Dr. Antonious Attallah, MD, FACC, FSCAI

03/23/2022

Check out this cool story on how we use advanced imaging techniques to help treat coronary artery in patients with advanced kidney disease not yet on dialysis.

https://www.wxyz.com/news/community-connection/technology-at-ascension-treats-heart-and-kidney-disease-patients-prevents-dialysis?fbclid=IwAR1Un5JQ3-YlBBWkUS0EaNEexZ0rSaLIW_ONSk3_4xnNX_JfrS7QwFFzDss

It's estimated that 940,000 adults in Michigan have chronic kidney disease, and many don't even know it.

11/18/2021

Honored to co-author this review paper published in Eurointervention this month with some of the best interventional cardiologist around the globe. Some of the discussed techniques have been perfected here at Ascension in Detroit!

03/10/2021

First in Ascension! Great news for our patients with severely calcified blockages.

“80 yo 👵🏻w/ severe AS and LVEF 20% with 80% rock in her prox/ostial LAD. Ivus won’t cross ➡️Csi x 3 runs at 80k➡️ivus won’t cross even after NC dilation. 3.0 did the job! 3.0x33 in post dilated with a 4.0 NC. 112% expansion! First in !”

01/22/2021

Good results come from
Wing thoughtful and meticulous but we continue to learn and evolve. Some pts with advanced kidney disease however can’t have access to our life saving technique due to risk of kidney injury. See how we use imaging tech to get good results and optimize outcomes even in these difficult situations!

01/21/2021

Will be talking about management of coronary thrombectomy tonight. Feel free to register...

08/09/2020

https://twitter.com/PenVascular/status/1290671419676917760?s=20

“Join on Thursday, August 13 at 8 pm EST, for a case-based discussion on real-world coronary & peripheral thrombus applications hosted by Drs. , , & Chris Metzger. RSVP here to join the conversation: https://t.co/lSrQUqnl00. ”

06/12/2020

Massive PE is when someone is about to die from a massive lung clot where blood from the right side cannot get to the left. Often if patient actually survives and make it to the hospital alive, then are given a high dose of a clot busing medication called TPA. However, that medication can cause serious bleeding, especially into the brain! Here we use a new device that allow us quickly to restore blood flow to the lungs and hence the left side of the heart. Luckily everything went well and we were able to save the man's life who is going home on no oxygen and no major morbidity.

“60 y/o male with ALS, passed out the minute he woke up! In ED, SBP 82 mmHg. Echo in Resusc with blown-out RV -> Fluids and dopamine. CT with obstruction of both PA. CT to device time: 15 minutes. SBP 120 after thrombectomy. 1st massive rxd that way ”

03/24/2020

Zee asks "Dr T ,can you please also give your views on self medicating with plaquenil and Qt prolongation if you have time."

Answer:

The use of hydroxychloroquine + Azithromycin is currently based on some anecdotal data in vitro and NOT based on major trials. We have to be careful because combining the two meds has the potential to increase the QTC and lead to malignant ventricular arrhythmias. My advice is to NEVER take a med unless it's prescribed by a specialist. All meds are poisons...the reason why we prescribe them to you is that the Benefit often >>>>>risks of side effects. All meds have the potential to hurt you...Some meds, especially in combination, require careful monitoring.

Hence, I am not against the use of said medications per se as we literally have No data regarding the best way of treating COVID-19. I am in favor of studying them in RCT as we go along (along with other therapies as Dr. Fauci has outlined today).

We sometimes have to use "biological plausibility" in approaching new therapies until data materializes...And there is evidence that Chloroquine does disrupt virus proliferation in addition to the interesting "observation" of low COVID-19 incidence in countries endemic with malaria due to "presumably" increased use of Chloroquine. Only time will tell what works and what doesn't.

I hope this helps :)

P.S. Don't be stupid enough to ingest fish tank cleaners and say "Trump told me so" ;)

03/24/2020

Hello everyone. An important announcement to my patients: We will be trialing a telemedicine model, where most of the visits will be virtual for the next few weeks to avoid exposing you or our staff to . If you have any unstable symptoms or urgent issues, however, please proceed to the ED. Don't hesitate to contact me at anytime. and be safe. We will get through this together. God bless.