cardio_crux

coronary physiology, intracoronary imaging and complex structural/#EHRA/coronary/#radialfirst/#whycmr MedEd is life.

[cardio_crux @CruxCardio]

@VictorDayan1 I suggest you take a look at the RCT scope 2. The community recognises how important PVL is. That is why we try to evolve devices liked @bostonsci accurate neo 2 after the RCT data from scope 2.

[cardio_crux @CruxCardio]

@VictorDayan1 That isn't really the point of my tweet is it? 4 or 5 year follow up for partner 3, we don't have that. But trashing randomised data we do have with some observational data... Well that is just silly. One should always take a considered balanced approach. The above isn't that

[cardio_crux @CruxCardio]

@pomyers @VictorDayan1 That isn't really the point of my tweet is it? 4 or 5 year follow up for partner 3, we don't have that. But trashing randomised data we do have with some observational data... Well that is just silly. One should always take a considered balanced approach. The above isn't that

[cardio_crux @CruxCardio]

@Less_is_more_1 @DrQuinnCapers4 @aspergian1 @docsaw @Dr_Stig @kalazizimd @ajaykirtane @cardiojaydoc02 @mirvatalasnag

[cardio_crux @CruxCardio]

Causation Vs confounding. Using observational data to generate a hypothesis👍. But I'm always aware of it's limits. Wondering what confounders there might be in a non randomised sample of savr Vs Ravi patients. Can anyone help me make a long list? #TAVR #tavi #cardiotwitter

[Victor Dayan @VictorDayan1]

Mild para-valvular leak after TAVR increases 64% de risk of death. And one every 4 pts have mild PVL. Nonetheless, we see groups striving for TAVR in low risk pts with long life expectancy. https://t.co/4bwD3aOmm3

[cardio_crux @CruxCardio]

@kalazizimd @Babar_Basir @aayshacader @alfocandiello @CaraCarahendry @DrShamimRahman @AugustoDaige @ENofrerias @DoctorLizShaw @Elrayes_PhD @emily_bbraun @AntoniousAttall @ChiznerRyan @cardiojaydoc02 @Costa_F_8 @CMichaelGibson @cpgale3 @akbarul @aspergian1 @ghidalg

[cardio_crux @CruxCardio]

Very interesting case and follow up video

[Nader Joghetaei, MD @naderjo]

43 yo F w syncope. Paramedics sending us this #EKG. What do you think? #medicine #cardiotwitter @ShariqShamimMD @ecgrhythms @ECGfan @smithECGBlog @EM_RESUS #ACCFIT #FOAMed #WIC @mirvatalasnag @jedicath @MarcVorpahl @kaschenke @rvprog @KardiologieHH

[cardio_crux @CruxCardio]

Challenging 👌

[Ignacio J. Amat @ignamatsant]

Post-MI VSD percutaneous closure: Another thrilling duty today in the cardiology department of HCU Valladolid 💔➡️❤️
@secardiologia @shci_sec @PCRonline @fundacionepic @AJuradoRoman @ClinicoInterna

[cardio_crux @CruxCardio]

Interesting ... 🙄

[Dr. Krzysztof Pujdak @KPujdak]

Yesterday's surprise. Pat had a PCI 4 months ago in other institution. Now presenting with NSTEMI and angina. What can you see and how would you handle it? @PCRonline #RadialFirst @AGIKinterv @BotPci

[cardio_crux @CruxCardio]

excellent.

[Dr. Krzysztof Pujdak @KPujdak]

Follow-up on my previous case.Standard NC🎈crossed but didn't open the lesion.OPN NC 3,5 didn't go in so I took a 2,5mm OPN NC which cracked it @ 52 atm.The rest was simple:OPN3,5@35atm and 2 utrathin-strut Synsiro DES with good result @BotPci @AGIKinterv @PCRonline #RadialFirst

[cardio_crux @CruxCardio]

Amazing how powerful an artery spasm can be, especially for #RadialFirst . @hectortamezmd @torresviera @Pooh_Velagapudi @rladeiraslopes @yadersandoval @Doctor_Stent @ErsaTatl @SonaliInamdar21 @sajannarayanan @mbmcentegart @SmithElliotjs

[Dr. Krzysztof Pujdak @KPujdak]

Power of radial artery spasm vs. 7cm Terumo sheath 1:0 (in another words: how to make it 30cm+)
🤦‍♂️🤷‍♂️😱 #RadialFirst @AGIKinterv @PCRonline
PS. Fellow who did the case told that they were pulling it for 30+ mins, pat. received loads of diazepam and propofol. It was a short CAG

