Rami Kafa

IC & Structural Heart at Providence, SW Washington. Cleveland Clinic, UIowa & UPMC trained. #TAVR #LAAO #CHIP #PFO. Tweets are my own; RT≠endorse

[Rami Kafa @RamiKafa]

G4 #MitraClip to the rescue. Very functional 93 yo with 4+ MR due to P2 flail with very redundant leaflet tissue. Had to individually grasp with XTw then complete with XTr. End result 1+.

[American College of Cardiology @ACCinTouch]

Mineralocorticoid receptor antagonists (MRAs) failed to show a benefit and had virtually no effect on cardiovascular death in patients with kidney failure requiring maintenance hemodialysis.

Learn more: https://t.co/cgmIFhCRA4 #HeartFailure #CardioX

[Prof. Hector M. Garcia-Garcia @hect2701]

#ESCcongress 2025 #abstract

Both Rotational atherectomy vs. intravascular lithotripsy are safe and effective techniques for the preparation of severe CCL.

No significant differences were found in terms of angiographic and procedural success rates.

@TCTMD @TCTConference @news_hart @Ortega_Paz @sjorge4 @sbrugaletta @NievesGonzalo1 @CRT_meeting @GTCardFellows @PCRonline

[Dr. Gilbert Tang @GilbertTangMD]

Welcome to our August 20 special issue of #JACCCaseReports @JACCJournals
https://t.co/HEW4oV2zlw

Full PDF here:
https://t.co/PjOAKc332q.

@MinnowWalsh
@DeeDeeWangMD
@hmkyale
@Justine_Turco

Coronary, Peripheral and Structural Interventions:
Iatrogenic VSDs After TAVRs and Electrophysiologic Implications
https://t.co/ykxhcOlhIS

Modified Balloon-Assisted Thrombin Injection via Distal Access for Complex Femoral Pseudoaneurysms
https://t.co/hu8rx2J5R3

Retrieval of an Embolized Left Atrial Appendage Occluder From the Aortic Arch Using a Transcatheter Retrieval Device
https://t.co/80mpUaSYlF

Percutaneous Removal of Left Atrial Appendage Occlusion Device With a Dedicated Retrieval System
https://t.co/dgXCeKWNZ0

Methicillin-Resistant Staphylococcus aureus Infection to a Stent Graft in the Superficial Femoral Artery
https://t.co/YnfOOzikQD

Atypical Presentation of Behçet’s Disease Unmasked by Acute Coronary Syndrome
https://t.co/8Vuu2emWb2

Impact of Anabolic-Androgenic Steroids on Coronary Artery Disease: Insights From Optical Coherence Tomography
https://t.co/7tHt7kiNMh

Stenting of Significant Aortic Coarctation Near Artery of Adamkiewicz in a Toddler
https://t.co/I61Neau8cF

Percutaneous Closure of Aortic-Pulmonary Artery Fistula in Cardiogenic Shock: The Modified Tootsie Roll Technique
https://t.co/jXlJCcKm82

Common Iliac Artery Stent Migration Post Intervention: A Case Report and Percutaneous Management Options
https://t.co/lWxPAqUMXj

Microaxial Flow Pump for LV Unloading After Aortic Valve Surgery: Overcoming Vascular and Valvular Barriers
https://t.co/oinNMW2z4b

Rotablation Wire Fracture During a Challenging Percutaneous Coronary Intervention
https://t.co/ZO4KFOPpLh

Hybrid Approach as a Salvage Strategy for Post-Myocardial Infarction Ventricular Septal Defect
https://t.co/DJRddSF1sd

Complex Transcatheter Left Atrial Appendage Closure Under Intracardiac Echocardiography in a Patient With Repaired Tetralogy of Fallot
https://t.co/lWVY0puoDO

Preventing Kinks and Entrapments in Coronary Interventions With Innovative Approaches
https://t.co/xIPIE9wnxa

ST-Elevation and Recurrent Ventricular Fibrillation: What’s the Diagnosis?
https://t.co/EaalcWrijv

First-In-Human BASILICA Before Valve-in-Valve TAVR in a Mechanically Expanded, Legacy Valve
https://t.co/j6gHrcKXlo

Transseptal Transcatheter Mitral Valve Replacement With a Novel Bioprosthesis in a Patient With Challenging Anatomy
https://t.co/aXoTsCpRYT

