Vas Panoulas(@VPanoulas) 's Twitter Profileg
Vas Panoulas

@VPanoulas

Consultant Interventional Cardiologist at Harefield Hospital , Royal Brompton and Harefield hospitals, Guys and St Thomas' NHS Foundation Trust

ID:2895766360

linkhttps://www.rbht.nhs.uk/specialists/dr-vasileios-panoulas calendar_today28-11-2014 09:13:35

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Vas Panoulas(@VPanoulas) 's Twitter Profile Photo

Láser (80-80) 7 runs, 2 ROTA burrs (11runs) ⁦Shockwave Medical, imaging and hours later we managed to get through that distal lesion that looks so cute in the first angio but has proven to be a MONSTER ⁦RadialFirstBot⁩ didn’t work but 8F femoral AL0.75 did

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The beauty of a flexible deliverable valve - here Evolut FX in action over a Lunderquist to overcome two 90 degrees bends with calcium in first one TAVR Bot

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Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock. pubmed.ncbi.nlm.nih.gov/38587239/

Landmark trial in cardiogenic shock - congrats to Jacob Møller and team - privileged to have been part of the journey . About time to have echo as part of definition for CS

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- why it differs from ECLS-Shock -other than device used.

Danger lactates ~4.5, LVEF median 25, SBP 82-84 and very tight IQR, OOHA 21.8%

ECLS lactates ~6.8, SBP 95-97, LVEF 30 with wide IQR, OOHA 77.5%.

Impella treats pump failure not high lactate due to arrest.

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massive difference in fluoroscopic size in same valve- the big one is in the descending aorta and the smaller one literally on top of patient. This is why when sizing angio graphically the Lcx you should underside compared to RCA. Similar in fluoro NOT =size

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Correcting a MANTA where the plug is not well formed and not quite well sandwiched - on fluoro LAO 20 view TAVR Bot⁩ metallic lock should be only a few mm outside the anterior wall

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