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Elias Hanna
United States
Приєднався 20 січ 2021
Cardiovascular hemodynamics
Coronary catheter techniques
Coronary angiographic techniques
Cardiology tips
Coronary catheter techniques
Coronary angiographic techniques
Cardiology tips
Grafts angiography tips
0:00 Summary of engagement tips and guides
03:27 Tips regarding markers
05:20 Case 1 tips
08:51 MOST IMPORTANT SLIDE: 3 major tips in graft angiography cases
11:36 2 additional ideas. Learn to map coronary anatomy
13:48 How to report graft cases
15:53 Case 2
17:20 Case 3
19:27 Case 4. Stepwise mapping of coronary and graft perfusion after every engagement step. Build the case starting with native coronary engagement to graft engagement.
03:27 Tips regarding markers
05:20 Case 1 tips
08:51 MOST IMPORTANT SLIDE: 3 major tips in graft angiography cases
11:36 2 additional ideas. Learn to map coronary anatomy
13:48 How to report graft cases
15:53 Case 2
17:20 Case 3
19:27 Case 4. Stepwise mapping of coronary and graft perfusion after every engagement step. Build the case starting with native coronary engagement to graft engagement.
Переглядів: 3 350
Відео
NSTEMI angiographic and PCI tips
Переглядів 4,5 тис.28 днів тому
0:00 1-Management if stenosis less than 50% or 50-70%. Role of iFR-FFR in MI. Vs role of IVUS-OCT 09:19 Illustrations of cases where the angiogram can miss the severity of a lesion 10:43 2-NSTEMI with multivessel disease, how to define culprit? Limitations of ECG, echo, angiogram. Prevalence of multiple culprits and multiple complex stenoses in NSTEMI 17:29 3-NSTEMI with multivessel CAD on cath...
Guide dissection: cases and management
Переглядів 5 тис.Місяць тому
Review general dissection classification and management at 24:07 and at ua-cam.com/video/eGdfIk73cds/v-deo.html 0:00 Case 1 and guide dissection causes 03:17 Proper AL1 engagement technique 05:09 General approach to guide dissection. Stent proximally vs distally. Proximal stenting most important and sometimes enough 10:06 Approach if you don’t have a wire across 12:20 and 13:05 How to wire in c...
Interesting coronary angiograms and decision-making -3
Переглядів 7 тис.2 місяці тому
0:00 Case 1 RCA engagement caveat 1 04:30 Case 2 RCA engagement caveat 2 07:12 Case 3 RCA engagement caveat 3 11:12 Question regarding bicuspid aortic valve 11:41 Case 4: LIMA side branch: causes ischemia? 21:03 Case 5: Coronary microfistulae? Thebesian? 30:51 Case 6: LV hemodynamics- LV support? 39:30 Case 7 44:04 Case 8: left main atheroma or something else? IVUS images 47:07 Case 9: STEMI pl...
Heavy coronary thrombus
Переглядів 3,8 тис.2 місяці тому
0:00 Case, definition and outline 01:19 The 4 major techniques of treating heavy coronary thrombus: technical tips and data 06:45 Stenting heavy thrombus: how? Timing? Stenting risks? 08:55 Laser, Angiojet 10:23 Additional case 12:27 IVUS images of thrombus. Plaque erosion 14:18 Additional Case. Cerebral stent retriever technique and steps 18:34 Summary: 4 major techniques, 1 stenting idea, and...
Cardiac arrest
Переглядів 4,8 тис.3 місяці тому
0:00 Brief on types of cardiac arrest and survival. Brief on PEA (02:30) 04:15 Classification of cardiac arrest based on post arrest ECG- Probability of acute CAD and chronic CAD 07:33 Cath in patients with no ST elevation on post-arrest ECG? COACT and TOMAHAWK- Why? 12:29 Cath in patients with ST elevation on post arrest ECG? 3 factors to account for 14:30 Importance of timing of post-arrest E...
Cardiogenic shock: tips and updates
Переглядів 7 тис.3 місяці тому
00:25 Classification of the 2 big types and 4 subtypes of cardiogenic shock, and which one need immediate cath- Pitfalls of NSTEMI-shock and HF-shock 07:13 Support devices. Pitfalls of IABP SHOCK II and ECLS shock trials vs DanGer 09:38 DanGer shock trial key features and interpretation 14:58 U shape curve of benefit 19:35 IMPORTANT summary slide: when to cath and when to support based on the 4...
