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๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ

Surgeon
@milanez.cardio
Dr. Milanez - Cirurgiรฃo Cardiovascular Doutorado pela FM-USP - InCor CardioMics Cirurgia Cardรญaca Minimamente Invasiva #cirurgiacardiaca #cardiologia
  • Healthcare
  • Following 4.1K
  • Followers 5.5K
  • Engagement 7.82%
  • Avg comments 16

About ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ

๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ (@milanez.cardio) is a Surgeon creator on Instagram, also filed under Healthcare. The account has 5,460 followers and 141 published posts. Recent posts average 408 likes and 16 comments, an engagement rate of 7.82%.

๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ belongs to the nano tier, the band usually drawn between 1,000 and 10,000 followers. ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ follows 4,109 accounts, close to one account followed for each of the 5,460 followers. ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ uses an Instagram professional account. Flinque files ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ under Surgeon, with Healthcare as a secondary category.

The Instagram bio for ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ runs to 17 words across 4 lines. The bio tags #cirurgiacardiaca and #cardiologia. The latest activity Flinque has on record for ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ dates from January 1970.

Story Highlights

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141 Posts

141 published posts give ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ a moderate archive on Instagram. Against the audience, that is roughly 39 followers for each post published. ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ also keeps 1 story highlight on the profile. All 10 carry captions, averaging 86 words each. Words that recur across them include cardiologia, cirurgia, cirurgiacardiaca, medicina and valva. The captions tag #cardiologia, #cirurgiacardiaca, #cirurgia, #medicina and #videocirurgia.

Endocatdite Infecciosa

Impressionante imagem de abscesso no folheto anterior da valva mitral

-Paciente com quadro de AVC isquรชmico, por embolia sรฉptica devido a endocardite infecciosa

Na cirurgia, foi visto a valva aรณrtica bicรบspide, com vegetaรงรฃo no folheto nรฃo coronariano (imagem 3), abscesso no folheto anterior da mitral (imagem 1 face ventricular, imagem 2 face atrial)

Foi ressecada a valva aรณrtica, folheto anterior da mitral, limpeza do anel mitro-aortico, realizada dupla troca mitral e aรณrtica por prรณteses biolรณgicas

#endocardite #endocarditis #cirurgiacardiaca #cardiologia #infectologia
Plastia Mitral por Vรญdeo via areolar superior

Insuf. Importante, grande prolapso segmentos P2-3

#cirurgiacardiaca #cardiologia #cirurgia #videotoracoscopia #videocirurgia
Aspecto da cicatrizaรงรฃo 6 meses apรณs cirurgia cardรญaca minimamente invasiva por video com
abordagem via areolar superior em paciente sexo masculino

#cirurgiacardiaca #cardiologia #cirurgia #videocirurgia #minimamenteinvasiva
Endarterectomia Coronรกria

- Algumas vezes, a doenรงa coronรกria รฉ tรฃo avanรงada que placas ateromatosas acometem o terรงo medial e distal

- Nesses casos, pode ser necessรกrio realizar uma endarterectomia que consiste na retirada de do mรกximo de aterosclerose (foto 2) para possibiltar a anastomose da ponte de safena (foto 1)

- Fluxometria (foto 3) pode ser realizada para verificar a pantรชncia e o fluxo de sangue pela coronรกria apรณs a retirada da placa.

#cirurgiacardiaca #cardiologia #revascularizacao #pontedesafena #coronaria
Reposted from Dia de muito aprendizado acompanhando cirurgia cardiovascular ๐Ÿซ€

1ยฐ procedimento: CIA
2ยฐ procedimento: CRM

Muito obrigada pela oportunidade gigantesca! Foi um prazer acompanhar vocรชs ๐Ÿ’™

Obrigada por me fazerem chegar atรฉ aqui!

E obrigada, duplinha por ta junto nessa!

#cirurgiacardiaca #cardiologia #medicina #unifor #academicodemedicina
Video Cirurgia Cardรญaca

Esse vรญdeo mostra como รฉ feita uma correรงรฃo de comunicaรงรฃo interatrial (CIA) atravรฉs de uma micro incisรฃo areolar superior sem afastamento costal com mรญnimo trauma, possibilitando um pรณs-operatรณrio com menos dor e recuperaรงรฃo muito mais rรกpida.
Mesmo algumas CIAs maiores, sem bordas e em diferentes localizaรงรตes podem ser corrigidas.
Essa mesma tรฉcnica pode ser utilizada tanto em homens como mulheres, bem como para corrigir outras doenรงas cardiacas.

Equipe:
Dr. Milanez (Cirurgia)
(Cirurgia)
(anestesia e imagens)
(anestesia)
(anestesia e imagens)
Enf. Miriรฃ
(perfusรฃo)
(perfusรฃo)

#cirurgiacardica #cirurgia #cardiologia #medicina #mics
Reposted from Estenose de valva aรณrtica ocasionada por febre reumรกtica. As cรบspides estรฃo bastante espessadas e fusionadas nas comissuras. Diferente da estenose aรณrtica de causa degenerativa/senil, acomete pacientes mais jovens e em grande parte dos casos estรก associada ร  estenose da valva mitral.

