Umer Tariq

Interventional cardiologist at ECU health | MedstarGeorgetown Cardiology |ClevelandClinic IM | GWU IC #radialfirst#endovascular#PERT

[Umer Tariq @ut2087]

@DrJayMohan @EricSecemskyMD @jcgeorgemd @HadyLichaaMD @VladLakhter @kmadass @drochohan @ShariqShamimMD @sahilparikhmd @AmputationSuck @jaygirimd Do you have a time cut off for a DVT where you go straight to venoplasty and stenting vs attempting clot triver? When is it too chronic for thrombectomy?

[Umer Tariq @ut2087]

@QasimRazaMD Kudos to the investigators on the first randomized trial of mech thrombectomy against standard of care. A more imp question is the 3-6 month outcome. I m curious to know the residual clot burden and CTED with heparin alone.

[Umer Tariq @ut2087]

@QasimRazaMD @MayoClinicCV @ECUCards @realarainmd @mandeep_mayo @smithECGBlog @TheEKGGuy @Umair2017 @WKayaniMD @WahajAmanMD @beg_faheemullah De winters!

[Anil Makam @AnilMakam]

Here are my takeaways for the 7 most relevant and important #ESCCongress2025 for generalists

AQUATIC, HI-PRO, RETREAT-FRAIL, DIGIT-HF, DAN-RSV were most practicing changing

POTCAST was most contentious - not as billed

[Umer Tariq @ut2087]

@DrMarthaGulati @djc795 @DocSavageTJU @mmamas1973 @DLBHATTMD @sbrugaletta @SandeepNathanMD @mirvatalasnag @rajivxgulati @SABOURETCardio @SVRaoMD @fischman_david Referring to this study from North Carolina

[Umer Tariq @ut2087]

@DrMarthaGulati @djc795 @DocSavageTJU @mmamas1973 @DLBHATTMD @sbrugaletta @SandeepNathanMD @mirvatalasnag @rajivxgulati @SABOURETCardio @SVRaoMD @fischman_david https://t.co/3hQ9yUCAhh

[Umer Tariq @ut2087]

@TWilsonMD @KPujdak @Hragy @agtruesdell @ziadalinyc @jl35wilsonMD @jedicath @kerrigjl @ShariqShamimMD @DrIHHashmi1 @evandrofilhobr @RSohnMD @rotamonster @Laserrman @djc795 That’s an excellent result! Esp shaving the giant LM boulder. Step Burr approach seems to have done the trick.

[Umer Tariq @ut2087]

Today we celebrated the success of our PERT program with our dedicated and exceptional team. The goal remains to select appropriate cases to improve outcomes in our patients with venous thromboembolism @ECUHealthNC @pras_senMD @PaulMahoneyMD

[Umer Tariq @ut2087]

What do PE thrombectomy docs do for post lytic cases? How long do you wait to assess lytic success or failure? This is an example of thrombectomy performed 6-8 hours post full dose lytics with worsening shock.

[Umer Tariq @ut2087]

@TheNarulaSeries Is that a venous stent? Looks like you were stenting the outflow graft.

[Umer Tariq @ut2087]

@agtruesdell LM into LAD, if you have Agent DCB, could use that for the ramus. AV circ territory seems to small for anything other than POBA.

[Umer Tariq @ut2087]

@HarshShahMD @SrihariNaiduMD @DrSiyabMD @SCAI I have seen this once before too. Suspected it to be an allergic reaction.

[Umer Tariq @ut2087]

@ekgpdx @MyJSCAI @jason_wollmuth Brilliant! @pras_senMD @usalahuddin09 @WahajAmanMD

[Ethan Korngold, MD @ekgpdx]

The Sideclose technique for #Impella access site bleeding new in @MyJSCAI. Stop the bleeding, keep the Impella! @jason_wollmuth #MCS
https://t.co/IZp8ydLgfJ

[Umer Tariq @ut2087]

@Umair2017 @JingLiu_MD @mmamas1973 @adityadoc1 @Hragy @minhaskh @BakhshiHooman @nyalborgesmd @BaylorCardio @BCMHeart @jedicath Imaging or not. One can usually see LM plaque. Question is LM stenting vs Cabg. How often are people referring for single vessel CABG.

[Umer Tariq @ut2087]

@Hragy Thanks for sharing. Good lesson for us new adopters in the US

[Davide Capodanno @DFCapodanno]

Complete revascularization is now "a must" in ACS, but the optimal timing remains a matter of controversy: immediate? Staged in-hospital? Staged within 45 days? Staged when you want?

This prespecified analysis of the randomized BIOVASC trial suggests that immediate complete revascularization is safe in both patients with two-vessel disease and those with three-vessel disease.

The authors conclude that immediate complete revascularization is a feasible alternative to a staged approach for extensive and complex coronary disease and could represent a novel treatment paradigm.

Article: https://t.co/oEjLw860lU
Editorial: https://t.co/B5PU9qFtMP

[Umer Tariq @ut2087]

@pras_senMD @AQaviMD @QasimRazaMD Nice! Picture from our case. Important to have the stent as far into the outflow graft as possible. Luckily the gap didn’t prove to be an issue as the gradient resolved completely.

[Umer Tariq @ut2087]

@GreggWStone @willsuh76 IABP wasn’t used in the control arm. I would imagine many operators in the US use that in stage C shock. Is this trial enough to change that practice?