
dr.alvarocardio
@alvarocv11
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Interventional Cardiology CTO operator. National Medical Center Siglo XXI 🇲🇽 Hospital Ángeles del Pedregal y Centro Médico ABC
CDMX
Joined October 2010
Honored to enter the Challenging CTO cases competition from #COMPLEXPCI2025 at #Korea. Looking forward to learn and share experiences from #Mexico #CTO @summitmd_cvrf @ASAHIINTECCMEDI @bostonsci
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Heavily calcified LAD CTO #HDR and #AWE to cross, however, MC uncrossable. Screwed a #Caravel in but the RotawireDrive wouldn't go until I retracted the MC for coaxiality. As mentioned better to go with #finecross? @KateKearney4 @realarainmd @Laserrman @evandrofilhobr @jbspadoni
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Provocative study from the RENOVATE trialists and Samsung Med Cntr suggesting use of intravascular imaging may eliminate long-term diffs between CABG & PCI. Not definitive absent a powered RCT, but should be enough to mandate IVI in these pts, esp with class I guidelines. Agree?
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Heavily calcified BluntLAD CTO.CAP puncture with #MambaFlex and H14.. tried AWE with H14/GN3/Judo6..couldnt advance.. #HDR x3 ~> #NotipGladius w distalcrossing! #rotacut (contained Perf b/c ruptured Wolverine. 2DES did the job @evandrofilhobr @realarainmd @Laserrman @PCRonline
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Embarrassing Sure… “doctors who score higher on knowledge tests have patients who die less” Imagine being treated by Albert Einstein! 🤣🤣🤣🤣 Causation? Correlation? Or just a statistical mirage?
Hospitalized patients of physicians with higher preliminary Longitudinal Knowledge Assessment scores experienced lower 7-day mortality and readmission rates. https://t.co/ULou2QtU1b
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A highly enriching panel of #CTO and #CHIP coronary interventions with amazing #complexPCI operators ! Thank you for sharing some of your experience! @RinfretStephane @RajaHatem @olverasairaf #CITIC #InterventionalCardiology
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1/2 Following the DANGER SHOCK trial demonstrating reduced mortality with Impella in cardiogenic shock, the independent DSMB of the RECOVER IV trial has strongly recommended the trial be discontinued because of lack of equipoise. Therefore, we are ceasing enrollment in the trial.
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Absolutely trash product @Eko_Health I am on the second one already in 3 months of use. Back first cracked with very light use (mostly kept for clinic) and now volume up button is not working and the whole device won’t even turn on. Save your $450 bucks.
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Tip for the #calciumcrackers using @ShockwaveIVL I’ve been prepping the SW balloon the same way I do w/ Stingray balloon. Very fast and effective. - 20cc empty luer lock syringe for vaccuum generation - 3cc luer lock syringe with pure dye - simple stopcock (blue one is my
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"For a small amount of perspective at this moment, imagine you were born in 1900… Then on your 14th birthday, World War I starts, and ends on your 18th birthday. 22 million people perish in that war, including many of your friends who volunteered to defend freedom in Europe.
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Can deaf person(woman) be a doctor let alone be a cardiologist? A 🧵 on a deaf lady who beat all the odds and went on to become the first woman president of @American_Heart ( AHA) and is considered as the father ( ? mother ) of pediatric cardiology. #MedTwitter #CardioTwitter 1/
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@jedicath @w_jyg @mirvatalasnag @agtruesdell @mmamas1973 @KPujdak @SVRaoMD @Tesslagra @KardiologieHH @jl35wilsonMD @sbrugaletta @dimitri_zappi @yeh_james3 @PCRonline @PhilipsHealth Indeed , but it s worth the effort! ALARA for everyone ! ( pt and staff) i.e. LAD CTO J CTO 1 but 1 dx bif AWE, DKCRUSH Switching between frames ! Very low radiation dose
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Even more, more important: don’t get comfortable not indicating CTO revascularization in appropriate candidates. Omissions in care are equally negative and pervasive, and are so harmful to our patients.
This is truly extremely important, one thing is more important though, do not get comfortable performing non indicated procedures.
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Survived a Total Hip! 82yo POD#1 has mild CP and minimal trop leak. Here is the angio from yesterday, 2 shots only! Turned down for CAB today. Suggestion? @ABH_IC_Fellows @birbath62 @Abi_sood @mirvatalasnag @AKassier
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El Taller de Simuladores STEMI guiado por el Dr. @alvarocv11 en #CITIC2023 permitió a los asistentes practicar diversas habilidades y técnicas sobre el manejo de STEMI. #EducaciónMédica #Taller #TERUMOMéxico
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That’s the summary of our 3rd Workshop of Complex PCI. Grateful to be able to peform 3 smooth cases and provide a few talks about complex PCI. I’ve enjoyed the intensive day (30th june) with my supportive team and friends. Happy to host colleagues from all over the country and
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Te invitamos a asistir a las sesiones y talleres impartidos por especialistas en #CardiologíaIntervencionista en el Congreso #CITIC2023 @CiticMexico
#Citic #AltaElMismoDía #EducaciónMédica #CITIC2023 #TERUMOMéxico
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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
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