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Vas Panoulas
@VPanoulas
Consultant Interventional Cardiologist at Harefield Hospital , Royal Brompton and Harefield hospitals, Guys and St Thomas' NHS Foundation Trust
ID:2895766360
https://www.rbht.nhs.uk/specialists/dr-vasileios-panoulas 28-11-2014 09:13:35
534 Tweets
1,8K Followers
163 Following
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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 #cardiotwitter
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Aggressive CAV causing in stent re stenosis in a transplanted heart .. how it looks on IVUS #cardiotwitter #radialfirst
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#DanGerShock - 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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For those that don’t understand what smoke in the ventricle means 😊 #cardiotwitter #echofirst
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ECPELLA - LV green pressure wire, Ao red - end of guidecatheter - magic of unloading… #CardioTwitter
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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 #cardiotwitter
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Who says PCI to ostial lesions can’t be done post Evolut ? Coronary alignment makes life much much easier #cardiotwitter #medtwitter
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