Valvular Heart Disease:
Combined Rheumatic Mitral and Aortic Stenosis: Hemodynamics and a Tailored Approach to Management
https://t.co/kWqidmV4Gt

Transcatheter Treatment of Patient With Mitral Valve Endocarditis and Severe Aortic Stenosis and Insufficiency
https://t.co/AR54Y24RKc

Salvaging Percutaneously a Suboptimal TAVR Deployment With Repositioning in the Thoracic Aorta: A Novel Snare-Mediated Approach to Prosthesis Malposition
https://t.co/Lx5jBkSSit

Prevention of Bilateral Coronary Obstruction During Valve-In-Valve TAVR With a Self-Expanding Valve: The BABICORN Procedure
https://t.co/oW9BPYfHkz

Transcatheter Edge-to-Edge Repair for Mitral Regurgitation in Complex Post-Surgical Anatomy
https://t.co/qDsiveAXLw

Effective Ultraslow Low-Dose Thrombolysis for Aortic Bioprosthetic Valve Thrombosis
https://t.co/qb98b8V5d8

Cardio-Oncology:
Anterior Mediastinal Mass and Pericardial Effusion With Right Ventricular Outflow Tract Obstruction Secondary to Dual Compression
https://t.co/a6KHk6fHzw

Isolated Native Pulmonary Valve Endocarditis
https://t.co/uyndSrzjZt

Fulminant Myocarditis Secondary to Cardiac T-Cell Lymphoma
https://t.co/6aA9Hwes7d

Coronary Artery Supply to a Cardiac Mass
https://t.co/NXcCMnOqNW

Fulminant Myocarditis Presenting With Refractory Ventricular Fibrillation During BRAF/MEK Inhibitor Therapy
https://t.co/0fLWY9A8Ia

Heart Failure and Cardiomyopathies:
Secondary Cardiomyopathy due to Selenium Deficiency: Multidimensional Cardiac Evaluation and Treatment
https://t.co/Nfuo9VO33a

Iron Overload Cardiomyopathy in Myelodysplastic Syndrome: A Fatal Outcome After 20 Years of Chronic Transfusions
https://t.co/PKd77EgwkQ

Nonischemic Cardiomyopathy in Adult-Onset PPA2-Deficient Mitochondrial Disease
https://t.co/raapGHYf4u

Cytomegalovirus Encephalitis in a Heart Transplant Recipient Presenting With Behavioral Changes and Functional Neurological Deficits
https://t.co/Wh4SDXQBdA

Ischemic Heart Disease:
An Atypical Left Ventricular Pseudoaneurysm Managed Conservatively
https://t.co/Sp3a2KDkOW

Stent Fracture and Perforation During Percutaneous Coronary Intervention for In-Stent Restenosis
https://t.co/YLbS4BmS7Y

Arrhythmogenic Isolated Right Coronary Vasospasm
https://t.co/TDFdsXslWi

Anesthetic Management in Combined Off-Pump CABG and EC-IC Bypass for CAD and Moyamoya Disease
https://t.co/S8mXTdfnCs

Imaging:
Extensive Myocardial Calcifications Associated With Recent-Onset Renal Failure and Primary Hyperparathyroidism
https://t.co/5fiL3VOiTi

Eosinophilic Myocarditis Associated With Chronic Eosinophilic Leukemia
https://t.co/kW15FX4nfS

Balloon-Assisted Traction Removal of a Fractured Catheter in the Distal Tibial Artery
https://t.co/3CKB90eefj

Congenital Heart Disease:
Large Patent Ductus Arteriosus in an Adult With Severe Pulmonary Hypertension and Polycythemia: PDA With Severe Pulmonary Hypertension
https://t.co/rlXdUg6J2P

Vieussens' Arterial Ring and Exercise-Induced Polymorphic VT: Approach to Diagnosis and Management
https://t.co/pOMk4EjmUN

Gerbode-ish Defect: A Congenital Left Ventricular–to–Right Atrium Shunt
https://t.co/vL4JVyHZ3V

Health Promotion and Preventive Cardiology:
Multimodal Therapy Achieves Secondary Prevention LDL-C Targets in LDL-Receptor Null Homozygous Familial Hypercholesterolemia
https://t.co/aSDbK8gLDW

Rhythm Disorders and Electrophysiology:
Undiagnosed Brugada Syndrome Presenting as Ventricular Fibrillation Cardiac Arrest
https://t.co/jQqUkuZqhC

