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Nice teaching TAVR. Degenerated 23mm CE valve. Predominant AI. Should be an easy case?! Very difficult to cross with valve even after upgrade to Lunderquist. Attempts to deploy valve resulted in exaggerated LV displacement despite pulling valve and pushing wire.

Points: If difficult to cross - assess frame expansion carefully. If restrained and/or unpredictable moves - consider pre-dil. Don't get cute with 1-2 mm deployments - allow room for unexpected and expect postdil. Can pre-dil even in bio-prosthesis (i do a few times a year).

Spectacular Interventionalists creating a spectacular program. Judgment and discipline beyond their years. Hassan Alkhawam & Baran Aksut at StV BHM Downtown! Transcend politics. Encourage fellows that stay in town. Mentor and support them. Invest in and enjoy their success!

Pumped to resume the 2nd half of my Advanced Interventional/#UABStructuralHeart Fellowship with my co-fellows Madhura (Maddie) Myla, MD, FACC AHMED SUBAHI. To kick off 2024, here is a compilation of cases from our last day in 2023 with a 🧵of tips/tricks and learning points below! Enjoy!

Baran Aksut @STVHealth Hassan Alkhawam Incredible work. Life saving intervention in a case where it's actually needed. Proud of what you're both implementing in the right way!

A skilled & efficient team,coupled with prompt decision-making and meticulous case selection,result in outstanding outcomes. Pt had mPA of 48 before the procedure, and 20 mmHg after. Successful ECMO decannulation was performed in the cath lab. Pt was seen in clinic for follow-up

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

Using AI fusion tools to crack the code on making lesion localization intuitive. Fellows:Ali Ebrahimi Madhura (Maddie) Myla, MD, FACC "how do we know where to wire the PVL?" Answer: "Here you go, wire the red dot where the leak is"

Today, we witness the total ISraeli destruction of the most important, 700 beds specialty hospital in Gaza, Al Shifa Medical Complex. It was established 78 years ago during the British Mandate, the name Shifa meaning 'The House of Healing'; now turned into a 'House of Death' by

FX+ is finally here. We did our first 4 cases this morning as part of the worldwide rollout with valve in valve cases and CAD cases where coronary access is key. All cases had easy post deployment coronary access. #UABStructural

They’ve killed him. They must be held accountable. The #Syrian gov kidnapped, disappeared & murdered my father in their notorious prisons w/o even charging him with a crime or a trial. Justice must be served. My father was a man of peace, love, an award winning psychotherapist

Eye-opening, gut-wrenching, first-person video with Dr. Samer Attar, surgeon at Northwestern Medicine in Chicago. Two Weeks Inside Gaza’s Ruined Hospitals nytimes.com/2024/05/21/opi…

1/10) Can MitraClip work in a cleft? #UABStructural Mustafa Ahmed Garima Arora Superstar structural fellows Madhura (Maddie) Myla, MD, FACC Ali Ebrahimi Technical support Ashley Reed

As a structural intervention faculty at UAB Medicine , education of fellows is one of my favorite parts of the job. Having recently completed fellowship with Phillip Smith under the mentorship of Mustafa Ahmed at UAB one of the key points was that we never want to do things

We performed with my mentor Mustafa Ahmed the first Navitor #TAVR valve in Birmingham #Alabama ! A new milestone and achievement! Baran Aksut Ali Ebrahimi Ashley Reed Mouhamed Amr Sabouni MD