Chad Michael Dugas

Interventional Cardiologist, Cardiovascular Institute of the South

[Chad Michael Dugas @chaddugasmd]

@AmitKeswaniMD @SamChitsaz @Umair2017 @HadyLichaaMD @jonbonillaMD @DRCJWhite @JoshuaBeckmanMD @dandu_n @RealKushAgrawal @DrJayMohan @ShariqShamimMD Antegrade access if not hostile groin. If no cross or subintimal, switch to pedal if at least 2 vessel R/O. OA if not in dissection plane. If in dissection from above or below, CART. POBA. DCB. If no flow limiting dissection, leave it alone. Supera stent if flow limiting dsxn.

[Chad Michael Dugas @chaddugasmd]

@rcstoler The reps have been on me to use it here for PAD in South LA where calcium is abundant. Glad to know you think it’s a game changer! It’s back on my radar.

[Chad Michael Dugas @chaddugasmd]

@yeh_james3 Medtronic Dxterity Ultra 4.0. Same design as Terumo TIG, but contains PTFE coating and is kink resistant. Significantly less spasm if catheters need to be exchanged.

[Chad Michael Dugas @chaddugasmd]

New discovery might explain why blood clots are so common among COVID-19 patients https://t.co/HMo8vttZ9p

[Chad Michael Dugas @chaddugasmd]

60 y/o male presented with anterior STEMI. My partner took him emergently to Cath and found no obstructive LAD disease. CP persisted so I brought him back later that day and used IVUS. What do you see?

[Johnson & Johnson MedTech | Heart Recovery @jjmt_heartrecov]

Watch this video to see how the #Impella ECP works. The pump is inserted through a 9 Fr catheter, expands to 21 Fr while pumping, and recoils to 9 Fr for removal.

[JM Schussler, MD @Updock]

Amazon AI generates medical records from patient-doctor conversations https://t.co/l4jGc1aDmY via @engadget

[dani @thesmallgoblin]

It started with x+4... and I couldn’t unhear it.
I was supposed to do my math homework but instead I figured out what the Cantina Theme would sound like if your instrument was a pencil. (Volume all the way up)

[Dave Chase: Community-owned health plan catalyst @chasedave]

By now, I'm sure everyone has seen this graphic but it's worth reminding this is where most of the headcount growth has come from.

[JM Schussler, MD @Updock]

“Moderate coffee consumption was inversely significantly associated with CVD risk, with the lowest CVD risk at 3 to 5 cups/d.”
Yay!!! https://t.co/jHEguywYn5

[JM Schussler, MD @Updock]

Who Actually Is Reviewing All Those Preauthorization Requests? https://t.co/IyGn03yj0P

[Chuck Simonton @DrChuckSimonton]

@rwyeh @ajaykirtane @CMichaelGibson @EricTopol @BillRLittle @SVRaoMD @GreggWStone @ekgpdx @esbrilakis @CardiacConsult @FaroucJaffer https://t.co/LcZNiPIKKh

[Gregg W. Stone MD @GreggWStone]

From ORBITA appendix: While many lesions were "real", many also had DS <50% or supplied a small amount of myocardium (e.g. septal perforators, distal LCX branches) and didn't need PCI - helps explain results.

[Rich_cathRT(CI)☢️ @Tesslagra]

Cloth Caps Prevent Contamination Better Than Disposables in Operating Rooms #RadialFirst @CardiacConsult https://t.co/8H3bxgRjPg

[C. Michael Gibson MD @CMichaelGibson]

#Treatthepatient

Not the

Angio

Troponin

EKG

Labs

CXR

Stent

#cmgsays

[Timothy Henry @HenrytTimothy]

@SurlyCathJockey @MedtechReed @AnilMakam @EricTopol @TheLancet @nytimeshealth @ginakolata I agree and med Rx is a good thing! problem is not the trial or the investigators it's the overreach editorial and press misinterpretation!

[Larry Husten @cardiobrief]

The Story Behind The NY Times ORBITA Anecdote https://t.co/C4AfUTdieC

[Daniel Mark @DanMarkMD]

Re interpretation of ORBITA, in original Framingham natural history cohort, biennial exams showed remission of angina occurred in significant minority without any specific treatment. Natural history variability not the same as placebo https://t.co/Sik1EsF5A4

[Gregg W. Stone MD @GreggWStone]

Can’t increase exercise time above normal at baseline, especially with no baseline stress hypokinesis. https://t.co/MW0SZhqRr5

[JM Schussler, MD @Updock]

Key point - KNOWN finding. While media thinks this is landmark, it’s simply confirming what we’ve known. https://t.co/OVbba24KP9