@DrJayMohan @TAVRBot @RadialFirstBot @RajTayalMD @DrMustafaT @Dr_Santangeli @SandeepNathanMD @perc_surgeon @evandrofilhobr @willsuh76 @BillONeillMD @JamesDThomasMD1 @georgedangas I have not run into this scenario, but have removed LAA clot with #Alphavac followed by #Watchman implant. Fascinating that you had pt sooo anticoagulated and this still happened. Nice work!.

7/ Before doing that we decided to place cerebral protection as obvious high risk of embolization and acute neurologic event . #LAAC #Watchman #echofirst #cardiotwitter #cardiology @TAVRBot @RadialFirstBot

@doc_ecmo @PCRonline @BifurcationClub @latambifclub @AmBifClub @BotPci @RadialFirstBot You are right 💯.

@w_jyg @PCRonline @BifurcationClub @latambifclub @AmBifClub @BotPci @RadialFirstBot Missing Reverse DK crush 🤪🤪🤪.

One of the best illustration of how #flexible of #provisional stent in #BiF @PCRonline @BifurcationClub @latambifclub @AmBifClub @BotPci @RadialFirstBot

5/ Angiography confirms closure of the graft . #Cardiotwitter #IRAD #vasctwitter #CVTS #PCI #CABG #Radialfirst @RadialFirstBot @BotPci

3/ Due to recurrent Right heart failure and development of pulmonary HTN the decision was made to attempt endovascular closure of the graft with coils. #Cardiotwitter #IRAD @RadialFirstBot @BotPci

@nolanjimradial @richardbogle @evandrofilhobr @DrAsifQasim @mirvatalasnag @RadialFirstBot @aspergian1 @mmamas1973 Use either a power injector or an 8cc syringe to inject contrast and 4f will work on any artery. Can even do FFR with them although OCI not possible at least in USA. Reduces contrast load and trauma to radial or dorsal radial.

@richardbogle @nolanjimradial @evandrofilhobr @DrAsifQasim @mirvatalasnag @RadialFirstBot @aspergian1 @mmamas1973 Do all my dx with 4F.

@mirvatalasnag @RadialFirstBot @Radial_ICG @drandrewsharp @DrAsifQasim @angioplastyorg Done first 10 cases. 80% success rate with wiring. Definitely recommend the @MeritMedical sheath. The needle is super sharp and the wire idea. Definitely this is an excellent sheath for this job.

@richardbogle @evandrofilhobr @DrAsifQasim @mirvatalasnag @Radial_ICG @RadialFirstBot @aspergian1 @mmamas1973 Hard to improve on that angiographic quality.Downsizing minimises iatrogenic access site injury, a desirable property which is potentially very important.Japanese experience would indicate that downsized caths are highly functional for many cases.

@richardbogle @RadialFirstBot @Radial_ICG @drandrewsharp @DrAsifQasim @angioplastyorg All well?.

@nolanjimradial @evandrofilhobr @DrAsifQasim @mirvatalasnag @Radial_ICG @RadialFirstBot @aspergian1 @mmamas1973 Renal Tx work up. 4F. No issues with quality. 20ml contrast. Slender. As you say choose carefully.