NSTEMI part 2. Pharmacotherapy: antiplatelets, anticoagulants, other therapies
Переглядів 5 тис.4 місяці тому
01:10 1-Other therapies 01:10 β-blocker: acute, long term, low EF, normal EF 10:14 ACE-I 13:21 Aldosterone antagonist 16:01 Entresto and SGLT-2 inhibitors 20:08 Summary slide 23:22 2-Antiplatelet therapy 23:22 Clopidogrel vs prasugrel vs ticagrelor: differences? which one to use? Factors to consider? Should we preload? 36:58 De-escalation from potent P2Y12 inhibitors DAPT to clopidogrel DAPT at...
NSTEMI
Переглядів 10 тис.4 місяці тому
Review Chapter 1 of my book, my 3 STEMI talks and my ECG ST elevation talks, as they complement this lecture. ua-cam.com/video/wtBIG8a8Wbg/v-deo.html ua-cam.com/video/zbu1y_AEQrY/v-deo.html 0:00 4 Types of myocardial injuries. Diagnostic tips and tricks 07:24 General management of non-MI injury and type 2 MI 07:52 Type 2 MI vs type 1 overlap and difficult cases 12:02 Hs-troponin T and I 12:02: ...
Access complications and management
Переглядів 9 тис.5 місяців тому
Focused on femoral access complications. 0:00 Femoral access, ultrasound and anatomy tips 09:29 High stick and closure devices 11:57 Closure devices pitfalls-Board questions 13:15 Groin hematoma. Limited role of femo-stop device 16:17 Hypotension during or after PCI: differential diagnosis 17:58 Retroperitoneal bleeding diagnosis and management 20:40 Avoid CT scan acutely 24:15 Hazards of acute...
Left main trifurcation strategies
Переглядів 5 тис.6 місяців тому
This talk complements my other bifurcation talks and is an exercise that further enhances understanding of bifurcation techniques. 0:00 General concepts and classification 04:20 General technical approach with drawings. When and how to Double stent? Triple stent? Which techniques? 17:00 Case illustrations with drawings: case 1 21:07 Case 2
Coronary perforation
Переглядів 6 тис.6 місяців тому
0:00 Types of coronary perforation (large vessel vs small vessel) Ellis classification 02:51 Approach to management of each of the 2 big types/algorithms 06:58 Fat embolization 09:09 General coils types and steps- Microcatheter compatibility. 12:20 Pushable coils deployment 15:42 Detachable coils deployment videos 21:39 Case illustration 23:52 Large vessel perforation- Covered stents- How to ad...
Isolated ostial LAD or ostial LCx stenting
Переглядів 10 тис.7 місяців тому
0:00 2 major approaches 01:32 Nail the ostium strategy. Pitfalls 03:43 Troubleshooting 06:59 Crossover stenting into LM. Provisional steps 10:13 Ostial LCx compromise with LAD stenting. Risk factors and management 14:29 Same 2 strategies for isolated ostial LCx stenosis 16:55 Avoid touching uninvolved branch and kissing balloon if no compromise 20:27 Avoid Szabo technique 22:06 Data and cases
Interesting coronary angiograms -2
Переглядів 11 тис.8 місяців тому
For more advanced cases, jump to 08:26 0:00 Cases 1 and 2 08:26 Cases 3-4 13:23 Collaterals formation, grades and timelines (also 47:31) 14:51 Case 5 21:45 Case 6. Dead AV groove conduit 25:22 Case 7 (with ECG discussion) 33:16 Case 8 (with ECG discussion, also 46:00) 45:18 LVgram comment 47:31 Collateral classification and timing 49:23 Case 9 54:53 How to do complex LM case with no support-Imp...
ECG QRS abnormalities- Part 2
Переглядів 3,8 тис.8 місяців тому
0:00 Case 1 01:37 RVH criteria. Importance of axis shift (different from LVH) 04:53 Case 2 05:47 and 09:35 RVH-RBBB overlap. How to diagnose RVH in RBBB (07:37 No right axis in pure RBBB) 10:32 LVH and LBBB vs RVH and RBBB 11:30 Case 3 13:20 Right atrial enlargement criteria 14:31 Case 4 18:16 Secondary ST-T abnormalities in RVH/RBBB vs LVH/LBBB 20:15 Case 5. Lung disease pattern vs RVH vs ante...
