Richard Channick, M.D.

Cardiology and Pulmonary Fellows interested in Pulmonary Vascular Disease: The UCLA PVD Program is excited to offer a one year advanced fellowship, starting July 2025! See attached description and we look forward to hearing from you! @rchannick and Rajan Saggar

@thanh_neville @ParthRali @TempleHealth @TempleLung @TemplePCCM @accpchest @TLCKAM Temple Med Class of '84 (yes, I'm old, Thanh lol)! Also, my father was Chief of Endocrinology there for more than 30 years. Great place!

⁦@rchannick⁩ has Strong Temple connections!! How come I didn’t know this before..? ⁦@TempleHealth⁩ ⁦@TempleLung⁩ ⁦@TemplePCCM⁩ #CHEST2022 ⁦@accpchest⁩ ⁦@TempleHealth⁩ . Strong work ⁦⁦@TLCKAM⁩ and the team!

@DJC6998 @stanhenkin @GBarnesMD @mnyoung1 @AaronAdayMD @ASchmaier @EricSecemskyMD @herbaronowMD Part of the problem is the definition of “high risk”. A patient requiring 3 pressors and barely hanging on is very different than one who is awake and comfortable with mild hypotension or post syncope but now normotensive. All are classified as high risk but are not the same!

@stanhenkin @GBarnesMD @mnyoung1 @AaronAdayMD @ASchmaier @EricSecemskyMD @herbaronowMD Even among the high-risk subgroup (3.5% of all PEs), only a minority requires ECMO. And supporting evidence for the use of thrombolysis (though scarce in this subgroup) is still stronger than for other forms of reperfusion.

I am not sure I agree with this. As a rural academic medical center, we use systemic lysis regularly in patients with massive PE. Delays are common. ECMO takes a lot of resources as well. What do you think @GBarnesMD @mnyoung1 @AaronAdayMD @ASchmaier @EricSecemskyMD @herbaronowMD

@DavidACohen3 @PERTConsortium @DJC6998 @Erik_Klok_MD @vic_tapson @OrenFriedman @RosovskyRachel @aakonc @AlexSpyropoul @DrHooksDO @jameshorowitzmd @GBarnesMD @EBondarsky @jeff_pert @EricSecemskyMD @CapriniJoseph I agree, I think motion artifact accounts for many of these isolated subsegmental defects. If a single defect, neg DVT, and incidental finding, I don’t recommend treatment

Subsegmental Pulmonary Embolism: Do we treat or not? Asking my PERT colleagues. @PERTConsortium @DJC6998 @Erik_Klok_MD @vic_tapson @OrenFriedman @RosovskyRachel @aakonc @AlexSpyropoul @DrHooksDO @jameshorowitzmd @GBarnesMD @EBondarsky @jeff_pert @EricSecemskyMD @CapriniJoseph

@DrNikkiMit @DrLongissimus @OrenFriedman @vic_tapson @JonnyMoriarty Impressive. Although not always clot. I’ve seen PA sarcomas that looked exactly like this.

Feeling acute, might cause right heart strain later idk

Final final tally..... 8.83 MILLLION impressions for @PERTConsortium !!! 2022 Goal at LEAST 10M! @roblookstein @RosovskyRachel @rchannick @DrDrewKleinPHI @CMichaelGibson @YevgeniyBr @GBarnesMD @jaygirimd @JonnyMoriarty @VladLakhter @AWitkin @Hragy @agraif @krosenfieldMD

@agraif @PERTConsortium @Angiologist @akhileshsistaMD @MGHPert @jameshorowitzmd @OrenFriedman Not knowing all the details, but If the patient has COVID pneumonia, and presumably poor pulmonary reserve, given risk of even a small PE, I would favor short term filter placement, and prophylactic dose LMWH. As well as serial u/s

@NidaQadirMD Has always been a Swandom even back in the mid 80s.

Serious question that came up this week in the unit: what do you call the plastic sleeve that comes w/ a PA catheter? I’ve always called it a “Swandom.” In NY, it seemed to be a widely used term, but in LA everyone seems to think it’s a semi-dirty joke. What say you, #MedTwitter?

The most important #VTE meeting of the year. The latest data...international round table consensus panels...small working group breakouts....multi specialty team based care #PERT @PERTConsortium @SIRspecialists @SIR_ECS @SIRRFS @SCAI @SVM_tweets @NATFthrombosis @EVToday

@NidaQadirMD @drtishawang @soniajasujamd @UCLAPCCM @UCLAPulmVasc @AlexShermanMD @ktmel11 @IOEmeruwa @rsuri88 @acmonte @NoCoughEng @AlexShermanMD and @soniajasujamd both get the @UCLAPulmVasc seal of approval!

@NidaQadirMD @drtishawang @soniajasujamd @UCLAPCCM @UCLAPulmVasc @AlexShermanMD @ktmel11 @IOEmeruwa @rsuri88 @acmonte @NoCoughEng Well, since I taught both of them...

Chief fellow @soniajasujamd gets on the 🚲 in our #Level3 #CPET practice run through (notice #Swan and #ArtLine!) How do you think she did? GIF answers only! @UCLAPulmVasc @rchannick @AlexShermanMD @drtishawang @ktmel11 @IOEmeruwa @rsuri88 @acmonte @NoCoughEng @NidaQadirMD

There are so many more options for thrombectomy now, especially for no-TpA patients: RCC with IVC occlusion and acute DVT to the pops. Clottriever with restoration of flow @SIRRFS