@NAkhterMD
@aroniskn
@MiChen__
@FontanDoc
@juliendreyfus1
@sarano_maurice
@Miho_Fukui_
@Nishaki1
@ACHDocTMoe
@AdityaParikhMD
@AmitPawaleMD
@M_Pompeu_Sa_MD
@jsaef1
@JTSaxon
@Kentso987
@m_taramasso
@SyedZaidMD

[Lorenzo Azzalini @LAzzaliniMD]

How to check for bleeding after #Impella single-access PCI: pull out 14F sheath, advance 4F sheath, push Perclose knots 🪢 onto 4F sheath, do angiogram����. I learnt it from @duanepinto. Quite useful when you can’t do final angiogram from radial (tall pts, tortuosity, etc).

[Abdulla A. Damluji, MD, PhD @DrDamluji]

Transcatheter Aortic Valve Replacement With Balloon- Versus Self-Expandable Bioprostheses for the Treatment of Bicuspid Aortic Valve Stenosis: @CircAHA

🥸 More annular rupture with balloon expandable and more paraleaks with self-expanding

👇👇👇

[JAMA @JAMA_current]

📌 Editor’s Choice from this week's issue of #JAMA:

➡️ West Nile Virus / A Review
➡️ Intra-arterial Tenecteplase for Acute Stroke
➡️ Platelet Transfusion; and more.

https://t.co/VFV1Mjpniy

[Republicans against Trump @RpsAgainstTrump]

Hey @Grok, is Trump lying when he says the U.S. is the only country in the world that uses mail-in ballots in elections? Short answer

[American College of Cardiology @ACCinTouch]

The ACC is seeking comments on the ACC/AHA/HRS Advanced Training Statement on Clinical Cardiac #cvEP, which updates the 2015 training requirements for CCEP specialists. Comments due Monday, Aug. 25.

Access the document & public comment response form ➡️ https://t.co/16dnmmpcsC

[Rami Kafa @RamiKafa]

@sama I honestly like it much better than GPT4 already. Still thank you for giving users more options.

[Rami Kafa @RamiKafa]

@SVRaoMD @djc795 @jaygirimd @saraceciliamtz

[Sunil V. Rao @SVRaoMD]

Sigh…

@djc795 @jaygirimd

[Rami Kafa @RamiKafa]

@SVRaoMD @djc795 @jaygirimd

[Rodrigo V. Wainstein, MD, PhD @GEICC3]

Extremely tortuous RCA. After a few short runs w/ RotaPro 1.5 the burr disconnected from the driveshaft. Luckily wire was not damaged and kept the burr from embolizing distally. Not sure why it happened. Any thoughts on the potential mechanism for this complication? @rotamonster

[Nassir Azimi, MD- IYQ 🇺🇸 & IYQ-2🇺🇸 @Cardiotweet @azimidoc]

@united pay first class get last class service

[Ahmed Bennis MD 🫀 @drbennisahmed]

Using Compression Stockings to Prevent Recurrence of Vasovagal Syncope: A Randomized Sham-Controlled Trial

Treating syncope with thigh-high lower limb compression using ECS did not reduce the cumulative incidence of VVS recurrence, and did not change VVS-free survival

https://t.co/U3QTNhMygc

[Mayra Guerrero, MD @MayraGuerreroMD]

Strong work! So far, the data doesn’t suggest benefit of routine use. Perhaps a subset of patients may benefit, this needs to be defined.

[JACC Journals @JACCJournals]

In frail, elderly #AFib patients previously on a vitamin K antagonist, switching to standard-dose direct-acting oral anticoagulant reduced stroke, fatal/intracranial bleeding, and death, despite more GI bleeding. https://t.co/VueCCDedLL #JACC #DOAC

[Rami Kafa @RamiKafa]

Hey @Google this ad is showing up on your feed in the Google app on iOS. Pretty sure this is not okay. @Bungie @BungieHelp @DestinyTheGame

[Jeremy S. Pollock @bmorecardiology]

This is SHOCKING. Would never have expected early-mobilization in the ICU to be harmful.

@WesElyMD @toddrice_ICU @vanderbilt thoughts/rebuttal/criticisms?

https://t.co/jql0D08wBX

[Rani Hasan @RaniKHasan]

We are recruiting 2 candidates for IC fellowship at @hopkinsheart for positions starting 7/2024. Includes experience in coronary and structural interventions. See request for applications below. Please share.