Bifurcation Left main part 2: case studies (2-stent techniques)
Переглядів 6 тис.10 місяців тому
Bifurcation Left main part 2: case studies (2-stent techniques)
Constriction vs Myocardial disease: practice cases and tracings. Misunderstood concepts.Board review
Переглядів 2,8 тис.10 місяців тому
Constriction vs Myocardial disease: practice cases and tracings. Misunderstood concepts.Board review
Bifurcation left main stenting- Elias Hanna
Переглядів 10 тис.10 місяців тому
Bifurcation left main stenting- Elias Hanna
MI with plaque disruption on IVUS/OCT but stenosis less than 50%: should you stent?
Переглядів 3,3 тис.11 місяців тому
MI with plaque disruption on IVUS/OCT but stenosis less than 50%: should you stent?
IVUS/OCT stent guidance, pre- and post-stenting
Переглядів 9 тис.11 місяців тому
IVUS/OCT stent guidance, pre- and post-stenting
Radial loops- Difficult radial, subclavian and aortic anatomy: step-by-step, cases, perforation
Переглядів 7 тис.11 місяців тому
Radial loops- Difficult radial, subclavian and aortic anatomy: step-by-step, cases, perforation
Left+right coronary engagement for general fellows: step-by-step tips, diagrams, caveats (5 for RCA)
Переглядів 18 тис.Рік тому
Left right coronary engagement for general fellows: step-by-step tips, diagrams, caveats (5 for RCA)
Left EBU/CLS guides manipulations, radial and femoral +Ikari L +Key tips in left coronary engagement
Переглядів 16 тис.Рік тому
Left EBU/CLS guides manipulations, radial and femoral Ikari L Key tips in left coronary engagement
Amplatz L guide manipulations/videos- Other RCA guides and tips- The 5 RCA engagement caveats- Hanna
Переглядів 9 тис.Рік тому
Amplatz L guide manipulations/videos- Other RCA guides and tips- The 5 RCA engagement caveats- Hanna
Vein graft PCI: Focus on distal embolic protection-how, when, pitfalls, troubleshooting- Elias Hanna
Переглядів 4,9 тис.Рік тому
Vein graft PCI: Focus on distal embolic protection-how, when, pitfalls, troubleshooting- Elias Hanna
Axillary balloon pump (+Impella): step-by-step access, exchange, closure, complications- Elias Hanna
Переглядів 3,4 тис.Рік тому
Axillary balloon pump ( Impella): step-by-step access, exchange, closure, complications- Elias Hanna
sir how can I get your lectures ppt ?
Thank you so much for these videos. They are truly remarkable and an incredible asset.
Very well elaborated. Some of slide text is blurred. Please correct if possible
I have yet to encounter such a par excellence , generous, honest and clear teacher. Not at all insecure and willingly transfering all knowledge you have. No words to thank and respect you Sir. I wish you could write a book on interventional cardiology that will benefit generations.
Sir i am from India, please make a video about ppi aicd crtd crtp in detail please sir
Sir if we improved flow to the native LAD by stenting the SVG-Diag, aren't we risking occlusion of LIMA-LAD due to enhanced competition??
Just amazing talk. Thanks
Tq for your explanation ❤❤
Thanks a lot Dr elias Quite a good intro. For beginners
Cool! I hope you will talk about the catheters being used as well. Thanks!!
Have you heart about the IIb/IIIa inhibitor injection via perforated ballon (one foe predilatation) using the deflator syringe?)
Sir plzz make a Video on Baloon/guidewire/stent troubleshooting during PCI🙏
Hanna❤❤
thank you sir ! would it not be better to stent Lima to LAD. that disease at touch down seem to be significant . And Later stenting or POBA to the SVG to Diagonal branch if needed. Just asking for my learning
SPECT stress testing on this patient did not show apical ischemia (only lateral), which made us believe the anastomotic stenosis is not significant. That was actually another reason to believe, as we were progressing through the case, that there must be some graft providing good flow to the LAD. LIMA injection through a 4Fr catheter created contrast streaming and may have exaggerated the angiographic appearance. His angina resolved with treating the SVG-diagonal. Otherwise, we would have considered bringing him back and doing better LIMA engagement from a femoral access (his left radial is used as bypass), followed by iFR/FFR if needed. Definitely do not stent moderate disease without proving hemodynamic significance, especially in such an area of high shear stress and high restenosis risk.
