Andreas Triantafyllis

@mmamas1973 Lesson of the day: TAVI does not necessitate the presence of a cardiac -surgeon on site or even an interventional cardiologist 😂😂😂

I have had a lot of DMs As way of context, a 🧵 1) Any health professional doing an invasive procedure should be able to deal with complications particularly life-threatening ones. If they cant pt lives are put at risk I trained full time for 3 yrs, did >1000 first opertor procedures as a trainee, to be able to undertake PCI. If there is coronary obstruction- the operator needs to be trained in PCI or the pt will die. You need to be able to do this in 1 or 2 minutes, same with pericardiocentesis. A nurse does not have the necessary training to deal with these complications, manage the pt pre and post procedure.

@mmamas1973 @GHCardiology What is the point of specialty training, interventional fellowships, structural fellowships, exams for accreditations when you can baptize the shortage of personnel/budget as innovation? If a complication occurs who is responsible?

@GHCardiology this is so inappropriate on so many levels. Being a TAVR operator is not just about deploying a valve, but working up the pt for the optimal mx of their AS, managing the patient prior to procedure and dealing with complications. This is not safe for patients particularly given that there are numerous TAVI trained medically qualified operators in UK. You have also taken away training opportunities for medical / surgical trainees. @ncurzen @Ryvetsprog @pomyers @SVRaoMD @GreggWStone @VictorDayan1 @Hragy @mirvatalasnag @tavrkapadia @TAVRBot @TheBJCA @BCIS_uk @TCTMD @ajaykirtane @EAPCIPresident @alaide_chief

Pneumopéricarde : Une complication rare de la ponction péricardique. ➡️ cmaj.ca/lookup/doi/10.… @andreas_triant

Editors' Insights: The dented bladder #sign: An early marker of #retroperitoneal #hemorrhage. bit.ly/3KkAZND #KardiologiaPolska #PolishHeartJournal #cardiotwitter #HeartNews @andreas_triant @IIKONOMIDIS @AKaloger33

@mmamas1973 @Hragy @mirvatalasnag @djc795 @HeartOTXHeartMD @alaide_chief @cardiojaydoc02 @iamritu @Adityatiwaryy @KardiologieHH @DrDeepakKrishn1 @SVRaoMD @GreggWStone @DocSavageTJU @fischman_david @RodrigoBagur @vass_vassiliou @Ortega_Paz @luciotpadilla @rajivxgulati @MedCrisis SCAD type II but imaging to confirm

Middle aged woman (late 50s) admitted with chest pain, ACS, cardiac cath below, ex smoker, No significant disease in cx/ rca. What is diagnosis? @Hragy @mirvatalasnag @djc795 @HeartOTXHeartMD @alaide_chief @cardiojaydoc02 @iamritu @Adityatiwaryy @KardiologieHH @DrDeepakKrishn1 @drptca @andrsofroniou @ShrillaB @ncurzen @DrDamluji

Pneumopericardium: An uncommon complication of pericardiocentesis ➡️ cmaj.ca/lookup/doi/10.… @andreas_triant

How can you diagnose, treat and prevent pneumopericardium when performing pericardiocentesis? Just published in @CMAJ cmaj.ca/content/195/5/…

@ASchoberMD @mmamas1973 @mirvatalasnag @GoranEBC @MilasinD18 @gabor_gt @stefan_harb @CWallmuller @KardiologieHH @Obisht @konstantin1000 @PCRonline @BotPci DCB, in case it fails nano-crush or TaP with the Cx

what bifurcation technique or DCB for this intermediate trifurcation with failed venous graft, no graft on circ and intact ITA on LAD? @mmamas1973 @mirvatalasnag @GoranEBC @MilasinD18 @gabor_gt @stefan_harb @CWallmuller @KardiologieHH @Obisht @konstantin1000 @PCRonline @BotPci

@turilrh @VPanoulas @Obisht Step by step how to aspirate through a guide extension catheter: pubmed.ncbi.nlm.nih.gov/33598025/

@VPanoulas @Obisht How you aspirate through guidliner , how to attach syringe?

This is the kind of staff you can aspirate directly with a guideliner… the Hunter and export and other aspiration devices cannot do much … #CardioTwitter #Cardiology caution you don’t occlude your main guide with clot - if that happens just remove en block.

@sbrugaletta @ehj_ed @CMichaelGibson @DLBHATTMD @MattiaGalli10 @DFCapodanno @PCRonline @TCTMD @theheartorg @escardio @EAPCIPresident In the vast majority we go for in-hospital triple therapy and after discharge we de-escalate to double (anticoagulant and antiplatelet). Asklepeion Hospital Athens, 🇬🇷

The great debate on @ehj_ed: default AAS duration should be 1 week in triple anti thrombotic therapy. I do it in my practice, but I wonder if this is commonly and easy done in the rest of EU. academic.oup.com/eurheartj/arti…

@SyedYNaqvi1 Trained to perform it in cathlab, using both. Much safer for patient and operator as well

How often do operators place pericardial drain under echo guidance alone vs fluoroscopic guidance vs both? I have been trained in echo guidance using agitated saline, but now I'm using fluoro as well since we are doing them all in the Cath lab. #CardioTwitter #MedTwitter

@Hragy .@Hragy - Gruentzig talked about CTOs in our last interview in 1985, one month before his tragic passing. As with most things, he was focused on the problem, its implications for the future of the procedure & directions for solving it. #AngioHistory #CTO

Greatest European shooting guard of all time? 🇬🇷 Nick Galis turns 65 & we celebrate him with 5 minutes of his UNREAL highlights from #EuroBasket 1987 🏆

Ahead of print: #Perforation of a #saphenousveingraft anastomosed at a Y-configuration to the #leftinternalmammaryartery by Andreas S. Triantafyllis et al. bit.ly/2z0vQnK

The “Aberrant LCx Algorithm" for rapid identification of aberrant LCx during cardiac catheterization. @ccijournal onlinelibrary.wiley.com/doi/10.1002/cc…

#NBAHistory 🚨 LEGEND ALERT 🚨 Human. Highlight. Film. @DWilkins21 MUST. WATCH.

Steve Kerr on today's tragic shooting in Uvalde, Texas.

OTD 1986: Dominique Wilkins dropped 57 PTS in 38 MINS without a 3PT on the New Jersey Nets And this is why @DWilkins21 is called "The Human Highlight Film!"

Perseus Freeing Andromeda, 1622 #baroque #rubens

Bowl with Peonies and Roses, 1886 #realism #vincentvangogh