Peripheral chronic total occlusion (cto) crossing

•Download as PPTX, PDF•

3 likes•646 views

Ramachandra Barik

Health & Medicine

Anonymous. Portraits in radiology: Charles T.
Dotter, MD. Appl Radiol 1981;10(Jan-Feb):28,116
“My favorite conceptual
trademark is a sketch that I did
years ago of a crossed pipe and
wrench. It's a gross
oversimplification, of course, but
what it means to me is that if a
plumber can do it to pipes, we can
do it to blood vessels.”

Charles Theodore Dotter: The Father of Intervention
• The 1st percutaneous transluminal
angioplasty marked a new era in the
treatment of peripheral atherosclerotic
lesions. The early techniques used in
peripheral percutaneous transluminal
angioplasty form the basis for subsequent
percutaneous intervention both in the
peripheral and coronary arteries and are
largely the contribution of Charles Dotter.
Dotter was the 1st to describe flow-directed
balloon catheterization, the double-lumen
balloon catheter, the safety guide wire,
percutaneous arterial stenting, and more.
This practical genius dedicated his
considerable energy to the belief that there is
always a better way to treat disease. His
personal contributions to clinical medicine,
research, and teaching have saved millions of
limbs and lives all over the world

Similar to Peripheral chronic total occlusion (cto) crossing

30 years of percutaneous coronary intervention.pptx

Simon H. Stertzer, MD

From the cardiopulmonary bypass and first heart transplantation to transcatheter valve implantation and minimally invasive cardiac surgery, there were spent many decades. The cardiac surgery had modelled and evolved according to surgeons’ experience and clinical needs. Nowadays, the minimally invasive surgery and robotic surgery have won the first place in our operation rooms with the more and more emergent transcatheter valve procedure.

Ojchd.000526

crimsonpublishersOJCHD

2011 Blunt thoracic aortic injuries crossing the rubicon

Julio Diez

40 years anniversary of PCI

Han Naung Tun

advanced diagnostic aids

swathiramana

Echo in systemic diseases

Phillip Louis D' Amato RCS

Hallett aortic valve cases nasci_2015_handout

Sam Watermeier

Medical devices chest ok

Physics

Vascular stents

Endovascular surgery

Transcranial and cervical duplex

opi akbar

Ở BẸNH NHÂN NGUY CƠ CAO CÁC CẢI TIẾN VỀ CÔNG NGHỆ VÀ THUỐC CÓ GIÚP CÁC STENT ...

SoM

INTERVENTIONAL RADIOLOGY BY SAJID EJAZ

SAJIDEJAZ1

SELDINGER TECHNIQUE & INTERVENTIONAL RADIOLOGY

Riyas M K

seldingertechnique-171213172044.pdf

VishnuDutt40

Preventable complications

Robert West

Running head: CLINICAL DEVICES AND TECHNOLOGY 1 CLINICAL DEVICES AND TECHNOLOGY 2 Clinical devices and Technology: Name of student: Name of institution: Introduction The emergence of technology has currently affected many areas in general. The technology has led to several inventions in the health care services that have been of great help. To start with, the health matters in this case are seen to have improved a lot due to the new technology. This paper is going to assess various devices or technology that have been tested and approved in the last 10 years. This is in line with diagnosis and treatment of cardiovascular system. The two technologies include; the New Laser Technology and the Trans-catheter Aortic Valve Replacement (TAVR). These will be discussed in details, including what they are able to do in diagnosing the cardiovascular system and what they have not been able to achieve so far. The paper will also analyze the major problems that have been experienced ever since these technologies were put in place. Part 1 In this part, the paper will discuss the two technologies in a detailed way. The first one to discuss is the New Laser Technology. Under this, an application was invented called Trans-myocardial Revascularization (TMR). The main aim of this application was to treat both men and women who had severe heart diseases. These patients had an exemption since they were those who were not candidates for given coronary bypass surgery or the common balloon angioplasty that had been invented by then. This is necessary as it is used to reduce the cost of treating heart disease with minimal injury to the patient. The patients are treated using this technology as it is faster to scan the heart and offer the doctors with adequate information on how they can carry out the treatment (Stillman, 2010). The new laser technology which has led to development of TMR has been used in most developed nations to treat the cardiovascular system. On the other hand, the Trans-catheter Aortic Valve Replacement (TAVR) was invented as a procedure of selecting the patients who have severe symptomatic aortic stenosis and who are not candidates of the traditional open chest operation or those who are at high risk of death if an operation took place. The symptomatic aortic stenosis refers to a sickness whereby the aortic valve opening narrows. This means that the valve is at risk of bursting due to the high pressure. This technology is carried out when the heart is beating and does not need the bypass of cardiopulmonary. Thus, this technology, hence helps placement of the balloon which is an expandable aortic valve into the body. This is through the catheter-based delivery system that has the trans-femoral system in it. It has currently been used in U.S. and is healing many patients so far. Part 2 Despite the positive reasons of inventing the two technologies in diagnosing cardiovascular system, some have not been met. There are sever ...

