Krishna Tummalapalli
826 posts
Krishna Tummalapalli
@KrishnaDrT
Interventional Cardiologist, #radialfirst
Pittsburgh, PA Katılım Mart 2018
335 Takip Edilen575 Takipçiler
Judgement is key for PCI, should not be done just because it can be done. @RadialFirstBot @UPMCPhysicianEd @HviUpmc
David J. Cohen, MD, MSc@djc795
@realarainmd @MichaelMegalyMD The key to running a successful PCI program without onsite surgery is not about technical prowess. It is mostly about judgement.
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Most of the times, Tiger catheter and a Wholey wire would work for visualization of bilateral mammary grafts from right radial approach. @RadialFirstBot @HviUpmc @UPMCPhysicianEd
Krishna Tummalapalli@KrishnaDrT
In my experience, it is easier to visualize LIMA from right radial than visualization of RIMA from left radial. For bilateral mammaries, I choose right radial. @RadialFirstBot @HviUpmc @UPMCPhysicianEd
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In my experience, it is easier to visualize LIMA from right radial than visualization of RIMA from left radial. For bilateral mammaries, I choose right radial. @RadialFirstBot @HviUpmc @UPMCPhysicianEd
Michael Savage@DocSavageTJU
Simplified technique for IMA angiography from contralateral radial access. Simultaneous publication in #JSCAI with presentation #SCAI2026 by @Brian_R_Osler on April 23 4:45-5:45 room 517. Will post article after embargo lifted 12PM. @fischman_david @mmamas1973 @SCAI @TJUHospital
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Happy to share that I was featured by SCAI for member spotlight.@RadialFirstBot @HviUpmc @PittGIM @PittDeptofMed
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“Roller Coaster”!, no problem—still Radial is 1st choice , especially for STEMI and ACS @RadialFirstBot @HviUpmc @UPMCPhysicianEd @UPMCnews
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Yes, any coronary lesion can be stented with now user friendly technology. It is our responsibility to use judgment and treat patient for longterm benefit- PCI vs Medical therapy vs CABG. One should not act on “occulo stenotic response”@UPMCPhysicianEd @UPMCnews @RadialFirstBot
jedicath աǟզǟʀ.ǟɦʍɛɖ@jedicath
Technically any lesion(s) can be treated with PCI. As an interventional cardiologist my recommendation is based on what’s better long-term outcome of the patient. 1
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For very early CV shock due to acutely reversible situation such as ACS or early STEMI, IABP is helpful if culprit lesion can be stented very quickly. @UPMCPhysicianEd @UPMC
Anurag Sahu@achdDoc12
The IABP isn’t perfect. It’s not Impella. It’s not ECMO. But it still helps a lot of patients when used thoughtfully. Timing, positioning, augmentation, weaning. There is art to IABP management. And that skill still matters, even in the era of shiny mechanical support devices.
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