João Vitor Slaviero

@mandeep_mayo I don’t know what exactly it’s , but sound like embolism of ballon/stent after shaft rupture..

@slavierojv Close

Can you solve the mystery?

After 10 years to complete it, the DanGer-SHOCK trial showed that the routine use of a microaxial flow pump with standard care in the treatment of patients with STEMI-related cardiogenic shock led to a lower risk of death from any cause at 180 days than standard care alone. The incidence of a composite of adverse events and a range of adverse outcomes (bleeding, limb ischemia, renal replacement therapy, sepsis) was significantly higher with the use of the microaxial flow pump. These results of Impella CP are in contrast with those of of IABP in the IABP-SHOCK II trial and venoarterial ECMO in the ECLS-SHOCK trial. Is this because of the device, or because of better patient selection than in prior trials? #ACC24 nejm.org/doi/full/10.10…

1/11 #PAC 101 (The Catheter) A cath lab pt just arrived in your ICU with a pulmonary artery catheter (#PAC) in place. Your bedside nurse (limited #PAC experience) asks you to walk her through the basic PAC lumens and ports 😱 Fortunately for you, you had bookmarked the 🧵 👇🏻

BAAAAAM!!!!!! #cardiotwitter #medtwitter what valve you would put next?

Thrombus caught “in fraganti” through patent foramen ovale #ParadoxicalEmbolism Via @thePagerNews

Inferior STEMI 👀💣🤞🏻 RC 15mm Aspiration + heparin + i IIbIIIA

@jkurtzteixeira @GreggWStone @evandrofilhobr @KardiologieHH @luciotpadilla @GruentzigG 2- anticoagulant + 2b3a 3- IVUS + study of landings zones

@jkurtzteixeira @GreggWStone @evandrofilhobr @KardiologieHH @luciotpadilla @GruentzigG If TIMI III, stable + painless: 1- I wouldnt aspire because unfavorable anatomy and has a risk of instability proximal plate to reach the distal thrombi that doesnt compromise flow (I think they embolized from the proximal unstable plate)

70 year old, congestive failure, inferior stemi (more than 24hours) What would you do?

Woman, 85 years old, pain to the minimum effort. LAD /diagonal (MEDINA 1,1,1), aneurysm with 14 mm in the largest diameter. What to do ?

@GreggWStone Can I have a copy, please slavierojv@gmail.com

Our perspective on the vulnerable plaque and vulnerable patient just published in Nature Reviews Cardiology. Please DM me a request with your email address and I would be pleased to send you a journal-approved copy.

@GreggWStone @KardiologieHH @evandrofilhobr @jkurtzteixeira @Dutra_1982 @Interve95102266 @sbrugaletta @RicardoPetraco @mmamas1973 @AlesqQuadros @GruentzigG @Antocol17 We plan to keep anticoagulated and repeat angiogram in 5-7 days. If flow and thrombi improve, without apparent atherosclerosis, which anti thrombotic / antiplatelet regimen ? 🧐

@slavierojv @KardiologieHH @evandrofilhobr @jkurtzteixeira @Dutra_1982 @Interve95102266 @sbrugaletta @RicardoPetraco @mmamas1973 @AlesqQuadros @GruentzigG @Antocol17 Is this the acute angiogram? Are you still within the window for myocardial salvage? You have not established flow. Suggest thrombectomy, such as CAT RX plus IV cangrelor or intra-coronary GPI.

Woman 70years old, STEMI anterior Follow angiography. What to do? @KardiologieHH @GreggWStone @evandrofilhobr @jkurtzteixeira @Dutra_1982 @Interve95102266 @sbrugaletta @RicardoPetraco @mmamas1973 @AlesqQuadros @GruentzigG @Antocol17

@GreggWStone @KardiologieHH @evandrofilhobr @jkurtzteixeira @Dutra_1982 @Interve95102266 @sbrugaletta @RicardoPetraco @mmamas1973 @AlesqQuadros @GruentzigG @Antocol17 It is acute angiogram with ~6hours to pain. We realized thrombectomy and IGP2Y12. The final angiogram had large thrombotic load and flow TIMI I. Stable and without pain. There wasn’t IVUS/OCT in this case.

Male 41 years old, NSTEMI (TnT-Us > 1,000), pain controlled only with NTG. Follow ECG and cath.. What to do? @AlexandreAzmus @Dutra_1982 @GreggWStone @evandrofilhobr @AlesqQuadros @ManicaAndre @EuroInterventio @sbhci @RicardoPetraco @sbrugaletta @Antocol17