an interrupted coarctation of the aorta with well-developed collaterals. 𝗣𝗿𝗼𝗰𝗲𝗱𝘂𝗿𝗲 𝗗𝗲𝘁𝗮𝗶𝗹𝘀: • Retrograde wiring initially failed. • Success was achieved via the left radial access using a coronary wire, followed by balloon angioplasty with a coronary balloon. • The wire was snared, and a pigtail catheter was advanced retrogradely beyond the stricture. • A stiff wire was then crossed, and a self-expanding stent was deployed. Post-dilation was strategically postponed for several months to ensure optimal patient outcomes. • This case highlights the importance of adaptability and precision in interventional cardiology. Sharing these experiences helps us all learn and grow in our practice. #Cardiology #InterventionalCardiology #HealthcareInnovation #MedicalProcedures #HeartHealth

💉 Rotational Atherectomy: A Vital Tool for Complex CAD 💉 Rotational atherectomy is an irreplaceable technique in interventional cardiology, especially for managing heavily calcified coronary lesions. Since the first case in 1988, it has been essential for treating patients where traditional methods fall short. At our institution, we've been privileged to help many patients with severe calcifications using this advanced technique. Much of my success is due to the invaluable guidance and mentorship from two of the foremost authorities in the field, Dr. Samin K. Sharma and Dr. Annapoorna Kini Their insights have been instrumental in refining our approach and ensuring the best possible outcomes for our patients. Here are some key tips and tricks we've adopted, inspired by their expertise: 1. Rota Glide Optimization: Add nitroglycerin, verapamil, and heparin to the Rota Glide solution for smoother burr movement and reduced complications. 🧴 2. Tension Management: Carefully adjust tension between the rota floppy wire, Teflon sheath, and burr to ensure optimal control. 🛠️ 3. Guidewire & Burr Selection: Use the ROTAWIRE Floppy, shaping the tip smoothly to avoid complications (avoid loops). Start with a small burr (1.25 or 1.50 mm) for most lesions, and consider downsizing if needed. 🔄⚙️ 4. Ablation Speed & Technique: Maintain a rotational speed between 135,000-180,000 RPM. Use a pecking motion for controlled burr advancement and keep individual runs to 20-30 seconds. ⏱️⏩ 5. Handling Complications: If complications like burr entrapment arise, follow specific strategies, such as controlled push-and-pull techniques or using a Guidezilla to dislodge the burr. 🚑 These strategies, deeply rooted in the teachings of Dr. Samin K. Sharma and Dr. Annapoorna Kini have been game-changers in our practice. Their dedication to advancing the field of interventional cardiology has not only guided our hands but also shaped our commitment to patient care. 🎥 The following video highlights some of the patients we were able to help last week using rotational atherectomy. #InterventionalCardiology #RotationalAtherectomy #Cardiology #ComplexCAD #PatientCare Miami Cardiac & Vascular Institute Boston Scientific Abiomed Shockwave Medical

"The OPN NC balloon provided the largest calcified plaque modification among the devices that were used in this registry." Explore the fascinating evolution of percutaneous coronary intervention (PCI) from balloon angioplasty to recent innovations and future prospects. This comprehensive review highlights the technological milestones that have shaped the field and the pivotal role of our OPN NC® Super High-Pressure PTCA Balloons in modern cardiology. Designed to handle the most challenging cases, OPN NC® balloons provide unmatched performance in treating complex coronary lesions. With the ability to reach pressures up to 35 atm, these balloons ensure optimal stent expansion and significantly improve patient outcomes. As we look towards the future, innovations like the OPN NC® balloons continue to drive advancements in PCI, providing interventional cardiologists with the tools they need to deliver exceptional care. This article underscores the importance of embracing new technologies to enhance procedural success and patient safety. Contact us here on LinkedIn (RADPAD® Radiation Protection) or at our website (radpad.com) to learn more about OPN NC and to schedule an in-service training to get them on the shelf! Read the full article: https://lnkd.in/gZVYw_xt #PCI #InterventionalCardiology #OPNNC #MedicalInnovation #Cardiology

