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Dimitris Barlagiannis Profile
Dimitris Barlagiannis

@dbarlag

449
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915
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700
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just me

Neuss, Deutschland
Joined August 2011
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@dbarlag
Dimitris Barlagiannis
4 years
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@dbarlag
Dimitris Barlagiannis
4 years
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@dbarlag
Dimitris Barlagiannis
4 years
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@dbarlag
Dimitris Barlagiannis
4 years
@yuripridemd Actually we use this device all the time and a colleague of mine did had a case where the the back end of the catheter fall off while he was performing an LV Angio and he was filming it! Very impressive! I had to pull it back with a snare afterwards! Video follows!
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@dbarlag
Dimitris Barlagiannis
4 years
@yuripridemd Power injection done through the correct lumen, be careful not to bend the ‘tail’ of the pigtail while taking out the cath from the sterile package. Also caution while entering the LV so that the cath will not be bent at the point where the back end attaches to the shaft of cath
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@dbarlag
Dimitris Barlagiannis
4 years
@Radial_ICG @yuripridemd Everything did went well, snared it from the abdominal aorta
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@dbarlag
Dimitris Barlagiannis
2 years
Brand new lead! With my twitter @verified name #CardioTwitter
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@dbarlag
Dimitris Barlagiannis
4 years
@tanmayswadia @Babar_Basir @yuripridemd Actually this was a dual lumen pigtail to accurately measure the aortic valve gradient.
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@dbarlag
Dimitris Barlagiannis
4 years
@Abcsm74 @yuripridemd A colleague of mine did the LV angio and probably the end of the catheter was bent and broke
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@dbarlag
Dimitris Barlagiannis
2 years
@DavidLBrownMD @KambisMashayek1 @GreggWStone @DKarmpaliotis This is no „cosmetic“! This is a superb complete revascularization! If this is not prognostic relevant, then I don’t know what is! From no vessels to brand new vessels with all side branches preserved! Perfect job @KambisMashayek1 as always! One hat to apply common logic as well
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@dbarlag
Dimitris Barlagiannis
2 years
@TheCarnivoreKid Carnivore is not the way to go…
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@dbarlag
Dimitris Barlagiannis
4 years
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@dbarlag
Dimitris Barlagiannis
1 year
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@dbarlag
Dimitris Barlagiannis
4 years
@doctor_roig @yuripridemd Yes, it is fine with me
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@dbarlag
Dimitris Barlagiannis
3 years
Summer in #greece
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@dbarlag
Dimitris Barlagiannis
4 years
@tiredicunurse Fortunately all went well and uncomplicated. Found the lost end in the abdominal aorta and snared it out. Patient did great
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@dbarlag
Dimitris Barlagiannis
1 year
Had a very nice experience with the Blimp-Device von @BIOTRONIK_News with an uncrossable RCA-CTO. I guess nothing is uncrossable now..! #CTO #CardioTwitter
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@dbarlag
Dimitris Barlagiannis
4 years
@mirvatalasnag @yuripridemd At first at the abdominal aorta, pulled it down and snared it out through a 8F long arrow flex sheath
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@dbarlag
Dimitris Barlagiannis
5 years
@perc_surgeon Thanks for sharing! I use the export aspiration catheter / adenosin. Also works great.
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@dbarlag
Dimitris Barlagiannis
3 years
@Dra_Mace That he is still alive!!!
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@dbarlag
Dimitris Barlagiannis
7 months
@BaoGTran You just know when it has to be done…
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@dbarlag
Dimitris Barlagiannis
3 years
@evandrofilhobr @LAzzaliniMD @GreggWStone @ziadalinyc @JEscaned @eduardopdemelo @rickytiago @lamelaspablo @sbrugaletta @AntoniousAttall @RafaelCav_MD Had a similar case. I suggested OMT for about 3 months with the option to stent if not free of symptoms. Would be glad to see how others think
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@dbarlag
Dimitris Barlagiannis
2 years
@MasriAhmadMD Big respect for your department! Could u share some tips and tricks to early diagnose amyloidosis?
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@dbarlag
Dimitris Barlagiannis
4 years
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@dbarlag
Dimitris Barlagiannis
4 years
@icruzgonzalez @manuelbarreirop @JeanNunezG @RodrigoEstvez1 @StructuralBCN Great! Was this the first try? I know now who to call in a situation like this!
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@dbarlag
Dimitris Barlagiannis
2 years
@Drahtverhau @berlin_bridge But taking advantage and built weapons for the others to fight for ideas is really profitable…
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@dbarlag
Dimitris Barlagiannis
3 years
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@dbarlag
Dimitris Barlagiannis
1 year
@GoingParabolic Your upcoming myocardial infarction will change your mind! Don’t say you didn’t get warned!
