João Vitor Slaviero

Interventional Cardiology - Brazil

[João Vitor Slaviero @slavierojv]

@mandeep_mayo I don’t know what exactly it’s , but sound like embolism of ballon/stent after shaft rupture..

[Davide Capodanno @DFCapodanno]

After 10 years to complete it, the DanGer-SHOCK trial showed that the routine use of a microaxial flow pump with standard care in the treatment of patients with STEMI-related cardiogenic shock led to a lower risk of death from any cause at 180 days than standard care alone.

The incidence of a composite of adverse events and a range of adverse outcomes (bleeding, limb ischemia, renal replacement therapy, sepsis) was significantly higher with the use of the microaxial flow pump.

These results of Impella CP are in contrast with those of of IABP in the IABP-SHOCK II trial and venoarterial ECMO in the ECLS-SHOCK trial. Is this because of the device, or because of better patient selection than in prior trials? #ACC24

https://t.co/1VnRl3bdYu

[Francisco Soto, MD, MS, MBA @FSotoMD]

1/11

#PAC 101 (The Catheter)

A cath lab pt just arrived in your ICU with a pulmonary artery catheter (#PAC) in place.

Your bedside nurse (limited #PAC experience) asks you to walk her through the basic PAC lumens and ports 😱

Fortunately for you, you had bookmarked the 🧵 👇🏻

[Vas Panoulas @VPanoulas]

BAAAAAM!!!!!! #cardiotwitter #medtwitter what valve you would put next?

[Diego Segura-Rodríguez @SeguraCardio]

Thrombus caught “in fraganti” through patent foramen ovale

#ParadoxicalEmbolism

Via @thePagerNews

[João Vitor Slaviero @slavierojv]

https://t.co/u5mcenjjva

[João Vitor Slaviero @slavierojv]

Inferior STEMI 👀💣🤞🏻
RC 15mm
Aspiration + heparin + i IIbIIIA

[João Vitor Slaviero @slavierojv]

@jkurtzteixeira @GreggWStone @evandrofilhobr @KardiologieHH @luciotpadilla @GruentzigG 2- anticoagulant + 2b3a
3- IVUS + study of landings zones

[João Vitor Slaviero @slavierojv]

@jkurtzteixeira @GreggWStone @evandrofilhobr @KardiologieHH @luciotpadilla @GruentzigG If TIMI III, stable + painless:
1- I wouldnt aspire because unfavorable anatomy and has a risk of instability proximal plate to reach the distal thrombi that doesnt compromise flow (I think they embolized from the proximal unstable plate)

[João Vitor Slaviero @slavierojv]

Woman, 85 years old, pain to the minimum effort. LAD /diagonal (MEDINA 1,1,1), aneurysm with 14 mm in the largest diameter. What to do ?

[João Vitor Slaviero @slavierojv]

@GreggWStone Can I have a copy, please [email protected]

[João Vitor Slaviero @slavierojv]

@GreggWStone @KardiologieHH @evandrofilhobr @jkurtzteixeira @Dutra_1982 @Interve95102266 @sbrugaletta @RicardoPetraco @mmamas1973 @AlesqQuadros @GruentzigG @Antocol17 We plan to keep anticoagulated and repeat angiogram in 5-7 days. If flow and thrombi improve, without apparent atherosclerosis, which anti thrombotic / antiplatelet regimen ? 🧐

[João Vitor Slaviero @slavierojv]

Woman 70years old, STEMI anterior
Follow angiography. What to do? @KardiologieHH @GreggWStone @evandrofilhobr @jkurtzteixeira @Dutra_1982 @Interve95102266 @sbrugaletta @RicardoPetraco @mmamas1973 @AlesqQuadros @GruentzigG @Antocol17

[João Vitor Slaviero @slavierojv]

@GreggWStone @KardiologieHH @evandrofilhobr @jkurtzteixeira @Dutra_1982 @Interve95102266 @sbrugaletta @RicardoPetraco @mmamas1973 @AlesqQuadros @GruentzigG @Antocol17 It is acute angiogram with ~6hours to pain. We realized thrombectomy and IGP2Y12. The final angiogram had large thrombotic load and flow TIMI I. Stable and without pain. There wasn’t IVUS/OCT in this case.

[João Vitor Slaviero @slavierojv]

Male 41 years old, NSTEMI (TnT-Us > 1,000), pain controlled only with NTG. Follow ECG and cath.. What to do? @AlexandreAzmus @Dutra_1982 @GreggWStone @evandrofilhobr @AlesqQuadros @ManicaAndre @EuroInterventio @sbhci @RicardoPetraco @sbrugaletta @Antocol17