Endoscopy is a versatile medical procedure with a wide range of uses in both diagnosis and treatment. By allowing direct visualization of internal organs and structures, it plays a crucial role in identifying conditions such as ulcers, tumors, inflammation, and bleeding throughout the body. Additionally, endoscopy facilitates minimally invasive therapeutic interventions, including biopsy sampling, polyp removal, stricture dilation, and stent placement. From routine screenings for gastrointestinal cancers to advanced surgical procedures, endoscopy offers patients precise diagnoses and targeted treatments while minimizing discomfort and recovery time. Participating in the endoscopy workshop was an enriching experience, delving into the intricacies of this essential medical procedure. From learning about the latest advancements in technology to honing practical skills under expert guidance, every moment was invaluable. Engaging with peers and experts alike fostered a dynamic learning environment, where knowledge flowed freely and insights were shared. As I reflect on the workshop, I am filled with gratitude for the opportunity to deepen my understanding of endoscopy and its crucial role in modern healthcare. #EndoscopyWorkshop #MedicalTraining #GastrointestinalHealth #DiagnosticEndoscopy #TherapeuticEndoscopy #MinimallyInvasiveProcedures #MedicalEducation #EndoscopicSkills #HealthcareAdvancements

Excited to share the results of a recent study on the impact of Tucuvi's Clinical Virtual Assistant, LOLA, in supporting early discharge follow-up after Transcatheter Aortic Valve Implantation (TAVI) conducted by Dr Marta Herrero Brocal, Dr Juan Miguel Ruiz Nodar and their team at Hospital Universitario Doctor Balmis, published in the European Society of Cardiology. The increasing number of TAVI procedures is creating a growing burden on cardiology departments, making early discharge programs essential to optimize bed occupancy and ensure efficient patient care. 📊This study evaluates the safety and effectiveness of very early (<24h) and early discharge (24-48h) as compared to standard discharge (>48h), supported by Tucuvi’s AI (LOLA). The results at the 30-day follow-up demonstrated that both early and very early discharge assisted by LOLA were as safe as traditional discharge, with a very low rate of complications and the same readmission and intervention rates.   ❣️Tucuvi's AI played a critical role in the early detection and resolution of complications, helping healthcare professionals manage high-stakes procedures while ensuring patient safety and reducing the need for prolonged hospital stays. 👉 For more details about the results, check out the abstract here: https://lnkd.in/d9nMWjVn

🫀 👨⚕️ 👉 CCM takes part in the 9th Multi Level CTO Course!   The CCM was selected to perform live cases at the 9th Multi Level CTO Course held in Nice from 27 to 29 June. During the 3 days of this international congress, dedicated exclusively to the treatment of chronic total coronary occlusions, 4 live cases were performed at the CCM, enabling interventional cardiologists to follow real cases of increasing complexity live. They were performed by the Centre's team of interventional cardiologists, accompanied by guest practitioners. The treatment of CTO by recanalization of chronic total coronary occlusions has become a must-have procedure, a specificity of interventional cardiology that is booming and constantly evolving. Mastering CTO techniques is now essential for managing complex coronary patients. 👉 https://lnkd.in/eH2hty3w #Monaco #CentreCardioThoraciquedeMonaco #onprendsoindevous #MLCTO2024 #cardiology #CTO #PCI #coronary

