Robin Jacob

Interventional Cardiology Fellow at Scripps Clinic in La Jolla, California.
Son, Husband, Father.
Medical views are my own

[Robin Jacob @DrRobinJacob]

@Abdelcards @UTHCardiology @PalaskasN @MDAndersonNews Dr. Palaskas, one of the best!

[Robin Jacob @DrRobinJacob]

@TalhaAhmedMD Great job @TalhaAhmedMD. #GoodFellow

[Robin Jacob @DrRobinJacob]

@UTHCardiology @UTHHeart @melissa65479369 @MD_AlQaysi @MaxBourdillon @DrSalmanArain @Dhoble7 @charitakisc @BritOwen @MDSachinKumar @JumeanMarwan Well deserved for all 3!

[Robin Jacob @DrRobinJacob]

@CrumblCookies

[Robin Jacob @DrRobinJacob]

@humayunaqvi Congratulations @humayunaqvi !! Well deserved

[Robin Jacob @DrRobinJacob]

@docbhardwaj @mevansMD @RyanTedfordMD @Brian_Houston12 @GregJacksonMD @MUSCCardFellows @UTHCardiology Dr. Bhardwaj, thank you for the coffee! Haha

[Robin Jacob @DrRobinJacob]

@DrNaddi @UTHCardiology @UTHHeart @ModernHVI @cardiotweeter Houston’s lucky to have such a talented combo 💪🏽

[Robin Jacob @DrRobinJacob]

82F w/ dyspnea at rest.

Severe, heavily calcified LM stenosis w/ moderate ostial LCx disease.
Provisional approach w/ Shockwave assisted PCI from LM into LCx. Pinched ostial LAD requiring small stent using TAP technique.

#TAP #Shockwave
#ScrubbingInAtScripps
Image

[Robin Jacob @DrRobinJacob]

@MBurt34 @rocketmanroshan

[Robin Jacob @DrRobinJacob]

@JumeanMarwan @HoustonShockHSS @UTHCardiology Congrats!!

[Robin Jacob @DrRobinJacob]

@DrNaddi Congratulations!! One of the best operators I know!

[Robin Jacob @DrRobinJacob]

@IntervnCardio R radial and R femoral

[Robin Jacob @DrRobinJacob]

Hangin' on by a (marginal) thread

RCA proximal CTO with only a large marginal branch. Right radial approach. Gaia third and Mongo wire using STAR technique with simply NC balloons.

#RadialFirst
#ScrubbingInAtScripps

[Robin Jacob @DrRobinJacob]

@akkanti @docbhardwaj @MDSachinKumar @JumeanMarwan We should test this theory out on the UT fellows. We may also see some ST elevations as well 😆

[Robin Jacob @DrRobinJacob]

@humayunaqvi Keep up the great work

[Robin Jacob @DrRobinJacob]

Severely calcified prox LAD and mid LAD CTO.
Gaia II and Mongo wire through an antegrade approach with Rotablator and Shockwave combo.

Tough case, but great results!

#Rotablator #Shockwave
#ScrubbingInAtScripps

[Robin Jacob @DrRobinJacob]

Pt admitted for CP/nausea/diaphoresis.
EKG normal. Trop only 1.2 ng/ml.

And yet, found to have 100% occluded RI. s/p PCI x2

Up to 25% of patients diagnosed with NSTEMI have complete occlusion of the culprit vessel found on delayed angiogram.

#OcclusionMI
#ScrubbingInAtScripps

[Robin Jacob @DrRobinJacob]

Pt w/ SIHD and questionable severe pLCx lesion. FFR only 0.87.
In lesions w/ 70-90% stenosis, up to 20% aren't hemodynamically significant. FFR incorporates not just stenosis, but territory area and viability, and collateral perfusion.

#KeepingFellowsHonest
#ScrubbingInAtScripps

[Robin Jacob @DrRobinJacob]

@JennDukeMD @MayoPCCM @JennDukeMD especially the 3rd fellow from the left!

[Robin Jacob @DrRobinJacob]

@SemberQuinne Yes I heard you were at Scripps too! Hope you’ve been doing well. Have to admit the weather is much better here than in Houston haha

[Robin Jacob @DrRobinJacob]

Extremely excited to be starting Interventional Cardiology fellowship at one of the largest and most advanced centers on West Coast for cardiovascular training starting tomorrow, Scripps Clinic in La Jolla, California!
#InterventionalCardiology
#PrebysCardiovascularInstitute