[cardio_crux @CruxCardio]

Gold-standard demonstration of a step-wise #WarOnCalcium modification of tough lesions. The final angiographic result looks as good as new !! Fantastic #CuttingBalloon #IVL #Rota #PCI #CHIP #IVUS @DrPascalMeier @giuseppe_ando @Doctor_Stent @mirvatalasnag @GarethWills

[cardio_crux @CruxCardio]

Great final angiographic results with the magic of #IVL. Is there value in considering FFR +/- bifurcation stenting for D1/LAD ?
@DrAsifQasim @DocSavageTJU @agtruesdell @ShariqShamimMD @FrancescoSapori @ErsaTatl @giampieroviz @jcspratt @mirvatalasnag @SVRaoMD @hectortamezmd

[IntelMed @IntelMed_me]

Patient with calcified LAD and diagonal coronary artery underwent Shockwave Intravascular Lithotripsy. Complete perfusion was restored. #IntravascularLithotripsy #ShockwaveIVL #coronary

[cardio_crux @CruxCardio]

Good choice of #shockwave ! Any other option for managing such shocking LM? #cardiotwitter

[Asrar ul Haq @M_Asrarulhaq]

Shocking a shocking LM! Good job #IVL. #cardiotwitter #Intervention #complexPCI #Cardiology

[cardio_crux @CruxCardio]

Do you have the link to the full article @mirvatalasnag ?

[MIЯVΛƬ #IC ༄ ｡° @mirvatalasnag]

Role of imaging #OCT #IVUS #WhyCMR in #MINOCA

I want to thank my co-authors
@JelaniAini @twj1974 @biljana_parapid @MBalghith @drptca ⤵️⤵️

[cardio_crux @CruxCardio]

👍 Nice. Would anyone do it on himself today like that? Simple Question!
#cardiotwitter #radialfirst #TAVR #Cardiology

[Dr Bart Olechowski @BartOlechowski]

To prove that coronary angiography is a simple procedure, Dr Gruentzig 'suddenly' arrived one afternoon in December 1984 and ordered his team to perform the first ever ambulatory coronary angiogram on himself.
@angioplastyorg

[cardio_crux @CruxCardio]

Very interesting case of Chest pain and ECG changes. though #COVIDー19 phobia lead to lower rates of hospital attendances. Cath lab to be activated or not?
#cardiotwitter #Cardiology

[akbar haq @akbarul]

56 yr old male CP sweating with 70 sys Bp .on enoxaparin clopidogrel aspirin tirofiban .angio done 4 yrs back.bp now 90 with chest pain better.lab to be activated or not in COVID times?@ShariqShamimMD @mmamas1973 @BaylorCardio @M_Asrarulhaq @paragbawaskar @JdBapttiste

[cardio_crux @CruxCardio]

Very nice flowchart and Calcium algorithm for the management of Calcified Coronary lesions.
@DrPascalMeier @Tabaza @ekgpdx @DrJMHill @willsuh76 @Doctor_Stent @rajivxgulati @nolanjimradial @HeartOTXHeartMD @mividovich @JReinerMD @giampieroviz @g_giustinoMD @Drroxmehran

[Chun-Yuan Chu, MD 朱俊源醫師 @ChunYuanChu]

Algorithm for Management of Calcified Coronary Lesions . @mmamas1973 @DrJosefLudwig1 @CMichaelGibson @SVRaoMD @fischman_david @DocSavageTJU @CMichaelGibson @HeartOTXHeartMD @lorenzo2509 @aayshacader @esbrilakis @mirvatalasnag @AnastasiaSMihai
https://t.co/yCoQTIGMA6 @SCAI #PCI

[cardio_crux @CruxCardio]

Helpful algorithm defining options for ISR including #Rota, #Laser and #IVL. Most importantly, #ImageFirst #IVUS #OCT
@hectortamezmd @jtsaxon @ron_waksman @DrAsifQasim @duanepinto @JoostDaemen @yadersandoval @greggwstone @cghanratty @glamasmd @MinhNVoMD @PabloAvanzas

[Aaysha Cader @aayshacader]

#SCAI2020 @SCAI
Complications 🔃 💉
@kevinjamescroce stent underexpansion #ISR
🔸Imaging
🔸LASER w contrast
🔸Rota: ablates stent strut
🔸Orbital atherectomy
🔸IVL

@CaraCarahendry @sbrugaletta @HanCardiomd @HadyLichaaMD @DrJayMohan @UjjwalRastogiMD @ZeroTLR @aspergian1 @Tabaza