The Left Main Blues
The right side’s no good,
The side holes don’t work,
And the IVUS won’t pass…
I’ve got them Left Main Blues
79 M with CCS 3 angina on OMT, EF 50%, cancer survivor, non-diabetic. What would you do?
BTW, the surgeon is not on vacation, and no one in the lab has heard of CHIP-BCIS3. 😂
Easy to say in hindsight, of course, but putting a micro-axial flow pump 30 minutes before PCI in STEMIs without shock always struck me as more risky than beneficial—mostly for the delay it adds. And it quintuples BARC 3 bleeding. For the umpteenth time in a STEMI trial: nothing beats reopening the vessel, quickly. #ACC26
https://t.co/F04OXXax0K
Treating STEMIs is the most satisfying, impactful, and arguably most important part of interventional cardiology. Not interested in getting out of bed at night? Do something else.
⚡️New ELECTRICAL STORM paper out
We propose the 5-stage STORM classification for electrical storm – a simple bedside scale that stratifies 30-day mortality from 5% to 50% and helps structure multidisciplinary care
https://t.co/kzRCIE7V5I
Lack of ST resolution post PPCI is common and associated with > 4 folds increase in mortality and HF.
Glad to present our findings at #TCTAP2024@abdarabi@AlaaRahhal13
https://t.co/Am5tz3MWJa
A practical guide to help manage the challenging cases of immune thrombocytopenia co-existing with acute coronary syndrome https://t.co/wlyMIKQVWY
@drewprovan@abdarabi@KhaledShunnar@Ashraf_Ahmed94
Interesting study from our center LV thrombus ➡️ 5 % in hops CVA + an add ~2% at 1 year. CAG +/− PCI with LVT was not associated with ⬆️ CVA in Hosp or at 12 m
@HMC_Qatar #PCI https://t.co/1bhtKfg78P
10/10 💊💉🏥 In conclusion, this network meta analysis supports the use of DOACs over warfarin down to a CrCl of at least 25 mL/min and emphasize the importance of prescribing guideline-supported doses of DOACs in the prevention of S/SE.
Excellent, @CircAHA! 👏