Isaac Tea

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Isaac Tea

Isaac Tea

@IceTeaMD

Saving lives 81mg at a time. Interventional Cardiologist by day & night. HF & cardiogenic shock passionate. #RadialFirst but also #SafeFemoral. PGY-Forever 🦾.

Houston, TX Se unió Mayıs 2011
741 Siguiendo523 Seguidores
Isaac Tea retuiteado
John Mandrola, MD
John Mandrola, MD@drjohnm·
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
Gregorio Tersalvi@GTersalvi

@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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IMCrit
IMCrit@IM_Crit_·
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 x.com/IM_Crit_/statu…
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Murmur MD
Murmur MD@Murmur_MD·
Dr. Jason Wollmuth gives a step-by-step guide on his Sideclose Technique! #CardioTwitter #MCS
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Isaac Tea
Isaac Tea@IceTeaMD·
@SachinGoelMD @adnanalkhouli Although mortality and patient risk profiles for TAVR have decreased over the years, the periprocedural stroke rate has remained consistent, around 2–2.5%.
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Isaac Tea
Isaac Tea@IceTeaMD·
@SachinGoelMD @adnanalkhouli Hi Dr. Goel! Had something similar. For sure protects intra procedure, with careful manipulation of Safari...and luck. Problem is device does not stay in post procedure. We got away with it here. But the few unfortunate post TAVR strokes have all been ~12 hours post procedure.
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Mohamad Alkhouli
Mohamad Alkhouli@adnanalkhouli·
📍Embolic Protection in TAVR back in the spotlight 🆕 TVT registry 📝 shows that CEP is associated w ⬇️⬇️ in disability stroke This was not shown in PROTECTED TAVR. Was the trial underpowered or are the surrogates used in this OBS study less granular? ahajournals.org/doi/abs/10.116…
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jedicath աǟզǟʀ.ǟɦʍɛɖ
jedicath աǟզǟʀ.ǟɦʍɛɖ@jedicath·
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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Khurram Nasir
Khurram Nasir@khurramn1·
Almost all scores/biomarkers approaches in the contemporary era over predict CV risk Time to pivot for a more accurate decision aid #CacTesting #SeeDiseaseTreatDisease
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Isaac Tea
Isaac Tea@IceTeaMD·
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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EuroIntervention
EuroIntervention@EuroInterventio·
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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IMCrit
IMCrit@IM_Crit_·
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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Isaac Tea
Isaac Tea@IceTeaMD·
Image courtesy of Xia et. al - IVUS Image Segmentation Using Superpixel-Wise Fuzzy Clustering and Level Set Evolution mdpi.com/2076-3417/9/22…
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Isaac Tea
Isaac Tea@IceTeaMD·
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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Shariq Shamim
Shariq Shamim@ShariqShamimMD·
Best bifurcation angles. Several of these can’t be achieved on table though.
Shariq Shamim tweet media
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@divaka_perera @jedicath @EM_RESUS @TheEKGGuy @Toaster_Pastry @SachinGoelMD @adnanalkhouli @ABiomed