Fotos:

#cirurgiacardiaca #medicina #cirurgia #cardiologia #febrereumรกtica
Video Cirurgias Cardรญacas Juninas

- Esse mรชs podemos dizer que conseguimos fazer proporcionalmente mais Cirurgias Minimamente Invasivas por vรญdeo que cirurgias abertas tradicionais! Assim estamos cada vez mais acelerando a recuperacao de nossos pacientes!

#cirugiacardiaca #minimamenteinvasiva #cardiologia #cirurgia #medicina
Para refletir: essa semana realizamos uma troca valvar aรณrtica por via esternal (cirรบrgica), a valva estava muito rรญgida e calcificada que foi bem difรญcil sua retirada, alรฉm disso, foi necessรกrio ampliar o anel para colocar a prรณtese de tamanho adequado! Nesse momento difรญcil imaginamos como seria esse caso com uma TAVI! Talvez fosse impossรญvel, com chance alta de bloqueio, oclusรฃo coronรกria!

Reposted from So why do we see heart block more often with TAVR than with SAVR?
.
Although it has gotten better, post TAVR pacemaker rate is still a problem that we encounter, more often in patients who already have underlying conduction disease - particularly an existing RBBB, and more so with self expanding valves.

Here is a schematic to help understand this. This is a heart model showing where exactly a TAVR valve is placed. I have outlined the conduction system that sits adjacent to the implant. Just below the AV node and aortic annulus sits the membranous septum. This is what contains the bundle of HIS which then branches into the left and right bundle. The most likely areas to be irritated by a TAVR implant are the hundle of HIS or the proximal part of the left bundle branch. So you can imagine if someone has a RBBB and we knock out the Left bundle it leads to heart block, or if we simply knock out the HIS it will do the same.

Also - since we are counting on radial force to implant the valve we tend to over size it by 5% up to 20% in some cases to ensure a good seal. The trade off is the force it exerts to maintain a good position can cause conduction system injury.

We have minimized block by trying to implant the valve as high as possible. This will avoid the valve pushing more on the conduction system during implant.

We also have new implant techniques for the Evolut valve known as the "cusp overlap" technique allowing more precise and higher implants that has significantly reduced our pacemaker rate.

Pacemaker rates are down, but probably still remain in the 6-14% range. Still - the trade off the risk of needing a pacemaker to me is still better then an open heart surgery! What do you think?

Save this to show your #TAVR patients!
Videocirurgia Cardรญaca Minimamente Invasiva

โžก๏ธ Beneficiando cada vez mais nossos pacientes com o mรญnimo de trauma cirรบrgico, menor tempo de internaรงรฃo e recuperaรงรฃo mais rรกpida.

โžก๏ธ Agradecendo tambรฉm a confianรงa do nosso paciente que tambรฉm รฉ colega de trabalho na Rede Hapvida ๐Ÿค

#cirurgiacardiaca #cardiologia #medicina #minimamenteinvasiva #videocirurgia

Thumbnails are unavailable for 10 of these 10 posts. Open a tile to view the post on Instagram.

๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ's engagement

๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ's engagement rate on Instagram is 7.82%, over 6%, more than 6 likes and comments per 100 followers. On a typical post that comes to about 1 like or comment for every 13 followers. An average post collects 408 likes and 16 comments, close to 26 likes for each comment.

Engagement rate

7.82%

Avg likes
408
Avg comments
16
Interactions : followers
1 : 13

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Research ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ further

Flinque ranks Instagram creators in Healthcare, categories ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ is filed under, and its free tools measure the same figures for any public account.

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Who is ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ?

๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ (@milanez.cardio) is a Surgeon creator on Instagram, also filed under Healthcare. ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ uses an Instagram professional account. The Instagram bio for ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ runs to 17 words across 4 lines.

How many followers does ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ have?

๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ has 5,460 followers on Instagram (5.5K). ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ follows 4,109 accounts, close to one account followed for each of the 5,460 followers. 141 published posts give ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ a moderate archive on Instagram.

What is ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ's engagement rate?

๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ's engagement rate on Instagram is 7.82%, over 6%, more than 6 likes and comments per 100 followers. On a typical post that comes to about 1 like or comment for every 13 followers. An average post collects 408 likes and 16 comments, close to 26 likes for each comment.

What does ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ post about on Instagram?

Flinque files ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ under Surgeon, with Healthcare as a secondary category. The 10 recent Instagram captions Flinque holds for ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ repeatedly use the words cardiologia, cirurgia, cirurgiacardiaca, medicina and valva. ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ's captions carry hashtags such as #cardiologia, #cirurgiacardiaca and #cirurgia. The bio tags #cirurgiacardiaca and #cardiologia. ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ keeps 1 story highlight, which open with a free Flinque account.

How do I contact ๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ for a collaboration?

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๐““๐“ป. ๐“œ๐“ฒ๐“ต๐“ช๐“ท๐“ฎ๐”ƒ's own Instagram profile is the one outbound link Flinque publishes for the account, and the bio link opens after signing up.

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