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@dbarlag
Dimitris Barlagiannis
1 year
@evandrofilhobr IMO wire perforation won’t stop. We’ve used thrombin through an over the wire ballon for this kind of perforations
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@dbarlag
Dimitris Barlagiannis
4 years
@doctor_roig @yuripridemd I have also posted a video with the snaring of the broken pigtail in case someone wanders
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@dbarlag
Dimitris Barlagiannis
2 years
@HarryDauerman I have quit trying to nail the ostium…
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@dbarlag
Dimitris Barlagiannis
4 years
@KAlaswadMD What’s this in dollars???
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@dbarlag
Dimitris Barlagiannis
4 years
@SaidAshrafMD @Ankurdilkadoc @BruckelJeffrey @yuripridemd Do you mean what kind of snare? I used a snare with only one loop, worked well. The broken piece was intakt
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@dbarlag
Dimitris Barlagiannis
2 years
@AvrahamCooperMD ECG on the nails… nice!
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@dbarlag
Dimitris Barlagiannis
2 years
#Healthnuary Do yourself a favor and get out there! #Justgetdirty @cardiotweeter
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@dbarlag
Dimitris Barlagiannis
2 years
@akbarul @ShariqShamimMD @mmamas1973 @mirvatalasnag @abadkhan2002 1. IVUS! 2. pay attention on how much force u have to apply to open the balloon at desired pressure and stop if it feels high. 3. Small puff after Balloon/Stent/POT 4.Balloon occlusion, ping pong, peric. Punktion if necessary 5.then papyrus.
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@dbarlag
Dimitris Barlagiannis
4 years
@takebe_d @yuripridemd Abdominal aorta, then snared it
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@dbarlag
Dimitris Barlagiannis
4 years
@DrMauricioCohen This happened to a very experienced operator, friend and colleague of mine. I was called in to retrieve the broken end. I use the dual lumen catheter quite offen und power inject through the bigger lumen but at lower pressure (800psi). It is validated until 1200psi
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@dbarlag
Dimitris Barlagiannis
2 years
#ΝέαΦωτογραφίαΠροφίλ
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@dbarlag
Dimitris Barlagiannis
2 years
@KPujdak @KambisMashayek1 @DavidLBrownMD @GreggWStone @DKarmpaliotis I think the patient will now realise that she indeed had symptoms
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@dbarlag
Dimitris Barlagiannis
4 years
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@dbarlag
Dimitris Barlagiannis
4 years
@EM_RESUS Digitalis toxicity / Hypothermia / Brugada. STEMI is always a consideration with ST-Elevation
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@dbarlag
Dimitris Barlagiannis
1 year
@VPanoulas We use MANTA 14F
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@dbarlag
Dimitris Barlagiannis
3 years
@PeteSullivanPDx Nails are tooooo long!!!
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@dbarlag
Dimitris Barlagiannis
5 years
@rektcapital Very interesting article! Hope it turns out true!!! Great job!
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@dbarlag
Dimitris Barlagiannis
4 years
@iam_preethi Yes but only for now. Check back a few years from now. You still have many years to live und what you eat comes back at you many tears from now. You can’t afford to be so mindless!
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@dbarlag
Dimitris Barlagiannis
4 years
Who needs a Langston??? #cardiotwitter
@Juan_Terre
Juan Terré, MD, FACC, FSCAI 🇦🇷🇺🇸
4 years
@dbarlag @yuripridemd With Langstons off the shelves, we found today a mother-in-child (6fr JR4 guiding/4 fr MP 125 cm) feasible and reliable. Good option to keep #radialfirst @RadialFirstBot
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@dbarlag
Dimitris Barlagiannis
2 years
@ErsaTatl We use almost always NC ballon directly from the first dilation
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@dbarlag
Dimitris Barlagiannis
4 years
@JosueRuizRamir2 @yuripridemd Zero! Brand new, as always!
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@dbarlag
Dimitris Barlagiannis
1 year
@dr_nikhilp great save! 2 Points: 1. perfect is the enemy of good 2. Why did you have to ping pong since you already placed the pigtail in the pericardium?
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@dbarlag
Dimitris Barlagiannis
2 years
@Pentosh1 These …socks are made for walking… and that’s just what they’ll do!
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@dbarlag
Dimitris Barlagiannis
5 years
Had it coming! Well done bear!
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@dbarlag
Dimitris Barlagiannis
2 years
@Hume312 @DavidLBrownMD @KambisMashayek1 @GreggWStone @DKarmpaliotis True… and a randomised trial showed that wearing parachute wenn jumping from a plane doesn’t offer any advantage regarding injury/death. Context is everything
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@dbarlag
Dimitris Barlagiannis
2 years
@nportokaloglou @LampisKountouro Καταπληκτικό! Θέλουμε πιο πολλά χάλκινα!!!
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@dbarlag
Dimitris Barlagiannis
2 years
@Manic_Marge @Tesla @elonmusk please share the music!!!