Running head CLINICAL DEVICES AND TECHNOLOGY 1CLINICAL DE.docx

joellemurphey

Transseptal left heart catheterization birth, death, and resurrection

Alexandria University, Egypt

Similar to Peripheral chronic total occlusion (cto) crossing (19)

30 years of percutaneous coronary intervention.pptx

Ojchd.000526

2011 Blunt thoracic aortic injuries crossing the rubicon

40 years anniversary of PCI

advanced diagnostic aids

Echo in systemic diseases

Hallett aortic valve cases nasci_2015_handout

Medical devices chest ok

Physics

Vascular stents

Endovascular surgery

Transcranial and cervical duplex

Ở BẸNH NHÂN NGUY CƠ CAO CÁC CẢI TIẾN VỀ CÔNG NGHỆ VÀ THUỐC CÓ GIÚP CÁC STENT ...

INTERVENTIONAL RADIOLOGY BY SAJID EJAZ

SELDINGER TECHNIQUE & INTERVENTIONAL RADIOLOGY

seldingertechnique-171213172044.pdf

Preventable complications

Running head CLINICAL DEVICES AND TECHNOLOGY 1CLINICAL DE.docx

Transseptal left heart catheterization birth, death, and resurrection

More from Ramachandra Barik

Willens's syndrome.pptx

Ramachandra Barik

Intensive care of congenital heart disease.pptx

Ramachandra Barik

Management of Hypetension.pptx

Ramachandra Barik

CRISPR technologies have progressed by leaps and bounds over the past decade, not only having a transformative effect on biomedical research but also yielding new therapies that are poised to enter the clinic. In this review, I give an overview of (i) the various CRISPR DNA-editing technologies, including standard nuclease gene editing, base editing, prime editing, and epigenome editing, (ii) their impact on cardiovascular basic science research, including animal models, human pluripotent stem cell models, and functional screens, and (iii) emerging therapeutic applications for patients with cardiovascular diseases, focusing on the examples of Hypercholesterolemia, transthyretin amyloidosis, and Duchenne muscular dystrophy.

CRISPR and cardiovascular diseases.pdf

Ramachandra Barik

A post-splenectomy patient suffers from frequent infections due to capsulated bacteria like Streptococcus pneumoniae, Hemophilus influenzae, and Neisseria meningitidis despite vaccination because of a lack of memory B lymphocytes. Pacemaker implantation after splenectomy is less common. Our patient underwent splenectomy for splenic rupture after a road traffic accident. He developed a complete heart block after seven years, during which a dual-chamber pacemaker was implanted. However, he was operated on seven times to treat the complication related to that pacemaker over a period of one year because of various reasons, which have been shared in this case report. The clinical translation of this interesting observation is that, though the pacemaker implantation procedure is a well-established procedure, the procedural outcome is influenced by patient factors like the absence of a spleen, procedural factors like septic measures, and device factors like the reuse of an already-used pacemaker or leads.

Pacemaker Pocket Infection After Splenectomy

Ramachandra Barik

Transcatheter closure of patent ductus arteriosus (PDA) is feasible in low-birth-weight infants. A female baby was born prematurely with a birth weight of 924 g. She had a PDA measuring 3.7 mm. She was dependent on positive pressure ventilation for congestive heart failure in addition to the heart failure medications. She could not be discharged from the hospital even after 79 days of birth, and even though her weight reached 1.9 kg in the neonatal intensive care unit. We attempted to plug the PDA using an Amplatzer Piccolo Occluder, but the device failed to anchor. Then, the PDA was plugged using a 4-6 Amplatzer Duct Occluder using a 6-Fr sheath which was challenging.

