Clipping TR? TRILUMINATE #ACC23 ‘forgotten valve’ is forgotten no more. Some promising findings. Improved QOL, but surprised no reduction in hospitalisations. Clipping v safe and response is ‘dose-related’ - better the result, better the outcome. Does TR now have perc option?
The elephant in the room. How do we evolve to offer (and train) complex high risk PCI using high quality, contemporary PCI techniques when nearly half of US operators perform <50 PCIs/year & only about 17% of operators did >1 LM PCI year? #CTO2023@crfheart@ajaykirtane@SVRaoMD
1/🏥It's your first night alone in the CCU
😵💫You admit a patient with syncope due to complete heart block
🕡HR is 30 bpm with a wide ventricular escape rhythm
You wonder if it's time for your first #TVP, but
🔆is it indicated?
🔆& how are you going to set it up for success?
With all due respect to #REVIVED -BCIS, IMHO, there is still role of #PCI in ischemic cardiomyopathy in non-ACS patients.
Here’s my 49 year old pt’s echo pre- and post- LM PCI + 💊👇
NYHA 3 ➡️1
(Angio in comments)
#ACCEarlyCareer#ACCFIT#CardioTwitter
75 yo M admitted for NSTEMI EF now 27%, CKD stage 4,active smoker with severe COPD and not surgical candidate. RCA CTO w/collaterals from left. Whats your approach? IVUS of distal LMCA. Support use? @mandeep_mayo@DrJayMohan@adityadoc1
Chet Rihal #TCT2022#mitral Innovalve Device Description & Early Clinical Results
arms open b/w chords, arms rotate ,valve release
no pacing required, low 15 mm profile,less LVOT obstruction ,self expanding , 44 min deployment time
Clinical trial in progress @MayoClinicCV
Our work on #ACCEarlyCareer challenges in @JACCJournals today- especially focusing on juggling parenting responsibilities with clinical/research/societal duties
Wonderful collaborating w/ @mw_sherwood @mwcullen@Pooh_Velagapudi
https://t.co/M3XYME5L9W
More to come on this!
Absolutely a wonderful learning experience! Kudos to the @UCSDCardiology for putting this together 🙌🏻
My first but certainly not the last!
Above everything, I loved connecting with future mentors and colleagues @adityadoc1@MitulPPatel1 🙏
Please join me in the webinar tomorrow at 11AM CST as I present and moderate a webinar on High bleeding risk following PCI. https://t.co/1A48vvIepB vjuoPCFbTb6Mhqr6zWvg6A