Malcolm T. Foster III, MD

Husband, Father, Cardiologist, Researcher, Nama Sushi and Harvest: land, sea and vine.

[Malcolm T. Foster III, MD @MalcolmFoster3]

@PenVascular @patrickmuckmd Flash 2.0 is a significant improvement. Here is a recent PE theombectomy case.

[Malcolm T. Foster III, MD @MalcolmFoster3]

Exam room intervention for the right LE … any guesses?

[Donde Plowman @DondePlowman]

These 8 leaders from our campus recently completed the Executive Leadership Institute, sponsored by the UT System. I appreciate their interest in learning more about leadership and I value the UT System’s commitment to leadership development. #leadershipmatters

[Malcolm T. Foster III, MD @MalcolmFoster3]

Training completed for the Cor-Cinch clinical trial:

HFrEF 20% - 40%

Class 3 / ambulatory 4

Class 2 if hospitalized in the last year

LVEDD > 5.5 cm

MR 2+ or less (post TEER included)

Happy to see any possible candidate!

[Malcolm T. Foster III, MD @MalcolmFoster3]

CT/FFR has improved diagnostic accuracy when evaluating chest pain patients for coronary artery disease. Outstanding correlation with IVUS/FFR in the cath lab. Will not replace SPECT or stress echo (due to limitations), but it is a fantastic tool.

[Malcolm T. Foster III, MD @MalcolmFoster3]

@IRKhalsa @XLR8Med Celt is a breakthrough, possibly the best small bore VCD. We trialed it a couple of years ago. Still trying to get it on the shelf. Celt is complementary to Perclose and Angioseal.

[Malcolm T. Foster III, MD @MalcolmFoster3]

@mandeep_mayo Stent it (Ostial LMT)!
The other lesions are probably inconsequential.

[Malcolm T. Foster III, MD @MalcolmFoster3]

@ANazmiCalik @PCRonline @sbrugaletta @mirvatalasnag @gabor_gt @guilbon @KardiologieHH @aayshacader @mmamas1973 @GreggWStone @kiadeb87 @ABeneduceMD @DrMarthaGulati @Sticchi_Alex I’m in favor of IVUS to define lesion and be more accurate with sizing (anticipating PCI).

[Malcolm T. Foster III, MD @MalcolmFoster3]

@DrJayMohan @NickMouawadMD @KaremHarthMD @drochohan @t_intheleadcoat @HadyLichaaMD @EricSecemskyMD @AmputationSuck @JimGMelton @kmadass @ShariqShamimMD I use it routinely for SFA/pop interventions.

Not my preferred EPD for carotids, coronaries or vein grafts.

[Malcolm T. Foster III, MD @MalcolmFoster3]

88 yo with abdominal pain, hematochezia and weight loss. Risk factors of HTN, Chol. Hx of CABG. Abdom. CTA showed densely calcified plaque. C-scope confirmed colitis. Stented the SMA, resolving 60 mmHg gradient. What next?

[Malcolm T. Foster III, MD @MalcolmFoster3]

@JTalty Callous and ignorant

[Malcolm T. Foster III, MD @MalcolmFoster3]

@SandeepNathanMD @UCCardsFellows @SuzanneJBaron @AGoldsweig @djc795 @DocSavageTJU @jjlop131 @willsuh76 @DrAnkitKPatel @Pooh_Velagapudi @Jonathan_PaulMD We call that an East TN Right

[Malcolm T. Foster III, MD @MalcolmFoster3]

@MartinLazarovvv Iliac artery

[Malcolm T. Foster III, MD @MalcolmFoster3]

My observation: iliac vein compression and one additional risk factor account for most proximal DVT’s. Nice result with thrombectomy and stenting.

[Malcolm T. Foster III, MD @MalcolmFoster3]

@AdrianMercadoMD 16 x 140 mm

[Malcolm T. Foster III, MD @MalcolmFoster3]

@DrRajeshG1 Yasir Akhtar

[Malcolm T. Foster III, MD @MalcolmFoster3]

@robhinchliffe1 @JVascSurg @CaitlinWHicks @UCSFvascular @VascResearchUK @DanielCarradice @VascularForum @CouncilPvd @ArterySociety @EVToday @NetworkPad @padvascular @jmills1955 How many cases were performed in OBL’s? Very poor oversight.

[Malcolm T. Foster III, MD @MalcolmFoster3]

Lightning Flash 16 for Pulmonary Embolism. First case in the great state of Tennessee. Fantastic team!

[Malcolm T. Foster III, MD @MalcolmFoster3]

I can follow directions.

[Malcolm T. Foster III, MD @MalcolmFoster3]

@akbarul @ShariqShamimMD @mmamas1973 @abadkhan2002 8F guide. Penumbra L7. IVUS. MEGATRON or renal stent PRN. Will likely need TEE with bubble study (suspicious for paradoxical embolus).