Balloonatic

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

Ok as promised here is the tweetorial using Orsiro in #nanocrush fashion for this Medina 1,1,1, Mid LAD/Diag lesion.

[Florio More @Bzh_pomme]

Myocardial infarction day 30. Consultation in the Emergency room because of symptomatique hypotension without collapse or syncope. #cardiology #echocardiography

[Mohamad Alkhouli @adnanalkhouli]

New LBBB post-TAVR (S3 valve 90/10 deployment), no AVBs. Would you implant permanent pacemaker? please explain why you would/would not.

[Philip J Podrid MD @PPodrid]

ECG for the week. Hope time to interpret is not prolonged. #PodridECGs #ECG #meded #cardiotwitter

[Vladimir Lakhter @VladLakhter]

Special consideration for pts w massive PE requiring VA ECMO and undergoing #Flowtriever ⁦@InariMedical⁩ have to clamp ECMO circuit at different time points to prevent aspirating air into central venous system. #cardiotwitter ⁦@PERTConsortium⁩ ⁦@HadyLichaaMD⁩

[Balloonatic @cathballoonatic]

@PradeepYadavMD @djc795 @BruckelJeffrey @HarryDauerman @GilbertTangMD @akcmahi @jtsaxon How did you size the balloon?

[Balloonatic @cathballoonatic]

@ShariqShamimMD I feel for you Shariq. Just know it’s normal to dwell on this for a while, but the outcome would’ve been identical in the hands of most. You did well.

[Balloonatic @cathballoonatic]

@ShariqShamimMD For those who place ECMO in the cath lab for this kind of scenario, what do you do to overcome the many delays in getting them on? Any protocol, equipment, stocking etc documents/info would be so helpful. Thank you.

[Shariq Shamim @ShariqShamimMD]

Grief and sadness of losing STEMI pt. Left main STEMI, #Radialfirst D2B 26 mins, TIMI3 after CAT-RX. SBP 70s in ED w fluid 90s. Impella immediately post TIMI3. Refractory VF shock X7, then refractory PEA and no heart activity. (H/o STEMIx2 EF40%) What else could I have done.

[Balloonatic @cathballoonatic]

@naderjo @aspergian1 @mmamas1973 @mirvatalasnag @djc795 @lorenzo2509 @jedicath Image the LM.

[Balloonatic @cathballoonatic]

@wendywangmd You’re a phenomenal fellow, Wendy. A black cloud for sure though.

[Balloonatic @cathballoonatic]

@AntoniousAttall Totally agree. That’s why I try to opt for imaging and complete revasc knowing there could be more than one culprit.

Opinion: NO role of iFR/FFR in ACS. 50% thrombotic stenosis is not the same as 50% stable plaque.

[Dr. Linda Williams @LindaWilliamsMD]

Student Loan Paid In Full. 🎉 I have approximated my total student loan debt a few times. Turns out this is the total amount I have paid. I am both happy and distressed. Raised two children in residency. Couldn’t have done it any other way.

[Balloonatic @cathballoonatic]

@mirvatalasnag @PCRonline @bkolskk @GilbertTangMD @MayraGuerreroMD @adityadoc1 @Pooh_Velagapudi @jedicath @fayezbaraah @KTamirisaMD @aalahmadmd We recently started using Baylis protrack pigtail wire. Use it to go up to SVC, puncture septum, cross into LA, then advance equipment. Highly recommend giving it a try.

[Balloonatic @cathballoonatic]

@FilipeAMoura Dude, sounds like you’ve made your decision on your future career 😉

[Dorian L. Beasley MD, FACC @cardiojaydoc02]

The Attending Interventional Cardiologist verifying stent position before deployment.

[Balloonatic @cathballoonatic]

@DavidLBrownMD This is the big elephant in the room no one likes to talk about. #UniversalHealthcare

[Less-Is-More Cardiologist @DavidLBrownMD]

Please don't tell me how great the new heart failure drugs are until they are available to everyone.

[Dimitris Barlagiannis @dbarlag]

@yuripridemd

[Omid Kiamanesh, MD, FRCPC @OKiamanesh]

⚡️EFFUSIVE-CONSTRICTIVE PERICARDITIS ⚡️
** MONTHLY ILLUSTRATIVE CASE **

A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness (half-marathon time increased by 30 m).

https://t.co/jb7mmERNN1

w/ @BadiwalaMD @MakLab_
Consent given.

👌