Piccolo Duct Occluder.pdf

Ramachandra Barik

MISPLACED ECG LEADS.pptx

Ramachandra Barik

Device closure of an eccentric atrial septal defect can be challenging and needs technical modifications to avoid unnecessary complications. Here, we present a case of a 45-year-old woman who underwent device closure of an eccentric defect with a large device. The patient developed pericardial effusion and left-sided pleural effusion due to injury to the junction of right atrium and superior vena cava because of the malalignment of the delivery sheath and left atrial disc before the device was pulled across the eccentric defect despite releasing the left atrial disc in the left atrium in place of the left pulmonary vein. These two serious complications were managed conservatively with close monitoring of the case during and after the procedure.

A Case of Device Closure of an Eccentric Atrial Septal Defect Using a Large D...

Arrythmia-IV.pptx

Arrythmia-III.pptx

Arrythmia-II.pptx

Arrythmia-I.pptx

A 57-year-old male presented with recurrent palpitations. He was diagnosed with rheumatic mitral stenosis, right posterior septal accessory pathway and atrial flutter. An electrophysiological study after percutaneous balloon mitral valvotomy showed that the palpitations were due to atrial flutter with right bundle branch aberrancy. The right posterior septal pathway was a bystander because it had a higher refractory period than the atrioventricular node.

Trio of Rheumatic Mitral Stenosis, Right Posterior Septal Accessory Pathway a...

Ramachandra Barik

Anticoagulation therapy during pregnancy

Ramachandra Barik

Percutaneous balloon dilatation, first described by Andreas Gruentzig in 1979, was initially performed without the use of guidewires.1 The prototype balloon catheter was developed as a double lumen catheter (one lumen for pressure monitoring or distal perfusion, the other lumen for balloon inflation/deflation) with a short fixed and atraumatic guidewire at the tip. Indeed, initially the technique involved advancing a rather rigid balloon catheter freely without much torque control into a coronary artery. Bends, tortuosities, angulations, bifurcations, and eccentric lesions could hardly, if at all, be negotiated, resulting in a rather frustrating low procedural success rate whenever the initial limited indications (proximal, short, concentric, noncalcified) were negated.2 Luck was almost as important as expertise, not only for the operator, but also for the patient. It is to the merit of Simpson who, in 1982, introduced the novelty of advancing the balloon catheter over a removable guidewire, which had first been advanced in the target vessel.3 This major technical improvement resulted overnight in a notable increase in the procedural success rate. Guidewires have since evolved into very sophisticated devices.

Coronary guidewire

Ramachandra Barik

Optical coherence tomography-guided algorithm for percutaneous coronary intervention. Vessel diameter should be assessed using the external elastic lamina (EEL)-EEL diameter at the reference segments, and rounded down to select interventional devices (balloons, stents). If the EEL cannot be identified, luminal measures are used and rounded up to 0.5 mm larger for selection of the devices. Optical coherence tomography (OCT)-guided optimisation strategies post stent implantation per EEL-based diameter measurement and per lumen-based diameter measurement are shown. For instance, if the distal EEL-EEL diameter measures 3.2 mm×3.1 mm (i.e., the mean EEL-based diameter is 3.15 mm), this number is rounded down to the next available stent size and post-dilation balloon to be used at the distal segment. Thus, a 3.0 mm stent and non-compliant balloon diameter is selected. If the proximal EEL cannot be visualised, the mean lumen diameter should be used for device sizing. For instance, if the mean proximal lumen diameter measures 3.4 mm, this number is rounded up to the next available balloon diameter (within up to 0.5 mm larger) for post-dilation. MLA: minimal lumen area; MSA: minimal stent area;NC: non-compliant

Intracoronary optical coherence tomography

Ramachandra Barik

Brugada syndrome (BrS) is an inherited cardiac disorder, characterised by a typical ECG pattern and an increased risk of arrhythmias and sudden cardiac death (SCD). BrS is a challenging entity, in regard to diagnosis as well as arrhythmia risk prediction and management. Nowadays, asymptomatic patients represent the majority of newly diagnosed patients with BrS, and its incidence is expected to rise due to (genetic) family screening. Progress in our understanding of the genetic and molecular pathophysiology is limited by the absence of a true gold standard, with consensus on its clinical definition changing over time. Nevertheless, novel insights continue to arise from detailed and in-depth studies, including the complex genetic and molecular basis. This includes the increasingly recognised relevance of an underlying structural substrate. Risk stratification in patients with BrS remains challenging, particularly in those who are asymptomatic, but recent studies have demonstrated the potential usefulness of risk scores to identify patients at high risk of arrhythmia and SCD. Development and validation of a model that incorporates clinical and genetic factors, comorbidities, age and gender, and environmental aspects may facilitate improved prediction of disease expressivity and arrhythmia/SCD risk, and potentially guide patient management and therapy. This review provides an update of the diagnosis, pathophysiology and management of BrS, and discusses its future perspectives.

