Mark Tuttle, MD

Hot off the press - "Expedited Removal of a Radial Hemostatic Compression Device Following Cardiac Catheterization Is Safe and Associated With Reduced Time to Discharge" #radialfirst #cardiotwitter cardiologyres.org/index.php/Card…

The Kings of College Basketball 〽️

No cardiologist has ever calculated or documented a HEART score.

NIH has issued ~65% fewer (796 vs. 2300) new grants so far this year compared to the same point in prior years. Combined with the delayed release of already-appropriated funding and we are witnessing unbelievable real-time damage to the U.S. scientific enterprise.

@cardiojaydoc02 #safefemoral time

🤔 #FOAMed #MedEd

@GodlyNations Yes

Be honest, Did you ever Like President Obama As a person?

@MusaSharkawiMD @Deya_AlkhatibMD @MCGCardFellows Congrats! Where are you headed?

Grateful for the incredible 5 years as faculty at the Medical College of Georgia. It was a period of tremendous personal and professional growth. I’m deeply thankful for the mentors, colleagues, and trainees who made this journey so meaningful. Looking forward to the next chapter

@AnilMakam @drjohnm Maybe not as bad in California but in Colorado we just set a record for number of flu hospitalizations. It’s bad here. Anecdotally multiple very severe cases associated with respiratory failure (even needing VV ECMO) and/or myocarditis. cdphe.colorado.gov/viral-respirat…

Having triaged medicine admissions for nearly the past week, I can say this year is not as bad for severe RSV or flu thus far Last year was much worse

@IhabFathiSulima Olenna Tyrell syndrome

What is the diagnosis?

@SVRaoMD murmurmd.com is great

Remember MedTwitter? It was a great resource to connect with colleagues and discuss research and clinical cases. Roon.com is a platform that includes a special feature making it easier to do tutorials and journal clubs. Disclosure - I am a founding member

@nadig_cardio Then exchange for a 75 cm R2P destination 6 Fr slender sheath and most radials can be conquered!

Subclavian tortuosity can be quite frustrating for #RadialFirst operators, especially in elderly females with uncontrolled pressures The guidewire tends to enter the carotid artery despite repeated efforts. A simple and effective technique (in addition to asking the patient to take a deep breath or cough) is to park a pigtail catheter near the subclavian–carotid bifurcation and then use a soft wire to guide entry into the aorta, as shown in this example. (Rather than repeatedly manipulating the wire into the carotid , risking a stroke this approach is much easier and safer.) #CardioTwitter

@mmamas1973 A bit of a paternalistic take. What about shared decision-making?

Unless there are fundamental comorbidities that preclude surgery such young patients shouldn't be having TAVIs. Sure we can do such procedures with relatives ease- but it doesn't mean it's right for the patient. They have to deal with the consequences long after you or I have gone...

@drjohnm TAVR CT is pretty important at reducing heart disease mortality

If every CT scanner in the US broke down for a year, heart disease deaths would not change. The prevalence of soft thinking amongst doctors is shocking aafp.org/pubs/afp/issue…

@ISeropianMD Yes I think so. And SEV will have substantial PVL. Any chance she can have surgery?

83 yo 👵🏻 w/ chunk ca2+ 🦴 protruding 1/3 of annulus at mínimum diameter & extending to the LVOT. Is this a contraindication for #BEV #TAVR? 🤔

@Romy_Holland Sadly this is super common

pregnancy is the most contact i’ve had w the medical system in a long time and it seems like every week some slightly insane new thing arises. i woke up to a voicemail saying a new dr reviewing my chart decided i needed another ultrasound. i got pretty nervous something was wrong and called to ask what was up. it turns out a dr at a clinic that works with my main clinic could only see the write-up from my last scan, not the images themselves, so she just put in an order to redo the scan. this scan is extremely comprehensive and takes a full hour to complete. i asked if we could just get the images of the previous scan sent over and she was like “oh probably. you’d have to sign a release though.” this woman wanted me to spend hours redoing a test rather than email me a release form to sign. had i not called and asked questions, i would have blown half a day on this next week for literally no reason.

@DrRajeshG1 Either one

@marktuttle TEE or ICE guidance?

During BMV,balloon could not be directed to mitral valve despite repeated attempts. In the lateral view it was found that the tip of balloon was in the pulmonary vein and that is why the stylet couldn’t direct the balloon down. So it was withdrawn and then the balloon entered

@DoctorShiva007 @AlbertoCereda1 This appears to be a transcatheter tricuspid valve replacement procedure

@AlbertoCereda1 What is this procedure? And which AV valve is this?

Chronic stent recoil occurred in 1 of 5 lesions treated with second- or newer-generation #DES requiring repeat #revasc, with severe calcium and nonuniform stent expansion identified as risk factors, and was associated with TLR. jacc.org/doi/10.1016/j.… #JACCINT #OCT

@MusaSharkawiMD You’re crazy man! Excellent result

Ascending Aortic PSA following type A dissection repair. Quadrupled in size in a couple of months. Compressing the RCA as also seen on IVUS. RCA stent, deployed a 6 mm Amplatzer ASD device while a Lantern MC was in the aneurysm. Deployed Ruby coils then released the ASD device.