10/18/2019

1

Cutting Edge

Cardiovascular Cases

Annual Regional Health

Cardiovascular Disease and Wellness

Symposium 2019

Bhaskar Purushottam MD

72 y.o. woman with a NSTEMI

10/18/2019

2

Diffusely Diseased LAD

Poorly Expanded RCA Stent

10/18/2019

3

Under Expanded LCX Stent

IVUS of LM and LCX

10/18/2019

4

Under Expanded LAD Stent

Dog Bone

10/18/2019

5

LASER of LAD

The Beast

10/18/2019

6

Expansion of the LAD Stent

LASER of LCX

10/18/2019

7

LASER of RCA

Final Angiograms-LAD

10/18/2019

8

Final Angiograms-LCX

Final Angiograms-RCA

10/18/2019

9

64 y.o. man with Cardiogenic Shock

Diagnostic Coronary Angiograms

10/18/2019

10

Rotational Atherectomy

Final RCA Angiogram

10/18/2019

11

BiPella

BIPELLA

10/18/2019

12

Minimal Skin Incision

70 y.o. man with a non-healing left 5th toe ulcer

10/18/2019

13

Diagnostic R LE Angiograms

Transmetatarsal Arterial Access

10/18/2019

14

Transmetatarsal Arterial Access

Retrograde Wiring

10/18/2019

15

Antegrade Wire into Retrograde Catheter

Final Right LE Angiograms

10/18/2019

16

57 y.o. man with lifestyle limiting Angina and

heart failure with reduced left ventricular

systolic function

Diagnostic Coronary Angiograms

10/18/2019

17

Diagnostic Coronary Angiograms

Simultaneous Coronary Angiograms

10/18/2019

18

Retrograde Approach

Retrograde Approach

10/18/2019

19

Flossing of the Heart

Final Angiograms

10/18/2019

20

65 y.o. woman with lifestyle limiting LE

Claudication

Diagnostic Left LE Angiograms

10/18/2019

21

Left SFA Stent Puncture

Left Lower Thigh Sheath

10/18/2019

22

Re-Entry

Final Left LE Angiograms

10/18/2019

23

19 y.o. woman who is 2 weeks’ postpartum

presents with a massive left iliofemoral DVT

Clot - Abdomen to Toes

10/18/2019

24

Treatment

Treatment

10/18/2019

25

Catheter Modification

Multiple Access

10/18/2019

26

Day 2

Stent Assisted Flow

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Day 3

Final Venograms

10/18/2019

28

Clots Removed

IVC Filter Removed

10/18/2019

29

Thanks