Brugada syndrome

Ramachandra Barik

The Human Developmental Cell Atlas (HDCA) initiative, which is part of the Human Cell Atlas, aims to create a comprehensive reference map of cells during development. This will be critical to understanding normal organogenesis, the effect of mutations, environmental factors and infectious agents on human development, congenital and childhood disorders, and the cellular basis of ageing, cancer and regenerative medicine. Here we outline the HDCA initiative and the challenges of mapping and modelling human development using state-of-the-art technologies to create a reference atlas across gestation. Similar to the Human Genome Project, the HDCA will integrate the output from a growing community of scientists who are mapping human development into a unified atlas. We describe the early milestones that have been achieved and the use of human stem-cell-derived cultures, organoids and animal models to inform the HDCA, especially for prenatal tissues that are hard to acquire. Finally, we provide a roadmap towards a complete atlas of human development.

A roadmap for the human development

Ramachandra Barik

The treatment of patients with advanced acute heart failure is still challenging. Intra-aortic balloon pump (IABP) has widely been used in the management of patients with cardiogenic shock. However, according to international guidelines, its routinary use in patients with cardiogenic shock is not recommended. This recommendation is derived from the results of the IABP-SHOCK II trial, which demonstrated that IABP does not reduce all-cause mortality in patients with acute myocardial infarction and cardiogenic shock. The present position paper, released by the Italian Association of Hospital Cardiologists, reviews the available data derived from clinical studies. It also provides practical recommendations for the optimal use of IABP in the treatment of cardiogenic shock and advanced acute heart failure.

Intra aortic balloon pump

Ramachandra Barik

Left ventricular false tendons (LVFTs) are fibromuscular structures, connecting the left ventricular free wall or papillary muscle and the ventricular septum. There is some discussion about safety issues during intense exercise in athletes with LVFTs, as these bands have been associated with ventricular arrhythmias and abnormal cardiac remodelling. However, presence of LVFTs appears to be much more common than previously noted as imaging techniques have improved and the association between LVFTs and abnormal remodelling could very well be explained by better visibility in a dilated left ventricular lumen. Although LVFTsmay result in electrocardiographic abnormalities and could form a substrate for ventricular arrhythmias, it should be considered as a normal anatomic variant. Persons with LVFTs do not appear to have increased risk for ventricular arrhythmias or sudden cardiac death.

Left ventricular false tendons

Ramachandra Barik

More from Ramachandra Barik (20)

Willens's syndrome.pptx

Intensive care of congenital heart disease.pptx

Management of Hypetension.pptx

CRISPR and cardiovascular diseases.pdf

Pacemaker Pocket Infection After Splenectomy

Piccolo Duct Occluder.pdf

MISPLACED ECG LEADS.pptx

A Case of Device Closure of an Eccentric Atrial Septal Defect Using a Large D...

Arrythmia-IV.pptx

Arrythmia-III.pptx

Arrythmia-II.pptx

Arrythmia-I.pptx

Trio of Rheumatic Mitral Stenosis, Right Posterior Septal Accessory Pathway a...

Anticoagulation therapy during pregnancy

Coronary guidewire

Intracoronary optical coherence tomography

Brugada syndrome

A roadmap for the human development

Intra aortic balloon pump

Left ventricular false tendons

Recently uploaded

Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Rishikesh Escorts Call girls are available to provide the quality essentialness that will ease away life's tensions. Rishikesh Escorts are regular companions of elite gentlemen. It is possible to take them to places they would never have dreamed of visiting otherwise. Their portfolios can be found online through escort agencies; they maintain themselves to look attractive by visiting salons and spas regularly. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Rishikesh Escort Service are skilled at performing wild anal sex, deep throat sex and cum eating - ideal for satisfying all your sexual needs and playing any game possible. Professional assistants are readily available and ready to assist in any situation - romantic date or solo outing. They can accompany you to restaurants or bars where their presence will surely leave an impression with their beautiful appearances and striking personalities.

Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available

perfect solution

Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available ★> Whatsapp Number-9521753030 <★ ★ CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of . ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • 3* 5* 7*Hotels Service in • Hygienic Full AC Neat and Clean Rooms Avail. • Daily New Escorts Staff Available • Minimum to Maximum Range Available. Our escort service •BJ (Blowjob) •FK (French kissing) •Kissing with tongue •O-Level (Oral sex) •Long Silky Brown Hair •69 (69 sex) •A-Level (5 start Escort) •Dating

Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available

Janvi Singh

Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k along with Free Room Call TO mr Kapoor book Fun:9711199012 Delhi Call ME WHATSAPP RAHUL 9711199012 Provide VIP escort service CALL ME 9711199012 100% satisfaction call 24hrs..% SHORT 2OOO/OUTCALL=2=SHORT=5000 AND Night 7OOO/- FORM INDIAN , NEPALI ,KASMARI MANIPURI HOT GIRLS AND MATURED HOUSE WIFE BOOKING ONLY DECENT GUYS AND GENTLEMAN NO FAKE PERSON FREE HOME SERVICE IN CALL FULL A.C ROOM SERVICE IN SOUTH DELHI satisfied guaranteed (AGE 21) College girls , party girls and also housewife. LOCANTION ~ DELHI,NOIDA,GURGAO NCR Call OR WHATSAPP Kapoor 9711199012 Our Service Available IN All Independent DELHI Escorts SERVICE, 3/5/7 STAR HOTEL SERVICE, in call /Out call Service.24 hrs. * Models * Receptionist, * Air Hostess, * Call Centre Working Girls/Women ans * Hi-tech Co. Girls/Women * House Wife. * College going girls Call ME WHATSAPP RAHUL 9711199012 LOCANTION ~ DELHI,NOIDA,GURGAO Call ME WHATSAPP RAHUL 9711199012 Our Service Available IN All Independent DELHI Escorts SERVICE, 3/5/7 STAR HOTEL SERVICE, in call /Out call Service.24 hrs. * Models * Receptionist, * Air Hostess, * Call Center Working Girls/Women ans * Hi-tech Co. Girls/Women * House Wife. * College going girls Call OR WHATSAPP Kapoor 9711199012 07-05-2024(chd)

Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...

BhumiSaxena1

Top Rated Bangalore Call Girls Mg Road ⟟ ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details Whatsapp Chat :+91- These professional and Call girls in Bangalore can satisfy your every desire - be it sensual massage or an erotic shower, they are always more than willing to meet them. Furthermore, they pay close attention to body language cues to ensure you enjoy every minute spent in their company - both in-call and outcall services are offered. Is an excellent choice for anyone seeking an exciting and thrilling night of fun and excitement The Oberoi, Bengaluru Taj West End The Leela Palace Bengaluru JW Marriott Hotel Bengaluru The Ritz-Carlton, Bangalore Sheraton Grand Bangalore Hotel at Brigade Gateway Conrad Bengaluru ITC Gardenia, Bengaluru Renaissance Bengaluru Race Course Hotel The Lalit Ashok Bangalore

Most Beautiful Call Girl in Bangalore Contact on Whatsapp

Inaaya Sharma

Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...

GENUINE ESCORT AGENCY

Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me Why you Choose Us- +91-8250092165 Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call Girls and Escorts, We Are Located in 3* 4* 5* Hotels. Safe & Secure High Class Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/Teens Escort in Delhi High class luxury and premium escorts agency. ★ CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of . A020524ST ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • 3* 5* 7*Hotels Service • Hygienic Full AC Neat and Clean Rooms Avail. • Daily New Escorts Staff Available • Minimum to Maximum Range Available. Our escort service •BJ (Blowjob) •FK (French kissing) •Kissing with tongue •O-Level (Oral sex) •Long Silky Brown Hair •69 (69 sex) •A-Level (5 start Escort) •Dating

Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me

chennailover

Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalore Karnataka Booking Details Are here: just visit website: https://girlsinbangalore.com #Call Girl In Bangalore, #Bangalorecallgirls #CallgirlserviceBangalore, #CallgirlsinBangalore 07-May-2024( Mj) Click On WhatsApp Chat +91-7304373326 Bangalore Escorts Make You Feel Like Royalty Bangalore Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...

