Antonious Attallah, MD, FACC, FSCAI @AntoniousAttall Twitter profile

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Antonious Attallah, MD, FACC, FSCAI

5 months

First ever #alphavac done at Ascension St. John hospital for the removal of 3x4 cm right atrial mass attached to permacath/RA free wall. No perfusion/ECMO needed. Manually aspirated. Skin-to-skin 30 mins case. 250 filtered and given back. Ebl 50 cc.

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

2 years

Be careful with propensity matched analysis in observational studies 😂

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

60 y/o male with ALS, passed out the minute he woke up! In ED, SBP 82 mmHg. Echo in Resusc with blown-out RV -> Fluids and dopamine. CT with obstruction of both PA. CT to device time: 15 minutes. SBP 120 after thrombectomy. 1st massive rxd that way @Ascension_MI

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

Here is your #nanocrush appreciation tweet. Ivus guided using @BIOTRONIK_News Orsiro stents with excellent results. Carina MLA 11 mm2! Step-by-step tweetorial tomorrow

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

Fresh back from #CTO2020 👩 with intermediate-high risk PE and impending Resp failure. CT with saddle and right main PA occlusion. Some @InariMedical t-24 suction and blood flow restored to right lung. O2 requirement are down.

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

6 years

Congrats to my team @st . John Hospital for performing the first PE mechanical aspiration procedure using the #FlowTriever device for the 1st time in michigan! Pt in her 40’s acute cor pulmonale with submassives PE that occluded the right Main PA. CI 1.5. mRA 22! Felt 👍 after!

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

The prayers of those beyond their 4th decade have been answered 😆 Thanks for listening @AbbottCardio

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

Ok as promised here is the tweetorial using Orsiro in #nanocrush fashion for this Medina 1,1,1, Mid LAD/Diag lesion.

Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

Here is your #nanocrush appreciation tweet. Ivus guided using @BIOTRONIK_News Orsiro stents with excellent results. Carina MLA 11 mm2! Step-by-step tweetorial tomorrow

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

2 years

The Dos and Dont’s of using the cat-rx device @PenVascular @knshruthi @JayMathewsMD @JayMathewsMD @kerrigjl @ShariqShamimMD @mmamas1973 @evandrofilhobr #accfit @HFHCardioFellow @BeaumontIC @waynecardio

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

Really enjoyed @InariMedical new addition of the flow saver! 4 runs, tons of clot with less than 30 cc of blood loss! @Thomas_TuMD @PERTConsortium

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

Pleased to perform the first CAT-12 Lighting system aspiration of an acute DVT in Michigan @Ascension_MI ! Great results (aspirated all the way from pop to IVC! With less than 200 cc blood loss!). Looking forward to using it in PE as well...Torqueability is a great advantage too.

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

80 yo female with multiple admissions/evaluation for chest pain. Stress tests equivocal. Angio with mild to moderate diffuse disease. Today, she got the answer! #notcrazy @nadia_sutton @AbbottCardio @corventis @ziadalinyc @drandrewsharp @mmamas1973 @DrMarthaGulati @AnastasiaSMihai

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

First high-intermediate risk in Michigan treated with the Bashir catheter as part of the #RESCUE trial. RV/LV 1.7. Did very well @Ascension_MI

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

80 yo 👵🏻w/ severe AS and LVEF 20% with 80% rock in her prox/ostial LAD. Ivus won’t cross ➡️Csi x 3 runs at 80k➡️ivus won’t cross even after NC dilation. 3.0 @ShockwaveIVL did the job! 3.0x33 in post dilated with a 4.0 NC. 112% expansion! First in @Ascension_MI !

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

50 y/o male with inferior STEMI with culprit being prox/ostial RCA s/p IVUS guided DES PCI a year ago. comes back with recurrent symptoms. cath shows 95% stenosis ostially. Here is the IVUS after first procedure and repeat on follow up. What's your diagnosis?

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

2 years

Finally world champions! Thank you God!

