
Charles Beale MD
1.1K posts

Charles Beale MD
@beale_md
Cardiologist- Hopefully making the world a better place one heart at a time. Opinions are my own
Katılım Mart 2016
929 Takip Edilen1.1K Takipçiler

@DrJayMohan @agtruesdell @HadyLichaaMD @MichaelMegalyMD @PedroMDMSc @SVRaoMD @DrAmirKaki @nyalborgesmd @Babar_Basir @DocEBROhimi @Allison_Dupont There are sites that remove the peelaway shealth prior to impella insertion. pcronline.com/Cases-resource…
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It’s amazing to me that the Impella peel away vs the repo sheath makes such a difference in distal perfusion.
I almost always take the peel away out now however at the risk of annoying access site bleeding.
I use mattress. Jam the blue hub in. Suture the sheath to pull forward at the site. Any other tips to avoid overnight bleeding?
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@MichaelMegalyMD @PCRonline I find it easier to insert a kelly into the top of perclose(light blue part) open it, take off black lever and release the footplate

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A back table illustration of the technique published by @PCRonline to remove a stuck perclose footplate in the vessel!
Simple and I believe can get us out of trouble!
pcronline.com/Cases-resource…
#CardioX peeps, comments welcome
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Charles Beale MD retweetledi

Benefits of “Dual Prep” w/ Rotational Atherectomy and Subsequent Use of Intravascular Lithotripsy (IVL)
@StephanHeo shows how atherectomy + IVL enables safe calcium modification for optimal stent expansion.
okt.to/oyq8JD
#Cardiology #Cardiotwitter @ShockwaveIVL
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Charles Beale MD retweetledi

At Emory, always pushing the boundaries of innovation! TCT2024 live case. First-in-man electrosurgical mitral commissurotomy (CLEFT). Novel approach for mitral stenosis with high Wilkins score and prohibitive surgical risk #TCT2024 @AdamGreenbaumMD @BabaliarosArgos @acamajmd
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Charles Beale MD retweetledi

🔴Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
#mobile-menu-toggle" target="_blank" rel="nofollow noopener">cardionerds.com/#mobile-menu-t…
#Right #Heart #Catheterization #RHC #PACatheter #calculations #pressures #equations #pulmonary #artery #catheter #diagnosis #cardiology #swanganz
#MedX #MedTwitter #CardioTwitter

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This may change current practice
PCRonline 🫀@PCRonline
Live from the #ESCCongress 2024 in London 🇬🇧 NOTION 3 📊: PCI with #TAVI reduced death, MI, or urgent revascularization compared to TAVI alone but increased minor bleeding. However, the decision to proceed with PCI should be individualized according to patient characteristics. Read this in-depth analysis ✍️by @ANazmiCalik : pcronline.com/News/Whats-new… #TAVR #interventionalcardiology
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Charles Beale MD retweetledi

New ESC CCS Guidelines IA recommendations.
LM stenoses with Syntax Score<=22 (LM +/-1 vessel): PCI equivalent to CABG - as long as full revascularisation is achievable.
Image-guided PCI: a must for LM/ bifurcation/long lesions
@GACIntervention
@escardio
#CardioTwitter
#ESC2024

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Charles Beale MD retweetledi
Charles Beale MD retweetledi

Recovery of embolized PFO ocludder using its same delivery pusher. @cardiojsl @OjedaOjeda18 @belcid7 @shci_sec @PCRonline @Pooh_Velagapudi @hemodin90 @JuanSanchisFor @RuizNodarJM @rafaelglezm @TCTMD @JTLLERGO @MesaLola @RodrigoEstvez1 @RevEspCardiol @EuroInterventio
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Two teaching points that most people are missing in these comments
1. Valve height is not important here. Native leaflet height is. A lower deployment would not change anything.
2. The catheter may pin the native leaflet. You cannot decide based on this angio. Deploy or IVUS.
Dr G Rajesh (Gopalan Nair Rajesh).@DrRajeshG1
High risk TAVR in low coronary height case. Stent the left main or not?
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My younger brother, PGY 2, presented a case yesterday at @SCAI . I couldn't attend, but a spy in the crowd snapped this pic for me. I am so proud of the young man.

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Charles Beale MD retweetledi

We are deeply saddened by news of Dr. Alain Cribier’s passing. “The field of cardiology is forever changed because of his vision, leadership & persistence," said #ACCPresident @HadleyWilsonMD. More on his life and impact here: bit.ly/3uFY48j #TAVR

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@GodRemembrancer What a beautiful child. I am so sorry for your loss.
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Charles Beale MD retweetledi

Curious what’s new with #CoronaryIVL? Join us and our host Dr @StephanHeo on Dec 14 for a CEU-accredited webinar to learn more about #ShockwaveC2plus & the newly established reimbursement pathways for Coronary IVL.
cardiovascularbusiness.com/sponsored/5020…
US Rx only. ISI bit.ly/3iEq7fC

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Charles Beale MD retweetledi

Halloween case ?? 👻
Patient with hx of SAVR with metallic prosthesis 20y ago. Presented in ER with hx of acute onset of shortness of breath and cardiogenic shock (80x40) and EKG showing LBB (interpreted as new one). Referred for emergent cardiac catheterization. (findings above)
Case shared by: @fabioccarvalho
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@BigRick1992 What a handsome brave boy! Hopefully, this is just a bump in the road on the way of a great recovery.
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@robypaula May this may be only a bump in the road in his path of greatness.
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This morning my beautiful 15 year old son is having open heart surgery. Even at 6’1”, he’s my little guy. I’m actively soliciting good vibes, prayers distractions, and messages for him that I can share after his his 6 hour surgery. ♥️ #YouGotThisJack

Iowa City, IA 🇺🇸 English







