Pinned
70s 👨 ESRD presents with CHF and NSTEMI. Severe calcific left main and EF 20%. Surgical turn down. Rota with microcatheter protection. Ping-pong with 7Fr radial sheath and single access 6Fr Impella. #radialfirst #protectedPCI
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Bao Tran, MD
3,716 posts
Bao Tran, MD
@BaoGTran
Interventional Cardiologist.
San Francisco, CA
Joined August 2009
- Went to In-N-Out at 1130pm after a late case and got a double-double, animal-style fries, and a milkshake. Ran into my patient there getting the same thing. We agreed to not speak of this again. 🤫🤭
- In the past four days I’ve put four young people on VV ECMO for COVID. One in their 20s, two in their 30s, one in their 40s. They’re young and healthy otherwise so probably will survive. But mortality statistics won’t show that their lives are changed forever with disabilities
- AI is not the future of medicine. This is the future of medicine. And the future is now.
- Replying to @BaoGTranYoung patients with best case scenario - trach’ed, PEG’ed, walking with a walker in acute rehab. Not able to work for years but with a huge insurance bill.
- Famous last words: “Save my seat. I’ll be right back. It’s just a quick inferior STEMI.” So how has everyone been applying CULPRIT-SHOCK data in clinical practice?
00:00 - Elderly patient with new onset heart failure, EF 25% and moderate to severe AI. What do you think of this left main?
00:00 - Called to help with a case. Morbidly obese patient. Very angulated arteriotomy entry point. Perclose “stuck” and will not come out. Ongoing bleeding around Perclose! How would you manage? #radialfirst #unsafefemoral
00:00 - 😱💩🥴😵💫😬😓😰😭😵😲🤒 Perivalvular Abscess Causing Coronary-Artery Compression | NEJM nejm.org/doi/full/10.10…
00:00 - Recognize the limitation of traditional STEMI criteria. Don’t sit on this EKG. Elderly woman with sudden onset shortness of breath. 100% LAD occlusion.
- (1/2) 60s yo man. PCI 3 years ago. Stopped ASA after reading about it on the news. Diffuse ST elevation and in shock. Would you randomized this patient to medical therapy vs IABP vs Impella? This is why these trials are so hard to do.
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