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

The wires #CTO2020

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

80 yo male with recurrent ISR of two layer mid lcx. OCT with severe fibrolipidic NIH. 2nd stent didn’t expand tissue. S/p laser 50:50 followed by NC @22 atm! 115% expansion! ⁦ @mmamas1973 ⁩ ⁦ @drandrewsharp ⁩ ⁦ @ziadalinyc ⁩ ⁦⁦ @toreyj01 ⁩

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

8 months

Ok happy 2024. Let’s start the year with a tutorial of how to properly prep an @OstialFlashNYC ballon. Part 1 here followed by part 2 in 1st reply

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

37 🧔🏿 former 🏈 player referred for 2nd opinion re: refractory HF. EF now 5-10% diagnosed in 2013; 2003 with GSW that almost "missed his ❤️". Told he has NICMP and aneurysmal LCX on cath at time of diagnosis. Now with predominantly RHF sxs: ascites and LE edema. What do you see?

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

It’s #PEFRIDAY ⁦ @Ascension_MI ⁩ St. John hospital. Another ⁦ @InariMedical ⁩ flowtriever win! 88% on 2L ▶️94% on RA. Mean PA drop by 6 mmhg. ⁦ @drandrewsharp ⁩ ⁦ @mmamas1973 ⁩ ⁦ @PERTConsortium ⁩

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

6 years

79 yo with nstemi and hx of 19 yo svg to lad with heavy thrombus burden. Cat-rx for thrombectomy followed by ivus guided des! No filter. Done in 10 mins. 2.1 mm2 of clot removed! #ImageFirst #penumbra #catrx

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

Ever wonder what happens to a PE when it’s chronic and large! Great multidisciplinary care by our service, @SaraHegabMD at HFH Pulm HTN and the fantastic surgeons at @UMich Cardiothoracic surgery to help this 40 yo man with Systolic pa of 90 down to 45 mmhg after endarterectomy!

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

My modification to the @jason_wollmuth technique for single access impella. Used a Cordis railway sheathless dilator and got my 7 French Ebu 3.5 and did the case...went in nicely. @RajTayal2 @DrAmirKaki @Babar_Basir @J_M_McCabe @abiomedimpella @ShariqShamimMD @Almanfi_Cardio

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

The more OCT/IVUS I do of ISR cases, the more I realize that PTCA for ISR or restenting, without modifying the underling NIH/Neoathero, is the single dumbest thing we do as interventional cardiologist!

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

2 years

69 y/o male ACB x 3 2 yrs ago now with CP. CAG of the LIMA below. What's going on? @mirvatalasnag @agtruesdell @DocSavageTJU @jaygirimd @SVRaoMD @DrRajeshG1 @Hragy @evandrofilhobr @ShariqShamimMD @LAzzaliniMD @aspergian1 @

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

Took out clot out lungs...today we took a tumor!

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

The microcatheters #CTO2020

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

9 months

Michigan leading the way with IVI. Started at 7% now 40%! Keep pushing #imagefirst ⁦ @DrJayMohan ⁩ ⁦ @DrAmirKaki ⁩ ⁦ @RyanMadderMD ⁩ ⁦ @toreyj01 ⁩

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

Did my first case in the phillips azurion hybrid lab! Love it! Coronary road map pics to follow!

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

Just a coronary-camral fistula or something else? ⁦ @mmamas1973 ⁩ ⁦⁦ @DocSavageTJU ⁩ ⁦ @fischman_david ⁩ ⁦ @ShariqShamimMD ⁩ ⁦ @CMichaelGibson ⁩⁦ @evandrofilhobr ⁩ ⁦ @HadyLichaaMD ⁩ ⁦ @BaoGTran ⁩ ⁦ @esbrilakis ⁩ ⁦ @MichaelMegalyMD ⁩

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

Humbled to have been named the medical director of the PERT program at @Ascension_MI St. John hospital! Appreciate the support of @edaher11 and Dr. LaLonde in making it possible. #clotbuster @PERTConsortium @SaraHegabMD

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

The hardest part about quarantining is that sense of isolation. Day #4 without being able to hug your family 😞. Covid sucks! Thankful that my symptoms were only a “bad flu”. No smell or taste! ? Delta vs wuhan. #fullyvaccinated #itaintover . #besafe

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

Saddle PE with delays presentation due to #COVID19 ...no problem! We even used the new spiffy control unit from EKOS that allow us to use bilateral in one machine...

