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Excited for a new chapter ProMedica It has been a great and enriching journey FCCI Thankful to my mentors Yazan Khatib, MD, CMPE, FACC, FSCAI, FABVM, FSVM and Mehdi Shishehbor, DO ! Will miss our excellent CV fellows. Ohio again! Stephanie El Hajj Younes MD Sandeep M Patel, M.D. @JunLiMD Emile Mehanna Farooq Abdullah Abdullah | د. عبدالله عبدالله Ashkan Karimi MD, FACC, RPVI

Tricuspid valve endocarditis treated w/ angiovac w/ ICE guidance.Unchanged Mod TR. Done w/ Stephanie El Hajj Younes MD ⁦#EndocarditisResponseTeam #ERT ⁦ProMedica⁩ @JunLiMD⁩ ⁦Sandeep M Patel, M.D.⁩ ⁦Yazan Khatib, MD, CMPE, FACC, FSCAI, FABVM, FSVM⁩ ⁦Mehdi Shishehbor, DO⁩ ⁦⁦Abdallah El Sabbagh⁩⁩ ⁦⁦⁦AngioDynamics, Inc.

Halloween special: A middle aged male presented with abdominal pain. An echocardiogram was done that showed this finding. What is the clinical finding/diagnosis? Dr.Negar #Medtwitter

⁦BEST-CLI Trial⁩ congratulations. Had to dust off my slides from 5yrs ago -not surprising! A 15-20% failure rate for low risk pt amenable to both options but 99-100% surgical success + suboptimal endo = Early separation & high early revasc and amputation.

Utilization of and Outcomes Associated with Intravascular Ultrasound during Deep Venous Stent Placement among Medicare Beneficiaries Eric Secemsky MD MSc Maureen Kohi kenneth rosenfield Sahil A. Parikh, MD FREE TO READ!!!! ow.ly/MU1t50M3acW

Ramadan Mubarak for those who observe! Please be kind and cosiderate to people who are fasting Here is a nice review for fasting considerations for patients with cardiovascular disease heart.bmj.com/content/108/4/…

Transcatheter arterialization of deep veins resulted in 6-month amputation-free survival in 66.1% of 105 patients with chronic limb-threatening ischemia and no conventional options for treatment. Full results of PROMISE II study: nej.md/3KbRNpS #cardiology

2nd RCT examining revasc strategies for CLI: BASIL-2 demonstrates better amputation-free survival with endo vs surgical vein bypass for BTK dx. Driven by ↓ in mortality w/endo. Differs from BEST-CLI, in part bc no major reintervention in primary endpoint shorturl.at/fklCX

⁦CV Innovations⁩ ⁦XLPAD⁩ ⁦Emmanouil Brilakis⁩ starting #CVI2023 with new format and venous disease session. ⁦@JunLiMD⁩ ⁦Farshad Forouzandeh⁩ ⁦University Hospitals⁩ ⁦UH Harrington Heart & Vascular Institute⁩ ⁦Yulanka Castro, M.D.⁩

85 yo with enterococcus bacteremia. Highly mobile TAVR vegetation.Not a surgical candidate. Debulked using Penumbra, Inc. and intracardiac echo with Ahmad Younes, MD, MBA with embolic protection. Resolution of bacteremia and fever. Abdallah El Sabbagh @JunLiMD Mehdi Shishehbor, DO Mohamad Alkhouli Chet Rihal Sanjum S. Sethi MD, MPH

Bao Tran, MD Penumbra, Inc. Ahmad Younes, MD, MBA Abdallah El Sabbagh @JunLiMD Mehdi Shishehbor, DO Mohamad Alkhouli Chet Rihal Sanjum S. Sethi MD, MPH Milad El Hajj, MD Sandeep M Patel, M.D. David Zlotnick Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI Mohammed Al-Hijji Anene Ukaigwe Arasi Maran Sara C. Martinez MD PhD Gui Attizzani Randy Englert For this one specifically we used CAT12 because it was long but very thin and allowed for a steerable sheath. Used a long axis aorta from the rv to visualize catheter approaching then switched to high ra/svc view of aorta for steering towards the vegetation. Moderate sedation.

Young female,known APLA on “eliquis” with MCA stroke.Large Aortic valve thrombus s/p debulking with Angiovac with embolic protection No change in her mild AI. With Stephanie El Hajj Younes MD Sandeep M Patel, M.D. Mehdi Shishehbor, DO @JunLiMD Gui Attizzani MIЯVΛƬ #IC AngioDynamics, Inc. Abdallah El Sabbagh Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI Chet Rihal

52 y with popliteal artery embolization and recurrent stroke despite anticoagulation.Large mobile LV thrombus aspirated using Angiovac with cerebral embolic protection with Ahmad Younes, MD, MBA. AngioDynamics, Inc. Chet Rihal Abdallah El Sabbagh Mehdi Shishehbor, DO Mayra Guerrero, MD Sandeep M Patel, M.D. Yazan Khatib, MD, CMPE, FACC, FSCAI, FABVM, FSVM @JunLiMD

OCT-based functional stenosis assessment. Imaging derived physiology to assess the significance of intermediate coronary stenosis William Fearon Ziad Ali Allen Jeremias Jana Buccola #cardiotitter #AHAJournals ahajournals.org/doi/abs/10.116…

Percutaneous mechanical aspiration for endocarditis may help achieve source control and reduce embolization risk -- but better evidence is needed. In this article we go through each IE subtype, discuss the available evidence, and outline the field's future jscai.org/article/S2772-…

🚨AVENTUS Trial Results presented at #SCAI2025 🔍 Key Findings: #AVENTUS #thrombectomy system safely & effectively treats intermediate-risk #PE — improving RV function, reducing clot burden, & preserving blood ➡️doi.org/10.1016/j.jsca… Saher Sabri Samuel Horr Wissam A Jaber