Ashish Pershad Profile picture
Director Interventional Cardiology at Chandler Regional Medical Center and Mercy Gilbert Medical Center

Aug 27, 2018, 7 tweets

Step by step -Valve in MAC case baseline echocardiogram gradient 10 mm Hg

Baseline lvot gradient 10; mean gradient 10 mm Hg on invasive hemodynamic assessment

Baseline 3D of valve

Septostomy with 14 mm balloon extra small safari in LV pointing downward

TMVR with 29 mm S-3

Echo guidance of valve deployment

3D final valve 2 mm gradient trace mr and no change in lvot gradient

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