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

6 years

Radial dry closure! Thanks to the #R2P sheath by @terumobct , we performed dry closure of a 14 french arterial access from the right wrist! This way we maintained #radialfirst benefit to ant stemi even when case was complicated by shock. Pt did very well with LV recovery at 45%

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

Best reaction after a stemi. “How you feeling now ma’am?” After opening a high Diag that was acutely occluded! “Doc! I feel sexy as hell!” Got to love Detroit 😝 #funnythingspatientssay #blessed #Detroit #Motown

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

1 year

@EM_RESUS The fellows blurts “ this lesion looks easy to fix…” 🤦‍♂️

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

Congrats to our partner Dr. Kador for enrolling our first patient in the #STRIKEPE trial. Great results. @PenVascular @ShariqShamimMD @drandrewsharp @JayMathewsMD @PERTConsortium @tlalondemd @edaher11 @DrAmirKaki

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

2 years

I think we all love to parade our clot haul on #cardiotwitter (myself included) but we have to pause and assess the effects of stiff catheters prying open TV and constricting RV movement, leading to PEA arrest Been seeing a trend of bad outcomes with RV:LV> 2.0. Thoughts?

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

@ShariqShamimMD @EM_RESUS @iamritu @mmamas1973 @DocSavageTJU @MdFacep @evandrofilhobr @smithECGBlog @adityadoc1 @Almanfi_Cardio Another important point that I was taught by @AdamGreenbaumMD is to repeat the ECG in 3-5 minutes after the first one...More often that not those current of injury would dissipate if your truly don't have a culprit. You can see transient ST elevations post shock and long codes...

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

6 years

The beauty of #imagefirst Intv using #Coregisteration is the ability to study the lesion, select the right tools to minimize complications and #know the size and length of where to land to have the best outcomes while saving contrast!

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

49 y/o Eastern European male with inferior STEMI s/p successful PPCI. This is his left system...how would you treat?🧐 Poll in next tweet...

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

2 years

Honored and humbled to be selected as a member of the research committee at the @PERTConsortium . look forward to collaborate with @EricSecemskyMD @krosenfieldMD @jameshorowitzmd to push the evidence for this new and upcoming field! @Ascension_MI @airiellevincent @drandrewsharp

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

6 years

Another adventure in the world of Attallah vs. the clot! lol. 47 y/o with CP on/off, not on ASA, now with NSTMI and ongoing chest pain. Off to the lab. Large thrombus burden (about 30+ mm on IVUS). Two runs of Pneumbra CAT-rx, followed by IVUS guided DES. Time: 15 mins.

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

2 years

Honored to be taking over for @agtruesdell as the section chief for intravascular imaging in Current Cardiovascular Imaging Reports. In the spirit of "vox populi", we want to hear from you about what topics to review. So far we have IVI in bifurcations, PAD, venous intervention.

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

7 years

86 yo Wm old cabg all natives occluded presents with nstemi and progressive shock. Taken to lab cpo 0.41 w! Culprit svg to lad. Impella first then pci. Off pressors by end of case. Cpo at end 0.91 wats. 14 French occlusive, placed extracorporeal fem-fem and perfused leg! 👌

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

6 years

The dearest award to my heart! Thanks to our fellows for making us better everyday!

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

"let me put on my leads..."

Fahad Waqar, MD

@FahdWaqar

5 years

Cardiology fellows trying to engage coronaries and the attending steps in ⁦ @Obadah1Md ⁩ ⁦ @docpivs ⁩ ⁦ @ZulfiqarShaheer ⁩ ⁦ @fayezsiddiquiMD ⁩ ⁦ @NayefNimriMD ⁩

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

6 years

First cto of 2019 down in the books. 20 mm prox mid lad that was crossed with some Gaia 2 magic followed by ivus guided reconstruction #cto #Radialfirst @aspergian1 @ShariqShamimMD @mmamas1973 @drandrewsharp @evandrofilhobr @Almanfi_Cardio @hectortamezmd @rwyeh @Hragy

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

Another day, another #nanocrush ...

