Shephal Doshi MD

Shephal K. Doshi thinks Bronny James is recovering ‘quickly’ “The fact that Bronny’s already out of the ICU means he’s recovering quickly. I would anticipate that over the near term in the next day, two or three that he should be walking around. If his brain function is normal, he shouldn’t need to be in the hospital for more than a couple of days. But the big question about return to play depends on what we find out is the cause.” (Via sportskeeda.com/basketball/new…)

Best 4D ICE images I ever seen! A real game changer! Stay tune! Great job @MdSheph @aalahmadmd @andreanatalemd #Nuvera #GE #4DICE #GEVIVID

@pjsm83 @andreanatalemd @MdSheph just posted video clip.

First in man, real-time 4D ICE visualization from the CS of the RPV, roof and LAA with Nuvera @aalahmadmd @andreanatalemd #eppeeps

@andreanatalemd Payback!

@andreanatalemd Great week with @andreanatalemd and @aalahmadmd

@Drdevignair @josoriomd @andreanatalemd @DJ_Lakkireddy @DhirajGuptaBHRS @drsuneet @AndreaRussoEP @BSCCardiology @AbbottCardio @BiosenseWebster @amazetrial Origin of 45 day TEE was to look for device migration and DRT. Things we know now are extremely rare at 45 days. The data was presented at HRS year and is manuscript is in progress

@josoriomd @andreanatalemd @DJ_Lakkireddy @DhirajGuptaBHRS @drsuneet @AndreaRussoEP @BSCCardiology @AbbottCardio @BiosenseWebster @amazetrial We are doing CT's for now if renal fun ok.If pt can tolerate oac for 6 more weeks,keeping on oacs for total 3 months.If active bleeding issues on oacs,switching to dapt at 6 wks with plans to recheck later once current situation under control. No data supporting any of this.

#EPeeps Would love to hear different opinions on what to do with 45 day TEE for pts that recently underwent LAAC. While on one hand TEE has high risk of exposing HCPs and patient, on the other hand, for a lot of patients at high bleeding risk rescheduling may cause bad outcomes.

@Drdevignair @josoriomd @andreanatalemd @DJ_Lakkireddy @DhirajGuptaBHRS @drsuneet @AndreaRussoEP @BSCCardiology @AbbottCardio @BiosenseWebster @amazetrial Agree with ditching 45 day tee. Data has been presented at ISLAA. With 2 center approach skipping 45 day TEE altogether post commercial launch in 2015 in > 500 pts

@josoriomd The first part of the tweet got cut off but basically the origin of the 45 day TE was simply to see if the device migrated in the original trials and to see if there was a rhombus. Low incidence of both of original implant was good

@josoriomd here is very little chance of device migration that would be significant enough to warrant continued anticoagulation. Also the patients typically have been on anticoagulation for the first 45 days so it is fairly unusual to see thrombus there. The protocol since commercial launch

@josoriomd that we have done here at Pacific Heart and at Mount Sinai is 45 days of anticoagulation with antiplatelet followed by 45 days of doing antiplatelet then aspirin alone. We actually do the transesophageal echo at four months post implant when they're on aspirin alone.

@josoriomd Would bypass the 45 day TEE. We have already presented our data on over 500 patients will be bypassed the 45 DTE. If you actually look at the origin of why we were doing this test in the early days was really to see if the device migrated. We know now that if the implant is good

Fun times in San Diego with old friends!! @BSCCardiology @DrRoderickTung 3 new twitters peeps! #EPeeps @MartyBSQ @kangoaklandep