Your classes are part of my daily learning
God job
Excellent talk sir!
Thank for your excellent lecture I wonder that floating wire may be good option if the wire is toward not the aortic valve but the opposite direction
It's huge pleasure to follow your videos and read your original book
Thank you.
Dr.Hanna❤❤
Medical Is it categorised under Group I ? Group II ?? The ceiling for group I and group II is for clerical jobs ? It is presumably group IV ....... TRB has a ceiling above 50,000 but medical student interns have reached this in the 1990s ........ More private clinics ............. P Leela
Air bubble diffusion is significantly enhanced
Pharmacy Pharmacy Farm Heparin Pharm Farm
Impellor Impellor Propellor Systolic Diastolic Helium waveform Poor connections Kink Poor inflation Inflation Ileosate Scube technology
Sir ........ this is patent so how you expect to give this videos .....for education purposes As such documents disappears ?
EQN EQN Learning Learning This typical mailing .........created for .......receiving mail and submitting project report...... Lecturers Assistant professors Associate professors Professors Few are dedicated to thier learning ............. I just want to clarify why .....timepass guys are always ..........fiddling with mailing accounts ....... For time pass guys dont wait from 9 am in the morning to 9 pm in the evening ? Irrespective of evening
I am not kenyan
For more than a decade ......there was no income tax return ..........so ...........why people are discussing ......income tax returns ........ Sudhanshu yadav Fellow ? University Jawahar lal institute of post medical research General medicine
Dear dr. Hanna Thank you so much for these lectures I have both of your books and they are wonderful I just wish we had these lectures in written format is it possible to share these slides? Thanks Aziz
Dr HANNA, My utmost respect for sharing your knowledge.
Thank you so much 🙏
thank you so much! great Video <3
Thank u SIR 🙏
Please we want and wait your book Specialized into cardiac intervention
Dr Hanna already has a book
super thanks
Dr hanna posted❤
Thanks a ton for your videos. Really appreciate your efforts in teaching. I would really appreciate if you can do a video about techniques on how to do swan catheter through femoral Access.
Excellent explanation on procedure on coronary artery blocks using Rotobalation
Thanks a Million Times
Sir appreciate to all cases but in last case i have doubt about present last case in this video OSTEUM LCX STENT is short because land on the edge of OM1 acc to me stent is taken long 6mm to cross the OM1 due to in future if any disease occur in OM 1 if any operator treat this easily to treat in future i see your all caese excellent knowledge
Thank you sir
Thank you for such a fantastic lecture Professor. In my experience, the issue of STEMI late-comers still has quite a bit of nuances. Let me present a specific scenario to illustrate my point: Anterior STEMI (QS + STe 1mm in V1 -> V4), chest pain suggestive of angina 5 days ago, hs Troponin T 2603 -> 2720 ng/L. Bedside echo: LVEF 35%, ischemic heart disease, LV not dilated. The patient eventually underwent elective invasive angiography the next day (Class IIB per your lecture) which revealed total occlusion of ostial LAD, non-significant stenosis of LCx and RCA. 1/ If the patient still complains of pain and distress, will you PCI the occluded LAD? 2/ If the patient no longer has chest pain, I understand that PCI is not indicated in this patient (OAT trial). However, given the LVEF of 35% (most likely left ventricular dysfunction/heart failure post MI), how would you manage this patient after the angiogram? Will you do stress test to further evaluate ischemia (and thus, indication for PCI of the occluded LAD), and if yes, how (which modality) and when (timing post STEMI)? 3/ If the patient no longer has chest pain, but the main symptom now is dyspnea suggestive of congestion due to heart failure post-MI (say Killip II, elevated NT-proBNP), will there be indication for LAD PCI?
Vikhram is killing it! 😎
Concepts that are poorly understood by most experienced cardiologists 👍🏼
Thank you for the amazing lecture
You are amazing sir, your lectures are guidelines in intervention
❤❤❤
Thank you so much sir
Fabulous sir thanks 🙏