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@dbarlag
Dimitris Barlagiannis
2 years
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@dbarlag
Dimitris Barlagiannis
7 months
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@dbarlag
Dimitris Barlagiannis
3 years
@vpazopoulos Αφού προηγουμένως έσπασε τα 33.000!
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@dbarlag
Dimitris Barlagiannis
2 years
Be aware!
@gmas73
George
2 years
#Turkey cannot be contained within its borders. If this doesn’t ring a bell, it should definitely sound an alarm.
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@dbarlag
Dimitris Barlagiannis
4 years
@DBelardoMD @YouTube I get the feeling carnivore diet folks are like flat earthers... they truly believe their own lies
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@dbarlag
Dimitris Barlagiannis
2 years
@BSGCARDIOLOGY @kaschenke USE A PIGTAIL CATHETER TO DO LV-ANGIO!!!
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@dbarlag
Dimitris Barlagiannis
4 years
@falsapelirroja @angna_86 @yuripridemd Snared it. Posted it another video
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@dbarlag
Dimitris Barlagiannis
4 years
@EM_RESUS Pericardial effusion
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@dbarlag
Dimitris Barlagiannis
2 years
@DavidLBrownMD @Hume312 @KambisMashayek1 @GreggWStone @DKarmpaliotis what about mortality of untreated three vessel disease (3 CTOs) with moderately reduced EF
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@dbarlag
Dimitris Barlagiannis
4 years
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@dbarlag
Dimitris Barlagiannis
4 years
@an_ranika @Abcsm74 @yuripridemd I always use 800psi. I am not sure what the other operator used. We use the Acist Pump which is pre set at just over 1000 psi for the LV angio. I always make sure to turn it down a bit
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@dbarlag
Dimitris Barlagiannis
5 years
@TheRealDoctorT Beautiful inspiring writing! Thank you!
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@dbarlag
Dimitris Barlagiannis
3 years
@iCardiolgist_XS Had a similar case. I always set contrast limit, after 150 cc send the pat to CCTA
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@dbarlag
Dimitris Barlagiannis
6 months
@Ghpainting4 Και νομίζουν ότι τους αρέσει κιόλας…!
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@dbarlag
Dimitris Barlagiannis
2 years
@antitepui @kaschenke Got it out though!
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@dbarlag
Dimitris Barlagiannis
4 years
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@dbarlag
Dimitris Barlagiannis
6 months
@LKoliastasis Makes you wanna keep injecting constrast… again and again and again! Beautiful result!
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@dbarlag
Dimitris Barlagiannis
1 year
@DahianaIbarrol4 That was kind of „nail the ostium“ square… only in really really acute situations
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@dbarlag
Dimitris Barlagiannis
4 years
@Almanfi_Cardio The best way is to prevent them... (from a fellow frontliner...)
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@dbarlag
Dimitris Barlagiannis
2 years
Happy new year 🎊🎈🎆 Frohes Neues Jahr 🎈🎊🎆 Καλή χρονιά
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@dbarlag
Dimitris Barlagiannis
3 years
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@dbarlag
Dimitris Barlagiannis
5 years
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@dbarlag
Dimitris Barlagiannis
2 years
It’s academics baby!
@DGlaucomflecken
Dr. Glaucomflecken
2 years
Nature does open access
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@dbarlag
Dimitris Barlagiannis
9 years
Schäuble leave Europe alone ! #Sch äubleLeaveEuropeAlone
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@dbarlag
Dimitris Barlagiannis
3 years
@DrAmirKaki @ziadalinyc @lorenzo2509 @aspergian1 @RajTayalMD @heartdoc45 @ShariqShamimMD @PhilGenereuxMD @ekgpdx @cathjockey72 @ZeroTLR Great job as always! We are fortunate to have the coronary Shockwave balloon in Germany, and it working incredibly well! Not only with underexpanded stents, but also in lesions with circumferential calcium! Safe und very effektive!
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@dbarlag
Dimitris Barlagiannis
6 months
@evandrofilhobr @aspergian1 Too embarrassed to show our tables…
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@dbarlag
Dimitris Barlagiannis
3 years
@ErsaTatl Call the surgeon, Immediate ballon inflation, pericardiocentesis, thrombin injection in the pericardium, order covered stents asap for the next cases!
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@dbarlag
Dimitris Barlagiannis
4 years
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@dbarlag
Dimitris Barlagiannis
4 years
@FadhelNabil @yuripridemd Snared it at the lower abdominal aorta / iliac
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@dbarlag
Dimitris Barlagiannis
1 year
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@dbarlag
Dimitris Barlagiannis
7 months
@drjohnm Probably too cheap…
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@dbarlag
Dimitris Barlagiannis
8 months
@vasilis_tag Κάντε αίτηση για αποζημίωση λόγω καθυστέρησης…
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