Jack Hall

CTO & CHiP Director.
Educator.
Tweets & Opinions are my own.
Not medical advice.

[MIЯVΛƬ #IC ༄ ｡° @mirvatalasnag]

NSTEMI: how would you treat❓

[Jack Hall @aspergian1]

@mirvatalasnag @AnasNomanMD @amrmohsen213 @LouaiRazzouk @adityadoc1 @Pooh_Velagapudi @sbrugaletta @saraceciliamtz @Hragy @inghaanMD @drsonyaburgess Looks like a bridge to my 👀.
Give NTG, re angiogram, consider IVUS to look for SCAD?

[Jack Hall @aspergian1]

@LAzzaliniMD ABSOLUTELY.
Mongo and everyone else can share "off label" usage historically. No PTCA balloon in the Primary PTCA era was ever approved and indicated in STEMI PCI.
The administrators and attorneys do pay attention to the labels. Many ICs are in different states & situations

[Jack Hall @aspergian1]

@agtruesdell @SripalBangalore @TWilsonMD @Hragy @ShariqShamimMD @realarainmd @jl35wilsonMD @evandrofilhobr @MarekRadomski71 @drAliyor @ziadalinyc @SarahFairley7 @Allison_Dupont Unless IVUS was your final device as its sensitivity for dissection is higher than our 👀.

[Lorenzo Azzalini @LAzzaliniMD]

Elderly gentleman with resuscitated VF arrest.
Baseline angio followed by angio and IVUS (MSA) after IVL+scoring+cutting balloon of the diagonal.
How would you finalize treatment?
Stent? DEB/DCB? Hybrid stent+DEB/DCB?

[Jack Hall @aspergian1]

@TWilsonMD @Hragy @ShariqShamimMD @SripalBangalore @realarainmd @jl35wilsonMD @evandrofilhobr @MarekRadomski71 @drAliyor @ziadalinyc @SarahFairley7 @agtruesdell @Allison_Dupont Looks very good!
Leave it alone.
💪🏽 @TWilsonMD

[Jack Hall @aspergian1]

@realarainmd @CHIP_BCIS3 "NO ONE KNOWS FOR SURE AT THIS POINT" well said @realarainmd

[Jack Hall @aspergian1]

@nolanjimradial Well done Jim...thank you

[Jim Nolan @nolanjimradial]

Our article reviewing radial access procedures in patients with Raynauds phenomenon published today - this is an important issue for all operators

Thanks to first author Dr Shamkhani and to our multidisciplinary coauthors

https://t.co/HLjPPPJyeB

[Jack Hall @aspergian1]

@baramink Suspect SCAD

[Jack Hall @aspergian1]

@DrMarthaGulati Lp(a) is an interesting number

[Jack Hall @aspergian1]

@TrackYourHeart "But my heart scan was zero"

[CardiovascularCorner @TrackYourHeart]

How a Heart Attack Begins: Plaque Rupture in Seconds

[Jack Hall @aspergian1]

Speechless & nauseated
😲🤢

[Rich_cathRT(CI)☢️ @Tesslagra]

Wanna see a film???
😳😳😳🫀🫀🫀
https://t.co/5MFvDcE8aF

[Antonious Attallah, MD, FACC, FSCAI @AntoniousAttall]

True that. As far as I know eccentricity doesn’t matter when you hit your MSA’s target. Question is: does the additional gain of 1-2 mm2 when you already crossed 5.8 mm2, justify an additional cost of 2.k to 3k per case? Rota/csi I think have a role when you can’t get any equipment to cross and often these cases justly need both ( our internal data consistent with the trial findings). I agree with you jack( as always lol) that there might be a failure mode related to the nodule modification itself that can drive future events.

[Jack Hall @aspergian1]

@AntoniousAttall @GilbertTangMD @DoctorKini @JACCJournals @crfheart @TCTMD This is an important paper. It is what we have seen anecdotally and now have some data. Congrats to the authors.
Will it be shown to lead to clinical effect? I think so and it will be interesting to see.

LOL, remember when we didn't even know about nodules because we didn't look

[JACC Journals @JACCJournals]

In the NODULE-SHOCK trial, researchers evaluated phenotype-specific calcium modification in patients with and without severely calcified nodules using a new-generation coronary IVL catheter.

🔎 Explore the trial findings: https://t.co/C3ABVcsZ5G

#TCT2026 #JACCINT @crfheart

[Jack Hall @aspergian1]

@HeartOTXHeartMD

[Jack Hall @aspergian1]

@omgsidewalks MANDO