Giant is a small word for this..!! #PedsCards

First #percax approach for #CHIP #PCI at #BSWhealth Temple. Stable hemodynamics allowed adequate #roto PCI. Thanks ⁦Robert Stoler MD⁩ & ⁦Amir Kaki, MD⁩ for coaching, ⁦and R. Jay Widmer⁩ for the assist. ⁦John P Erwin III MD MBA FACC⁩

15 y/o type 4 #ISR . Valuable lesson I learned from Bill Lombardi and J Aaron Grantham JAG —many cases due to underexpanded stents, which this #IVUS details. Dilated with 4 mm NC, spot stent prox& distal. #CTO Assist from R. Jay Widmer John P Erwin III MD MBA FACC

What is the diagnosis/finding? #ivus #pci #cto #cardiotwitter R. Jay Widmer John P Erwin III MD MBA FACC Robert Stoler MD JM Schussler, MD Amir Kaki, MD Sudhir Thotakura

How do you size your balloon for #BAV?