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

Another great result by my partner ⁦ @DrHaniKador courtesy of the CAT-12 as part of the #STRIKEPE trial ⁦ @PenVascular ⁩ ⁦ @JayMathewsMD ⁩ ⁦ @PERTConsortium ⁩ ⁦ @ShariqShamimMD ⁩ ⁦ @bkolskk ⁩

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

The man who started it all 🙏

Angioplasty.Org

@angioplastyorg

4 years

Tips for cath lab radiation safety & comfort from Andreas Gruentzig (broadcast during a 1982 live demonstration course at Emory Hospital) @emoryheart @billgogas #AngioHistory #cardiotwitter

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

6 years

When your wife and your 5 year old son ask you why you are late for dinner for the third night in a row! 1.8 L of straw colored crud causing tamponade! That’s why! #babymamadrama #tooyoungforguilttrips #marryanicaturownrisk

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

6 years

In life there are superheroes and there are legends and then there is Dr. Magdy Yacoub! My son, the future Dr. Attallah got to meet the reason why his dad pursued cardiology for the first place! Thank you Dr. Yacoub for everything that you and what you stand for! #privileged

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

So as many of you have guessed correctly this is a case of ISR 2/2 to Late acquired stent malapposition (LASM). This diagnosis wouldn't have been possible unless you #Imagefirst . But is that that simple. Let's see...

Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

50 y/o male with inferior STEMI with culprit being prox/ostial RCA s/p IVUS guided DES PCI a year ago. comes back with recurrent symptoms. cath shows 95% stenosis ostially. Here is the IVUS after first procedure and repeat on follow up. What's your diagnosis?

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 months

Dr. John Simpson, the da Vinci of interventional and peripheral intervention going down memory lane! Message: never give up and learn from your failures.

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

Rounded in an outside hospital...cardio floors became Covid floors. Luckily we had PPE. Just took off my N95... #newreality #surrealscenes #COVID2019

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

71 yo male with unstable angina after mid lad pci 2 months ago at OSH. How would you like to proceed?

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

Our first experience with the @PhilipsHealth #omni wire! Huge step in the development of FFR wires! Acted like my #sionblue ! @ShariqShamimMD @evandrofilhobr @mmamas1973 @lorenzo2509 @HadyLichaaMD @Hragy @bassem_zarif

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

Happy bday to interventional cardiology!

Peter Matt

@PeterMatt19

4 years

What a visionary medical doctor ! A. Grüntzig on "the ideal coronary catheter" 40 years ago; first PCI ⁦ @Unispital_USZ ⁩ on 16th September 1977. ⁦ @FRuschitzka ⁩ ⁦ @flocuc ⁩ ⁦ @MatthiasBossard ⁩ ⁦ @Haager_PK ⁩ ⁦ @m_taramasso ⁩ ⁦ @PCRonline ⁩ #pci

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

@jdinaus @AElaminCardio @simonjwilson1 @Jackandrews86 @chapdoc1 @evandrofilhobr @SABOURETCardio This doesn't look like a sheath! this is an avulsed/envaginated radial artery likely due to pulling with severe spasm. Call vascular.

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

6 years

Thank you @mmamas1973 for possibly inspiring the most EPIC left main bifurcation stenting presentation in this part of the galaxy... @drandrewsharp @DrSaririan @ekgpdx @fischman_david @willsuh76 @GreggWStone @AdamGreenbaumMD @toreyj01 @jedicath @SarojNeupaneMD

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

8 months

⁦ @ShariqShamimMD ⁩

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

There is an anterior stemi... And there is a covid anterior stemi. And there is an anterior covid stemi in a pt with NICMP with EF of 15%. Due to embolism!

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

my first #biradial CTO, and probably @Ascension_MI first here as well! 55 s/p CABG with occluded SVG to RCA (cannot be visualized), CCSIII and viability in inferior wall. Can't do #safefemoral due to morbid obesity (350 lbs). Multiple CTO in prox, micro channel in mid and distal.

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

⁦ @cardioPCImom ⁩ you are not the only cool one with OCT 🍪! #imagefirst #itsdelicious #OCTober

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

That OCT thingy can sometimes be impressive! Likely guide induced dissection proximal to stent. Covered uneventfully. #imagefirst #imagelast

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

2 years

Nice to see the gang in person again! ⁦ @agtruesdell ⁩ ⁦ @saraceciliamtz ⁩ . Can’t wait till we all meet again ⁦ @ShariqShamimMD ⁩ ⁦ @LAzzaliniMD ⁩ ⁦ @evandrofilhobr ⁩ ⁦ @mmamas1973 ⁩ ⁦ @drandrewsharp ⁩ ⁦ @aspergian1 ⁩

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

Dr. @DonAdrianM , aka “hermanito” first cto crossing as a primary! He made that mongo Gladius dance and gave this poor lady her RCA back! 👏 @RamiZeinDO @poojaotherwise @Ascension_MI @hiroyam2011 @edaher11

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

77👵🏻with Resp failure requiring bipap with submassive PE. 100% occlusion of right main PA on ct and heavy clot burden. S/p @InariMedical flowtriever to right with establishment of flow and EKOS to left due to angular ion. Came in 99% on 15L high flow. Out of the lab 95% on RA!!!!

