
Isaac Tea
@IceTeaMD
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Saving lives 81mg at a time. Interventional Cardiologist by day & night. HF & cardiogenic shock passionate. #RadialFirst but also #SafeFemoral. PGY-Forever 🦾.
Houston, TX
Joined May 2011
No trial better explains the importance of evidence than REVIVED BCIS. It boggles my mind that it was negative @divaka_perera is correct, but try telling 99% of American cardiologists We still cath new LV dys pts TO FIND LESIONS TO REVASC despite negative trials #ESC2025
@divaka_perera makes a strong case: routine #PCI should not be performed in asymptomatic pts with LV dysfunction (even with viability). It does NOT improve prognosis ‼️ Evidence should guide practice: The earth is not flat 🌎 #ESCCongress @escardio @drjohnm
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Question for those who have adopted bival for STEMI: do you do two hours or four hours after PCI for the infusion? Do you try to wean the radial band while it is running or just wait until it is done? Trying to build an order set…
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Blazing-fast image creation – using just your voice. Try Grok Imagine.
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ICU (Central Venous/Arterial) Line Secrets - Part 2: Following from where I stopped last week (that's why I keep same numbering) & without hoping to a provide tutorial about how to place lines, there are some additional points that I find worth mentioning https://t.co/ZnHdRHIRSm
ICU (Central Venous/Arterial) Line Secrets - Part 1: An ICU where the patients have no central lines & are not connected to ventilators is not a real ICU. This may be a controversial statement but in my humble opinion not far from truth
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Dr. Jason Wollmuth gives a step-by-step guide on his Sideclose Technique! #CardioTwitter #MCS
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DCB have been available for 14 years in Europe and elsewhere outside USA. As US IC are excited for DCBs, note the results with POBA were not always perfect. We don't know the role of DCBs in setting of dissections and recoil. Diffusel disease in LAD and didn't want a FMJ so
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I use Echonav for helping trainees understand the interplay between echo and fluoro through live real time fusion of modalities. Features allow for more intuitive instruction and understanding. Also the imagery is outstanding. Here's one of our examples. #UABStructural
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#echofirst shows how surgical TEE view for MV-PPL (peri prosthetic leaks) localization corresponds to interventionalist’s view on fluoroscopy #CardioTwitter
https://t.co/EM0t76aCFP
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Almost all scores/biomarkers approaches in the contemporary era over predict CV risk Time to pivot for a more accurate decision aid #CacTesting #SeeDiseaseTreatDisease
How do the SCORE and SCORE2 perform in East Asian population? 🤔 In this #JACCAsia study on 324,384 subjects, both scores overestimate #CVD risk with low performance. 📣 New models tailored to the East Asian population are needed! https://t.co/HidyDkBHmi
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Amazing work from the DanGer investigators!!! Finally, an RCT for AMI-CS for an MCS device with a psotive outcome for Impella. A new era. Validates our efforts in the trenches to save these patients on death's door. 🦾 @Abiomed @CardioNerds @HMHCardioFellow
Astonishing results from the DanGer Shock Trial presented at #ACC24 and out in @NEJM today. In patients with ST-elevation MI with cardiogenic shock, Impella reduced all-cause mortality (45.8% Impella vs. 58.5% control) at 180 days. Some thoughts on this ground breaking trial:
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The TAVI-MultiCLOSE study investigated a new vascular closure algorithm, MultiCLOSE, for arterial access closure after transfemoral TAVI. This stepwise approach involves initial preclosure with suture-based devices, followed by a final closure customized through angiographic
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ICU Nightshift Secrets: This will sound a lot as as cookbook medicine but bear w me. The 2 drugs that I use more than anything else whenever I'm on a nightshift are: furosemide & dexmedetomidine. If u don't use any of them, u are probably missing something Case from last night:
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See also: IVUS-guided vs coronary angiography-guided PCI in patients with AMI: A systematic review and meta-analysis https://t.co/QGzj9xtuLS IVUS–Guided or Angiography-Guided Complex PCI https://t.co/5a4E8bchLD
nejm.org
Data regarding clinical outcomes after intravascular imaging–guided percutaneous coronary intervention (PCI) for complex coronary-artery lesions, as compared with outcomes after angiography-guided ...
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Image courtesy of Xia et. al - IVUS Image Segmentation Using Superpixel-Wise Fuzzy Clustering and Level Set Evolution https://t.co/LMW9vanISt
mdpi.com
Reliable detection of the media-adventitia border (MAB) and the lumen-intima border (LIB) in intravascular ultrasound (IVUS) images remains a challenging task that is of high clinical interest. In...
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Keep your Thanksgiving Day dinner conversations civil! If uncle Bob thinks that IVUS guided PCI does not improve on all-cause mortality, MACE & TVR in AMI or Complex PCI, calmly redirect the conversation to 1 vs 3 month DAPT or something non controversial. Happy Thanksgiving!
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Fantastic @HMethodistCV Grand Rounds by @RyanTedfordMD on RV reserve. Watch here: https://t.co/Pcx3gBFeIo. Join @DeBakeyCVedu tomorrow at the George P. Noon Heart Failure Symposium to learn more from him and other leaders in the field of #LVAD. Register https://t.co/JxrTm2ytGU
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Best bifurcation angles. Several of these can’t be achieved on table though.
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#ESCCongress @escardio @EAPCIPresident @ESC_President @Steph_Achenbach @alaide_chief 🛑 STOP-DAPT3 Trial The aspirin-free strategy compared w the DAPT strategy failed to attest superiority for major bleeding within 1 month after PCI & was associated with a signal suggesting an
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