Less is more

Less_is_more_1 is a state of mind found universally in cerebral, thoughtful interventional cardiologist aiming for the best possible outcome for their patients

[Less is more @Less_is_more_1]

@afallahi @BaoGTran Good tip and technique

[Less is more @Less_is_more_1]

@BaoGTran I've done this. Never twist and overtorque perclose for this reason. TAVI in patients like this, sometimes I use the sfa if big enough it allows much easier management of bleeding complications. Not to distal...

[Less is more @Less_is_more_1]

@jcspratt @DrPeterOKane @BCIS_uk Actually he is just the person to make those old fashioned barriers disappear. Long overdue

[Less is more @Less_is_more_1]

@DrPeterOKane let's get the first DGH interventional cardiologist as @BCIS_uk next president. He's as a proven track record of providing the Premier interventional fellowship in the uk

[BCIS @BCIS_uk]

Who will be the next BCIS President for the term of 2023-2026?

As a BCIS Member, YOU decide: https://t.co/YHfVeL6BnF

Good luck to all candidates in the running: @clare_12, @DevadathanSen, @Ryvetsprog, Prof. Philip MacCarthy and @DrPeterOKane.

Ballot closes 18/07 @ 5pm.

[Less is more @Less_is_more_1]

@jcspratt @DrPeterOKane @BCIS_uk Fair point. Completely correct. Adding that label isn't relevant to @DrPeterOKane he stands on his own achievements

[Less is more @Less_is_more_1]

@BCIS_uk remember to vote for the next president. We need a fresh start with fresh ideas at reflect a changing community vote @DrPeterOKane
https://t.co/AbDjJq87dV
#cardiotwitter @RadialFirstBot @mirvatalasnag @mmamas1973 @nolanjimradial @BJCA_Women_LTFT

[Less is more @Less_is_more_1]

On point

[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

[Less is more @Less_is_more_1]

@alcocerjorg @VictorDayan1 @crfheart @JACCJournals Funny

[Less is more @Less_is_more_1]

👌👍

[Raj Tayal @RajTayalMD]

78 F CAD, PVD, AS/mod AI, rEF, CKD. Admitted w ADHF requiring ETT. Extubated but unable to d/c. Severe dz in Ao, BL carotid/Ax, Sca, CFA, iliac. Old stent in R iliac into Ao limiting Xover. Given LBA risk went 7Fr left #PercAx for @ShockwaveIVL of L CFA & iliac to #keepitfemoral

[Alexandre Quadros @AlesqQuadros]

Are EXCEL results aplicabble to this case?@lamelaspablo @GreggWStone @felixdamasds @rickytiago @maiafelipe08 @SVRaoMD @evandrofilhobr #cardiotwitter #RadialFirst

[Less is more @Less_is_more_1]

Good question.

[Jianwen Xiong MD @jianwenxiong]

should I stenting?

[Less is more @Less_is_more_1]

Wow. what an experience! good to have someone close who knows how to do a CPR when needed.

[Less is more @Less_is_more_1]

Amazing illustration. incidental capture?

[Shariq Shamim @ShariqShamimMD]

How MI kills, one second you are talking, another you are gone. That's why IMMEDIATE CPR and AEDs save lives! Amazing example captured on 12 lead EKG! #cardiotwitter

[Less is more @Less_is_more_1]

@choo_ek Congratulations ...

[Less is more @Less_is_more_1]

Nice algorithm for the management of calcified coronary lesions. To consider during #WarOnCalcium with the full scope of armours #PCI #cardiotwitter .
@sbrugaletta @nolanjimradial @JReinerMD @agtruesdell @lorenzo2509 @HeartOTXHeartMD @DrNickTJU @DLBHATTMD @Costa_F_8 @duanepinto

[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

[Less is more @Less_is_more_1]

Excellent final angiographic outcome with the help of #shockwave #IVL
@Tabaza @TomLuscher @jedicath @sajannarayanan @SonaliInamdar21 @GarethWills @HolgerNef @JoostDaemen @MinhNVoMD @greggwstone @pauldub67 @giuseppe_ando @Costa_F_8 @evandrofilhobr @StefanoNava @DLBHATTMD

[IntelMed @IntelMed_me]

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

[Less is more @Less_is_more_1]

Very interesting case about #MI stent size and length. #cardiotwitter #RadialFirst @glamasmd @CaraCarahendry @SABOURETCardio @SPyxaras @MinhNVoMD @sbrugaletta @GeorgeAdamsMD @twj1974 @evandrofilhobr @ajaykirtane @HeartOTXHeartMD

[Shariq Shamim @ShariqShamimMD]

MI, what size/length stent would you use? #RadialFirst #imagefirst IVUS with co-registration is game changer. I was surprised with IVUS normal to normal vs angio. Answer w final angio tomorrow!

[Less is more @Less_is_more_1]

Fantastic #ImageFirst #OCT guided #PCI with #Rota and #IVL. Great final result. Inspirational story behind the pictures too ! @manesh_patelMD @giampieroviz @CaraCarahendry @SPyxaras @PabloAvanzas @DocSavageTJU @hectortamezmd @mividovich @Tesslagra @willsuh76 @mbmcentegart

[Elliot Smith @SmithElliotjs]

Moved & privileged to treat this 85 yo Auschwitz survivor on #HolocaustMemorialDay. Thx @RoyalFreeHAC for state of the art heart attack treatment. He asked us to share his story & tattoo #NeverForget @YellowCandleUK @oliverguttmann @yomhashoahuk @sundeepkalra @JeremyCraneMD

[Less is more @Less_is_more_1]

Nice work .

[Ahmed Almomani @drmomani]

The 3 pigtail trick always comes in handy to minimize contrast in CKD patient during #TAVR @UTHealthSAValve @AnandPrasadMD @UditBBhatnagar @DawnHuiMD