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 months

Great first experience with @sis_medical OPN balloon. Pt initially with stage B ACC/AHA shock (CI 1.6 and Wedge of 34), temporized and brought in for high-risk PCI of under expanded LM stent and subtotaled LCX-OM (likely culprit). IVUS revealed two layers of stents in mid-segment

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

The future is here! ⁦ @DrHaniKador ⁩ ⁦ @mmamas1973 ⁩ ⁦ @andrewsharp ⁩ ⁦ @evandrofilhobr ⁩ ⁦ @ShariqShamimMD ⁩ ⁦ @lorenzo2509 ⁩

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

Congrats to all the authors! Great summary paper. Check out the step by step dk #nanocrush case in there. @LAzzaliniMD @FrnMoroniMD @aspergian1 @ShariqShamimMD @evandrofilhobr @JayMathewsMD @DrJayMohan @MichaelMegalyMD @DocSavageTJU @cardioPCImom @heartdocandcrew @KhandelwalMD

Davide Capodanno

@DFCapodanno

3 years

Since its introduction almost two decades ago, the crush technique for coronary bifurcation stenting has undergone a significant and constant evolution. This paper reviews the technical aspects and outcomes of the variants of the crush technique.

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

It’s 1/2/2021 and you cannot define stent underexpansion by looking solely at the positively remodeled segment. You have to check prox and distal references. Will be doing once a week. Share & post yours #imagefirstpearls @ShariqShamimMD @drandrewsharp @aspergian1 @toreyj01

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 months

Sobering talk by ⁦ @djkereiakes ⁩ on how an IC can come to losing Everything! Radiation safety, occupational hazards and exposures should no longer be forgone and accepted risks! No other profession accepts disability of its members as a forgone conclusion!

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

It’s been a pleasure @poojaotherwise ! Best of luck and God speed! #healer #nanocrush #twirlywirly #switch ! #healthydoseofOCD

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

The consequences of no imaging can be quite punishing! For those citing “cost” prohibition...let me tell you that an ivus cath is a lot cheaper than an impella, Shock admission and prolonged CCU stay.

Amir Kaki, MD

@DrAmirKaki

4 years

This is why many including myself strongly believe intravascular imaging should be considered for almost every PCI. Case done 1 week ago. Now presents with ant wall STEMI secondary to stent thrombosis and shock requiring MCS. Imaging is always actionable. #imagealways

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

6 years

Giving Medicine Grand Rounds. Wish me luck ⁦ @Ascension_MI ⁩

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

Read a second echo with RV apical thrombus and burnt out RV in a #COVID19 Positive pt now intubated. What do you people think about AC in COVID pts and what'ts your protocol? @ajaykirtane @CMichaelGibson @SripalBangalore @CAThompson99 @bkolskk @djc795 @SVRaoMD @rwyeh @DrJayMohan

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

2 years

Honored to be invited to speak about #imagefirst intervention at #SCAISHOCK2022 . Will hope to show why #IVI is important in shock patients! Maybe drop in a new acronym ;) Don’t miss the latest updates on #CardiogenicSHOCK #Minneapolis .

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

When your cath lab staff value your “passion” for your equipment 😂

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

Say hello to my little friends #cat8 ⁦ @ShariqShamimMD ⁩ ⁦ @bkolskk ⁩ ⁦ @evandrofilhobr ⁩

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

So...we dediced to let imaging dictate the procdure. Two ivus runs one from each branch showin pseudoaneurysm at bifurcation with clot; Multiple areas of plaque ruputre. Upfront two stent via #nanocrush with excellent results including a very pretty carina!

Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

49 y/o Eastern European male with inferior STEMI s/p successful PPCI. This is his left system...how would you treat?🧐 Poll in next tweet...

