Dimitri Zappi, M.D.
@dimitri_zappi
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Interventional Cardiologist - Fellowship at Instituto Dante Pazzanese. Radial/Ulnar/🤙Distal Radial artery access and TAVI ADDICT #structuralISThenewblack
Brazil
Joined September 2016
🚨 New study confirms “distal radial first” is safe & effective for coronary angiography/PCI in Australia 🇦🇺 (n=1,692). 🧠 A strong case for adopting dTRA as first-line access. 🔗 Full study: #dTRA #RadialAccess #InterventionalCardiology #PCI
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Are you facing complex angiographic scenarios/patients! it’s worth to know this 🔥 topic. #CHIP.
Unfortunately some times we may lost some material inside the patient. it is better to know in advance which snares are available, how snare works, which snare for which problem and also how to make a customized snare for any different anatomy @PCRonline @escardio #EAPCI
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Dear #CardioTwitter Folks, 👧, 50y,kidney transplant 6m ago.Previous AV fistula in both arms.CAG due to RNM +for ischemia.4F #SafeFemoral ➡️surprise!Would you close it? How? @MusaSharkawiMD @HadyLichaaMD @evandrofilhobr @AntoniousAttall @timir_paul @SripalBangalore
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RT @warkaa21: I am honoured to be one of the co-authors in a chapter of the first edition of the Transradial handbook of the visionary Prof….
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#TAVR bailout vascular intervention strategy.
Agam Bansal, MD (@AgamBansal5), and Amar Krishnaswamy, MD, share how “same-side” femoral access for the secondary arterial access sheath can provide numerous benefits during TAVR.
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RT @ZHeart11768530: 🔴 ASE Recommendations for Evaluation of Prosthetic Valves with Echo & Doppler Ultrasound.🔹Normal Flow Patterns & Essent….
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Surprise Today. I thought I was going to LIMA through the aortic arch……#RadialFirst made for NeuroInterventions @Neurorradio
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Tips and Tricks in Radial PCI.A synthesized collection of strategies and insights for improving the safety and effectiveness of transradial percutaneous coronary intervention.
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if you have debt if what you do can change the lives of your patients?.
81 years old. Long term survival after heart transplantation. TAVI 25 years later. @cardiojsl @OjedaOjeda18 @rafaelglezm @LAzzaliniMD @MesaLola @belcid7 @shci_sec @jorgeachv @AdrianLostalo @pepp183 @RevEspCardiol @PCRonline @EuroInterventio @rafa_romaguera @secardiologia
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Definitely a big step forward for @Medtronic #TAVR platform.Despite COV/commissural alignment techniques, as IC It has always been a concern, a wire mesh in front of the coronary ostia.I can't wait for its availability @MedtronicBrasil @MDTLATAM Also for TAVRinTAVR agame changer.
First cases of #Evolut FX+ in the world with coronary cannulation and CT post showing the larger (4x bigger) cells 120° apart and perfectly located in front of coronary ostia. @UHhospitals @GilbertTangMD @MDT_StructHeart @DocCbaezap @ACUkaigweMD @KHERA_MD @bapat_savrtavr @shishem
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Anyone know much about this 8F nickel free BEC #TAVR system? Mirus SIEGEL valve.@igeorge1975 @bapat_savrtavr @TsuyoshiKaneko1 @GAilawadiMD @AdamGreenbaumMD @VinodThourani @PradeepYadavMD @SachinGoelMD @didier_tchetche @barbanti_marco @drnvanmieghem .
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As a Radialist IC, for me The greatest advance of the distal radial access #dTRA: #RadialFirst one recanalization! Have you been doing this quiet often?@mirvatalasnag @w_jyg @jorgeachv @skat_ct @mornei2011 @ISeropianMD @Tesslagra @KardiologieHH @HadyLichaaMD @DrDamluji @OhnoTuri
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Impressive, what we are able to do in the cathlab.Grateful to be here!.
Complex simplification of structural heart with Echo fusion and AI. Within a few years will be Holo lens and 4D with depth perception. Here's a recent example from my lab where the workflow is routine, this is part of what we see on screen during the procedure. #UABStructural
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“Oldie” stent (25y/o), New techniques. Doing the “same thing”, in a new way, always trying to be better every day. This is the summary of Interventional Cardiology, I am proud to be part of this!
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No doubt, it matters, mainly thinking about “Lifetime”percutaneous management of coronary artery disease through the wrist, multiple time!.
Basic101 for all #IC #Cardiology #PCI.#Size of #Radial artery matter #Sheath #Slender #Sheathless #BAT 🤙🏻 #dTRA @RadialFirstBot #RadialFirst @BotPci @PCRonline @APSIC6 @sbrugaletta @mmamas1973 @escardio @KardiologieHH @mirvatalasnag @Tesslagra @dimitri_zappi
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Why not to try “definitive”access treatment instead “alternative” access . Enjoy your #TAVR approach? Great Francesco👌.
TAVI in hostile femoral access. Pave-and-crack technique in selected patients may save the day…and provide effective treatment for claudicatio! Amazing team work with vascular surgeons #TAVR #hostileaccess #IVL @sicigise @EAPCIPresident
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Alternative access in #TAVR.
Drs. Guillaume Bonnet (@guilbon), Lionel Leroux, Julien Peltan, Julien Ternacle (@TernacleJ), Thomas Modine (@modine_thomas), & Profs. Stéphane Lafitte & Louis Labrousse describe the why and how for transcarotid access in TAVR.
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RT @MayraGuerreroMD: MViV, MViR & ViMAC with Sapien 3 associated with sustained improvement of HF symptoms & QoL @ 5 years. Stable THV func….
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