Guson Kang

@rushiparikh11 You forgot to hit “refresh”

The nexus of the universe.

1/ In this study, we find that peri-procedural adverse events were strongly associated with 5-year, 0-30 day, and 30 day-5 year all-cause and CV death after PCI and CABG for left main disease. @GreggWStone @crfheart @JACCJournals #JACCINT jacc.org/doi/10.1016/j.…

@BrianLi_MD Congrats Brian. You deserve it.

This week marks the start of a new journey for me and my family as I join the Cleveland Clinic as an interventional cardiologist. I am excited to provide the utmost excellence in clinical care and for the opportunities to work on transforming innovations in medical technologies

@kentso987 @CUHKMedicine @PedroMDMSc Awesome work!

@PinakShahMD Reimbursement may be an issue, but AngioVac might work here

Poll:

Tough case, need some help- how to handle this unexpected visitor- been there for 24 hours because I am too 🐓 to deal with it.

@DrJayMohan @Almanfi_Cardio @amrabbasmd @AntoniousAttall @timir_paul @agtruesdell @ekgpdx @willsuh76 @yourheartdoc1 @adnanalkhouli @sbrugaletta @GreggWStone @ShariqShamimMD @MusaSharkawiMD @djc795 @SVRaoMD tandfonline.com/doi/full/10.10…

@DrJayMohan @Almanfi_Cardio @amrabbasmd @AntoniousAttall @timir_paul @agtruesdell @ekgpdx @willsuh76 @yourheartdoc1 @adnanalkhouli @sbrugaletta @GreggWStone @ShariqShamimMD @MusaSharkawiMD @djc795 @SVRaoMD I’ve done a BEV with an anomalous retro-annular LCx without issue (6% oversized), Protected with a stent and IVUSed before/after deployment. I’m not sure an interarterial RCA would be much different unless you massively oversized the valve. Good luck!

All my structuralist out there! Have any of you done a TAVR with an anomalous RCA from LCC (interarterial course)? SAVR was turned down due to age and small annulus (320 mm2). Any advice is appreciated! @Almanfi_Cardio @amrabbasmd @AntoniousAttall @timir_paul @agtruesdell

@DrJayMohan @Almanfi_Cardio @amrabbasmd @AntoniousAttall @timir_paul @agtruesdell @ekgpdx @willsuh76 @yourheartdoc1 @adnanalkhouli @sbrugaletta @GreggWStone @ShariqShamimMD @MusaSharkawiMD @djc795 @SVRaoMD PS—There are reports of people compressing anomalous coronaries with BEVs, but in the setting of oversizing by 20% or more.

@AntoniousAttall @ChetRihal @Almanfi_Cardio @azeemlatib @ekgpdx @StructuralBCN Really make sure your temp wire works, and that the MAP drops adequately.

To my structural peeps...What is your advice/best practices for post-dil an Evolute Pro without risking dislodgement? @ChetRihal @Almanfi_Cardio @azeemlatib @ekgpdx @StructuralBCN

@MohammedQintar @PedroMDMSc @Edwards_TAVR @TeleflexInc @lamelaspablo @DrTGupta @azeemlatib @J_M_McCabe @DrAmirKaki @Babar_Basir @MarvinEng3 @BillONeillMD @DeeDeeWangMD @brianoneill @TiberioFrisoli @jameslee @HenryFordNews @SparrowHealth @michiganstateu Congratulations Mohammed!

@PedroMDMSc @Edwards_TAVR @TeleflexInc @lamelaspablo @DrTGupta @azeemlatib @J_M_McCabe @DrAmirKaki @Babar_Basir Thanks @PedroMDMSc @MarvinEng3 @BillONeillMD @DeeDeeWangMD @BrianONeill @TiberioFrisoli @jameslee. Amazing unparalleled training at @HenryFordNews. Highly recommended. Would do it again in a heart beat. Bye bye pgy-9. Next stop @SparrowHealth @michiganstateu

Nice last week fellowship for @MohammedQintar who did conscious sedation right axillary Sapien TAVR @Edwards_TAVR all access from the arm. Close with MANTA @TeleflexInc. Home next day. @lamelaspablo @DrTGupta @azeemlatib @J_M_McCabe @DrAmirKaki @Babar_Basir

@GreggWStone I did this a couple times for MS with @PedroMDMSc and co. while at Henry Ford. I don’t think it really confers any advantage over regular valvuloplasty.

Lithotripsy of heavily calcified aortic valve with 7.0 mm x 60 mm Shockwave balloon (with Sentinel cerebral protection) reduced the AV gradient and improved leaflet mobility prior to TAVR without complication. Fascinating care report by Sharma et al in EHJ. Thoughts?

@joewalshmd @Babar_Basir Beautiful work. Keeping it simple!

Rough case today. 87 yo with severe AS, severe ischemic MR and refractory angina - transferred with 3 mm ST depression and rock pile in LM - horrible access so used IABP which immediately relieved his chest pain and ST’s - Rota and culotte with great result - IABP still works!

@Alberta_Yen @SachinGoelMD @DVDaniels @djc795 @BGalperMD It’s possible to do it safely with a BEV, but I would 1) be careful about oversizing, 2) definitely park a stent there, and 3) pre/post IVUS: twitter.com/crfshj/status/…

#TAVR ❓your recommended approach in pt w LVOT Ca++ adjacent to anomalous LCX, comes off RCA & courses retro-annular. ❓BE or SE valve, and why (annulus btw 2 S3 sizes) ❓Protect LCX? Wire, IVUS? ❓Any role 4 GA w TEE or OK for MAC? @SachinGoelMD @DVDaniels @djc795 @BGalperMD

@wfearonmd @StanCVFellows @StanfordDeptMed @StanfordCVI So this is what it feels like to be a debutante... Thanks everyone!

Welcome back to @GusonKang who is the newest faculty member of our interventional cardiology group at Stanford and the Palo Alto VA! @StanCVFellows @StanfordDeptMed @StanfordCVI

@crfshj @PedroMDMSc @BillONeillMD @kentso987 @jameschilee

New #cardiacimaging in #structuralheart Transcatheter Aortic Valve Replacement with a Retro-Annular #Circumflex Artery from Kang et al. at bit.ly/2VFoTVu #TAVR #coronaryprotection #Cardiology

Can’t decide which is the greater irony: that this occurred to an allergist, or that DKCRushi didn’t DKCrush. Either way, nice save @rushiparikh11! @wfearonmd @yctweeter @StanCVFellows ja.ma/2ZsSpP9

@MajedAfana @SaggerMawri @CardioInstitute @andresvargasECU @ALodha_md @AmitAmin13 @The_P_A_D_Guy @Mustapja @FadiSaab17 @baileyannRN @1SurajRaheja Mechanically Stimulated Clot Activating Interventionalist. MSCAI :)

@SaggerMawri @GusonKang @CardioInstitute @andresvargasECU @ALodha_md @AmitAmin13 @The_P_A_D_Guy @Mustapja @FadiSaab17 @baileyannRN @1SurajRaheja Are there titles we can put behind our names for all the manual holds we did?

This is why I’m thrilled to soon be starting Endovascular fellowship @CardioInstitute with my friend @andresvargasECU! Complex Southern Louisiana #PAD + top training w/ Dr. Craig Walker — what a combination! @ALodha_md @AmitAmin13 @The_P_A_D_Guy @Mustapja @FadiSaab17 @baileyannRN

@Luthien_Ti Love this!

The best kind of reset...

It’s not that I don’t want to get excited by remdesivir; it’s just that I’m old enough to remember falling in love with oseltamivir and I can’t go through that again