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

Happy Palm Sunday to all orthodox celebrating today! #hosannainthehighest

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

6 years

#imagefirst is not just for coronary intervention. It’s a valuable in peripheral intervention as well. 60 yo 👵🏻 with RC3 Claud x 2 weeks. Grossly abnormal abi. Angio underwhelming, however ivus revealed acute plaque rupture with thrombus, treated with oct guided Pantheris and pta

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 months

#dcsi #ncsi @BillONeillMD @Babar_Basir @DrAmirKaki Detroit led the way! #vindicated

NEJM

@NEJM

5 months

Presented today at #ACC24 : In the DanGer Shock trial involving patients with STEMI and cardiogenic shock, mortality at 6 months was lower with mechanical circulatory support with a microaxial flow pump than with standard care alone. Full trial results:

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

Probably one of the coolest I have done with the assistence of @toreyj01 . Severe vasculopath with terrible illiacs s/p multiple intervention, with refractor HF due LIMA compromise. We did brachial cut down courtesy of Jim (>2000 cutdowns) and directly cannulated A&V. #lostart .

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

Really cool to have if you work with fellows! It saved an earlier projection and all my fellow had to do is follow the mark to engage. Pretty neat #azurion

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

I am back guys!

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

74 y/o previous PCI of the prox LAD LM at that time IFR -; IVUS with dLM nodule but adequate lumen. 6 months later progressive anginal sxs. Nodule eruptive MLA down from 7.5 to 6.7ish and %stenosis 71 with heavy plaque burden. Utilized #shaveandshock w/ @csi360 and @ShockwaveIVL

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

Happy Eid to all celebrating today!

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

6 years

Octogenarian with massive PE. Some cat8/ekos action got the job done avoiding intubation and near Hd collapse.

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

7 years

85 functional yo m with recurrent nstemi‘s and new systolic failure seemed high risk by surgery 2/2 prior cva and ckd 3, with known severe calcific left Main, lad and lcx dz. sp impella assisted, ivus guided, Csi atherectomy and des with reconstruction of entire left system!

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

3 years

For the millionth time..Dont put anything less than a 3.5 mm stent in the prox LAD of any human who weighs > 70Kg! #imagefirst to get correct answer. 2.5 mm stent in prox LAD is a crime against humanity!

ForoEpic

@foroepic

3 years

New case at 77yo 👵🏻progressive angina.Anterior ischemia.LVEF 60%. #CTO at mid LAD. 1st diagonal with severe and long prox stenosis. severe lesion at Cx. 2nd procedure.. PCI to LAD. DES 2x15 at diag and 2.5x34 at LAD. After PCI 600 mg Clopi…already on ASA

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

Use shallow angles to decrease radiation. Great tip by Dr. werner. #CTO2020

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

In the spirit of #CTOConnect and #CTO2021 here is a nice LCX CTO...100% intraluminal crossing with #pilot200 , followed by descalation to a SION blu and IVUS guided DES pci.

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

5 years

Honored to be sharing the podium with Dr.Ananth, the man who taught me all I know about general cardiology ⁦ @HenryFordNews ⁩ ⁦ @Babar_Basir ⁩ ⁦ @KhandelwalMD ⁩

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

Humbled and honored to be talking along @bkolskk and Dr. Metzger. Please join us if f you can...

Penumbra Vascular

@PenVascular

4 years

Join #PenVascularLIVE on Thursday, August 13 at 8 pm EST, for a case-based discussion on real-world coronary & peripheral thrombus applications hosted by Drs. @bkolskk , @AntoniousAttall , & Chris Metzger. RSVP here to join the conversation: . #CardioTwitter

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

6 years

3.5 hrs on a massive PE that failed lytics After PEA arrest! RV akinetic, dropped 5 gm of Hgb since AM! to the LAB with SBP of 70 mmHg -> CI 1.3! mech thrombectomy of 100% occluded R/ L main Pain, followed by PTA and massive transfusion; likely RP. #fudge . SBP up 140. Breathe!

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Antonious Attallah, MD, FACC, FSCAI

@AntoniousAttall

4 years

First two tests neatives...Third positive, but CT was classical. The sensitivity of CT is 94%. Trust it.

Mickaël OHANA

@macromik

4 years

Allez, le scanner #COVID19 du jour : femme, la trentaine, syndrome grippal. 2 PCR par écouvillonage négatives !! 3e PCR sur crachat : positive. Conclusion : quand le scanner est typique, croire le scanner et surtout pas la PCR +++

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