Sheetaleventcompany

Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 100% verified Why you Choose Us- +91-7427069034 Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call Girls and Escorts, We Are Located in 3* 4* 5* Hotels. Safe & Secure High Class Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/Teens Escort in Delhi High class luxury and premium escorts agency. ★ CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of . ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • 3* 5* 7*Hotels Service • Hygienic Full AC Neat and Clean Rooms Avail. • Daily New Escorts Staff Available • Minimum to Maximum Range Available. Our escort service •BJ (Blowjob) •FK (French kissing) •Kissing with tongue •O-Level (Oral sex) •Long Silky Brown Hair •69 (69 sex) •A-Level (5 start Escort) •Dating 03-May(Ast)

Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...

chennailover

8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad

GENUINE ESCORT AGENCY

Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Service Number Mohali Call Girls Mohali Just Call 6367187148 Top Class Call Girl Service Available ★ CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of . ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • 3* #S07 5* 7*Hotels Service in • Hygienic Full AC Neat and Clean Rooms Avail. • Daily New Escorts Staff Available • Minimum to Maximum Range Available. Our escort service •BJ (Blowjob) •FK (French kissing) •Kissing with tongue •O-Level (Oral sex) •Long Silky Brown Hair •69 (69 sex) •A-Level (5 start Escort) •Dating

Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...

karishmasinghjnh

Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 9004268417 Neha Thakur Booking Contact Details WhatsApp Chat: +91-9004268417 Mumbai Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant;$S2 making an impressionable. Independent Escorts Mumbai understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more.

Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...

Anamika Rawat

Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Rajasthan Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...

parulsinha

Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts | 100% verified Why you Choose Us- +91-7427069034 Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call Girls and Escorts, We Are Located in 3* 4* 5* Hotels. Safe & Secure High Class Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/Teens Escort in Delhi High class luxury and premium escorts agency. ★ CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of . A060524ST ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • 3* 5* 7*Hotels Service • Hygienic Full AC Neat and Clean Rooms Avail. • Daily New Escorts Staff Available • Minimum to Maximum Range Available. Our escort service •BJ (Blowjob) •FK (French kissing) •Kissing with tongue •O-Level (Oral sex) •Long Silky Brown Hair •69 (69 sex) •A-Level (5 start Escort) •Dating

Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...

chennailover

Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun WhatsApp Chat: ☎️ +91-8854095900 Call Girls Dehradun offer you everything from intimate moments to wild nights - be it intimate or wild. Their girls are always prepared to meet all your needs and desires so you're assured a memorable experience with them. Beautiful Babes are sure to turn heads wherever they go, captivating men with their seductive personalities and captivating looks - not to mention their sensually alluring bodies that are sure to satisfy all your naughty fantasies, from blowjobs to anal massages; not forgetting BDSM and orgies as well. Show them some appreciation when the time is right. Call Girl Dehradun that their clients can be very demanding. To maintain their reputation and gain more clients, these sexy call girls always work tirelessly to provide exceptional service that ensures each customer's happiness - so much so that many men seek them out to have an unforgettable experience with Passionate about providing erotic pleasure for their clients - fulfilling all sexy fantasies while offering role play services such as BDSM. ★OUR BEST SERVICES: - FOR BOOKING ★ A-Level (5-star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob) ★ Spending time in my rooms ★ BJ (Blowjob Without a Condom) ★. Extra ball (Have ride many times) ☛ ☛ ☛ ✔✔ secure✔✔ 100% safe WHATSAPP CALL ME💥✨✨⭐⭐⚡💦💦💨🔥💫💫 Their services range from erotic encounters and movie dates to in-call and out-call services, making this option available 24/7. Available for services including NSA, threesomes and foursomes sessions as well as massage services and casual foreplay - they even provide real girlfriend experience. Find one online or visit local women's clubs, hotels or restaurants. Hiring a Dehradun call girl for an evening or day out can be the perfect addition to your social gathering or office event, or you could arrange for her to visit your home or hotel room. Not only are these women gorgeous, they're intelligent as well, with great senses of humor - sure to please and leave you wanting more. If you want a cheap escort in Dehradun, look for someone who is either a student or works part time so that she will always be available when you need her. In addition to this, look for housewives as this ensures they have stable lives that can keep you satisfied for extended periods. These beautiful ladies will capture your attention at first sight with stunning eyes and full, seductive lips; not to mention a seductive personality that makes you want to spend more time with them; moreover they are discreet enough to meet up anywhere nearby! Hiring a call girl in Dehradun can be done through either the internet or calling her directly, with services like massage or sex sessions offered to request from specific agencies within a few hours of making contact. Furthermore, text the girl directly for price quotes!

Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...

Sheetaleventcompany

VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋 Call Mr Chirag Ji +91-7877925207 NORTH/SOUTH INDIANS HIGH CLASS MODELS/COLLEGE GIRLS/ HOUSEWIVES/BODY TO BODY MASSAGE, SANDWICH MASSAGE, SHOWER BATHING, BLOW JOB, LICKING, FRONT AND BACK SHOT, RUBBING, KISSING SMOOCHING ETC ETC... UNLIMITED FUN Call 24/7. Your assistance for your service... ☛ ✔✔ secure✔✔ 100% safe ✔✔ Vip Callgirl Service offers you the most beautiful High Profile sexy independent female Escorts in genuine ✔✔✔ To enjoy with hot and sexy girls ✔✔✔ A03524SW ★providing:- • Models • vip Models • Russian Models • Foreigner Models • TV Actress and Celebrities • Receptionist • Air Hostess • Call Center Working Girls/Women • Hi-Tech Co. Girls/Women • Housewife • Collage Going Girls. • Travelling Escorts. • Ramp-models • Foreigner And Many More.. ★OUR BEST SERVICES: - FOR BOOKING ★ A-Level (5 star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)

VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋

TANUJA PANDEY

Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Girl UKHBET Escorts Service Available ✔ All Day And Night Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...

parulsinha

☑️░ 9630942363 ░ CALL GIRLS ░ VIP ░ ESCORT ░ SERVICES ░ AGENCY ░ 9630942363 THE GENUINE ESCORT AGENCY VIP LUXURY CALL GIRLS HIGH CLASS MODELS CALL GIRLS GENUINE ESCORT BOOK BOOK APPOINTMENT - 9630942363 THE GENUINE ESCORT AGENCY BEST VIP CALL GIRLS & ESCORTS SERVICE 9630942363 VIP CALL GIRLS ALL TYPE WOMEN AVAILABLE INCALL & OUTCALL BOTH AVAILABLE BOOK NOW 9630942363 VIP GENUINE INDEPENDENT ESCORT AGENCY VIP PRIVATE AUNTIES BEAUTIFUL LOOKING HOT AND SEXT GIRLS AND PARTY TYPE GIRLS YOU WANT SERVICE THEN CALL THIS NUMBER 9630942363 ROOM ALSO PROVIDE HOME & HOTELS SERVICE FULL SAFE AND SECURE WORK WITHOUT CONDOMS, ORAL, SUCKING, LIP TO LIP, ANAL, BACK SHOTS, SEX 69, WITHOUT BLOWJOB AND MUCH MORE FOR BOOKING 9630942363

9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service

GENUINE ESCORT AGENCY

Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 9833325238 Nargish Khan Booking Contact Details WhatsApp Chat: +91-9833325238 Mumbai Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable. Independent Escorts Mumbai understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 06-May 24 (Smt)

Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...

Ishani Gupta

9630942363 THE GENUINE ESCORT AGENCY VIP LUXURY CALL GIRLS HIGH CLASS MODELS CALL GIRLS GENUINE ESCORT BOOK BOOK APPOINTMENT - 9630942363 THE GENUINE ESCORT AGENCY BEST VIP CALL GIRLS & ESCORTS SERVICE 9630942363 VIP CALL GIRLS ALL TYPE WOMEN AVAILABLE INCALL & OUTCALL BOTH AVAILABLE BOOK NOW 9630942363 VIP GENUINE INDEPENDENT ESCORT AGENCY VIP PRIVATE AUNTIES BEAUTIFUL LOOKING HOT AND SEXT GIRLS AND PARTY TYPE GIRLS YOU WANT SERVICE THEN CALL THIS NUMBER 9630942363 ROOM ALSO PROVIDE HOME & HOTELS SERVICE FULL SAFE AND SECURE WORK WITHOUT CONDOMS, ORAL, SUCKING, LIP TO LIP, ANAL, BACK SHOTS, SEX 69, WITHOUT BLOWJOB AND MUCH MORE FOR BOOKING 9630942363

Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available

GENUINE ESCORT AGENCY

Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Mysore Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Mysore Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Mysore Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Recently uploaded (20)