And just to make sure I’ve made fun of everyone equally…

😁

Our electrician installed a fan for us. Challenging duct work due to tortuosity, requiring a retrograde approach. Afterwards he told me in painful detail each challenge and how he solved it. I realized this must be how my poor colleagues must feel when I describe CTO PCI to them

Our recent paper in JACC Journals discusses the differences between patients enrolled in #CTO #PCI RCTs vs. real-world patients in registries. A thread

jacc.org/doi/10.1016/j.…

#cardiotwitter
1/5

#ECPR #umn #mmrc #helmsley #EFD #edinafire #ecmo the first mobile ecmo resuscitation truck activation is in the books!

A fantastic graduating interventional cardiology fellowship class and amazing colleagues Michael Young Hannah Chaudry MD James T. DeVries, MD … special congratulations to Nat who has finally achieved competence in time for retirement after his 34 year fellowship at Dartmouth-Hitchcock Heart and Vascular Center

After a couple years in practice my PCI skills continue to improve, but it takes a separate fellowship to become this skilled at baby fashion and putting on button up snap onesies in the dark at 2am.. Leah K. Henderson, Esq. your skills are truly aspirational, Happy Mother’s Day!

My #nightmare case - 76 year old male with calcified nodule in circumflex vessel s/p shockwave. Ivus and 3.5 mm NC balloon expansion confirmed good predilation. 3.5 x 32 mm Megatron stent implanted in left main - circumflex. 1/🧵

Ok, I think we should take the idea of a Northern New England CTO “summit” literally. We can even call it Ski-TO ⛷Thoughts? Kevin Croce MD, PhD Prospero “Perky” Gogo 🇺🇦 Michelle Ouellette Farouc Jaffer MD PhD Hannah Chaudry MD

Some things are just too cute and heart warming not to share… Dartmouth-Hitchcock Heart and Vascular Center can we hire Dr. Olive? We could certainly use the help in running Lauren Gilstrap’s new stuffle LVAD program

Love this! Thank you NH Medical Society for sharing.

Next fellow who refers to n’sync as oldies gets thrown out of my cath lab…. No exceptions

Mini-tweetorial on Shockwave MOA
1\ 3 types of lithotripsy
1)Extracorporeal (ESWL) – break kidney stones from the outside
2)Intracorpoeal (ISWL) – break kidney stones from the inside
3)Intravascular (IVL) – fracture calcium in the vasculature from the inside

Not all #stemi is due to atherosclerosis. If things look odd on angiography err on the side of getting more data first. Here is a good example of an inferior stemi where stenting was not the right answer. #ACCFIT #Cardiotwitter ⁦Riyaz Bashir⁩ ⁦⁦Douglas Drachman⁩

An excellent and thoughtfully written piece that is very helpful when considering left main strategies!