James Torey PA-C
@toreyj01
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Director Intravascular Imaging and Physiology. Henry Ford St. John Hospital.
Detroit, MI
Joined March 2013
We did an IVUS and found this, on the straight mid segment below the large RVM. What is your diagnosis?
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Blazing-fast image creation – using just your voice. Try Grok Imagine.
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RT @NielsRHolm: More class 1A for IVUS/OCT! .ACS with stent implantation in the LMCA or in complex lesions. Routine systematic use = impr….
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The iFR once properly calibrated was 0.98, no need to treat.
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Solution: Pay attention to the straight blue line. The gradient never changed all the way back to the guide. This is drift, re-normalize and take new measurements.
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Co-Registered pullback from distal RPVB to guide illustrated below. What is the diagnosis?
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My thanks go out to @ColinHirstMD @Philips and his staff, along with Cath Lab staffs in Albany, NY, for a warm welcome Wednesday night. Had a nice evening going over systematic IVUS pre and post stent. A St. Peter’s visit the next morning was also great. Much appreciated.
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Hats off to Nicole Lindsey and the Philips crew in Merrillville, Indiana for hosting a great full day IVUS course. Really nice getting back on the road to teach. The venue was great and the students even better!.
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Peter Fitzgerald and Paul Yock wrote the seminal article on identifying anatomy by IVUS 25 years ago. Still useful to this day. That illustration was from the article.
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Answer: this is the Triangle of Brocq and Mouchet. Neat finding.
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#imagefirst A little pop quiz with IVUS. What is the structure seen outside of the prox LCA at 6 o’clock called?
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RT @AntoniousAttall: Michigan leading the way with IVI. Started at 7% now 40%! Keep pushing #imagefirst @DrJayMohan @DrAmirKaki @RyanM….
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Who is your Twitter twin? 👯. @toreyj01 = @evandrofilhobr. toreyj01 and evandrofilhobr are Twitter twins!. #twitterTwin #toasteed.
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RT @ACCinTouch: Intravascular Imaging-Guided or Angiography-Guided Complex #PCI: Is it Time For a Change in Practice? . ➡️ Read the Expert….
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RT @HadyLichaaMD: Excited about Issue 1 of the #MicroVascularNetwork newsletter! Thx @kerrigjl for leading this great effort with passion!….
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Okay, times up! Interesting how evenly divided the choices are. Here is the IVUS of the Ostial LAD. What we see here is significant negative remodeling with a remodeling ration of less than 0.7 and a stable plaque less than 50%. Medical therapy opted.
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