Something I learned recently: evidence-based practice (EBP); this is what I took away from it: In the practice of cardiothoracic perfusion, a flexible framework of evidence-based practice (EBP) guides a perfusionist to provide the best care tailored to a patient, for each case is unique. Integration of all sources of knowledge — academic, research evidence, and practiced experience — is imperative to making the best educated decisions that serve medical necessity and the patient’s clinical experience and values. Let us take a look at the example of a study by Nishimura et al. on “Left ventricular unloading during VA-ECMO: The Gordian knot of physiology.” Consider the option of using left ventricular unloading, or venting, in veno-arterial membrane oxygenation (VA-ECMO) to prevent harm or damage to LV function. Before examining the proposed strategy as a solution, the practitioner must consider the values of the patient on ECMO. One value is identifying the flow rate and saturation of their native lungs, as one of the complications of LV venting is lung failure. Another value focuses on the strength of the aorta, as regurgitation can simply overload and distend the LV. Theoretical proposal on left ventricular unloading resulting in two physical benefits for VA-ECMO patients: 1) pulmonary capillary wedge pressures resulting from reduced LV preload, and 2) reduction in left ventricular afterload. Significant physiological data to support these theories have not been reported. In contrast, LV strategies have been shown to have detrimental effects on VA-ECMO. Alternatively, evidence of extracorporeal cardiopulmonary resuscitation (ECPR), however, has led to a much higher rate of LV recovery in patients with a refractory cardiac arrest (OCHA) of acute coronary syndrome. The resulting contribution to this entangled knot of an imbalanced equation is addressing the lack of knowledge-based evidence to provide a more successful use of a particular process that results in a higher number of patients in recovery from an underlying coronary disease. Kalra R, Yannopoulos D, Bartos JA. Left ventricular unloading during VA-ECMO: A Gordian knot of physiology. Resuscitation. 2024 Feb;195:110122. doi: 10.1016/j.resuscitation.2024.110122. Epub 2024 Jan 23. PMID: 38266769. #perfusion

So proud to be a part of this innovative journey at Siemens Healthineers! Exciting News for Cardiovascular Care! Siemens Healthineers has secured FDA clearance for the ACUSON Origin ultrasound system and AcuNav Lumos 4D ICE catheter.     The ACUSON Origin cardiovascular ultrasound system, powered by AI, can help physicians perform cardiac procedures in diagnostics, structural heart disease, and electrophysiology more efficiently. The AcuNav Lumos 4D ICE catheter, exclusively paired with the ACUSON Origin, provides advanced imaging capabilities for complex heart procedures, featuring real-time 4D color Doppler and MPR biplane imaging.    Why This Matters:   Enhanced Diagnostic Accuracy: AI-driven features help improve precision and consistency, reducing variability in results.  Streamlined Procedures: The ACUSON Origin minimizes cardiac exams and procedures' cognitive and ergonomic demands.  Better Patient Care: The AcuNav Lumos 4D ICE catheter facilitates complex heart procedures, reducing the need for anesthesia by offering a solution for treating all patients, especially those not candidates for TEE. "With its advanced AI features and potential to enhance diagnostic accuracy as well as patient care, the ACUSON Origin is positioned to reshape healthcare's approach to cardiovascular imaging," - David Zollinger, Head of Cardiovascular Ultrasound at Siemens Healthineers.    Read the full press release: https://bit.ly/3YDHzWX.   #CardiovascularCare #HealthcareAI #SiemensHealthineers

WELLEX FEMORAL AND RADIAL SHEATH [email protected] In modern interventional cardiology, the use of femoral and radial sheaths plays a crucial role in facilitating safe and effective access for various diagnostic and therapeutic procedures. The femoral sheath, inserted via the femoral artery in the groin, offers a direct and larger access route ideal for complex interventions. Meanwhile, the radial sheath, introduced through the radial artery in the wrist, provides a minimally invasive option with a lower risk of complications and faster patient recovery. The choice between femoral and radial access depends on patient-specific factors, procedural requirements, and the clinician’s expertise. Femoral access is often preferred for high-risk or emergency situations requiring larger catheters, while radial access is favored for its patient comfort and reduced bleeding risk. #wellexmed #wellexltd #cardiology #sheath #radial_sheath #femoral_sheath #cardiac_health #cardio_doctors