Discover and read the best of Twitter Threads about #TAVR

Most recents (8)

1st #TAVR #cuspoverlapchallenge w/ Stewart Benton & #EvolutPRO+. Absolutely loved it -- simple/streamlined technique that gives you confidence in where you are landing the valve in relationship to the vital structures. Thanks also Dr. Gada & @anvoramd for excellent education!
Easily combined with @GilbertTangMD #CommissuralAlignment. Hat should be center front in the #cuspoverlap view.

Insert valve delivery catheter with flush ports away from you and make sure that the hat marker is on the outer curve in the proximal descending aorta
CORRECTION: This is the root angiogram in the cusp overlap view.

Notice the depth of 0 to 1 mm on the non-coronary cusp.
Read 4 tweets
#ACCIC @ACCinTouch
πŸ…²πŸ…°πŸ†‚πŸ…΄-πŸ…±πŸ…°πŸ†‚πŸ…΄πŸ…³ πŸ†ƒπŸ†„πŸ†ƒπŸ…ΎπŸ†πŸ…ΈπŸ…°πŸ…»

πŸ††πŸ…΄πŸ…΄πŸ…Ί 3 β€œStructural”
May 4-5, 2020

@jedicath @mnyoung1
@FrederickWelt @abbybcestoni @adityadoc1 @ajaykirtane @Pooh_Velagapudi @chadialraies @sabeedak1 @Lross246
@ACCinTouch @mnyoung1 @FrederickWelt @abbybcestoni @adityadoc1 @ajaykirtane @Pooh_Velagapudi @chadialraies @sabeedak1 @Lross246 How do you treat patients with Structural Heart Disease during the COVID19 pandemic.

Case by @mnyoung1
Read 12 tweets
(1/11) #ValveDiseaseDay #Tweetorial: Today is Heart Valve Disease Awareness Day and we’re sharing facts about heart valve disease. Follow along to learn more about what can occur when heart valves are diseased or damaged. @Lross246 @mirvatalasnag
@Lross246 @mirvatalasnag (2/11) #ValveDiseaseDay #Tweetorial: Facts about heart valve disease: affects >11 million Americans; 1/10 patients >75 y/o have moderate to severe heart valve disease; & 25k people in the U.S. die from heart valve disease annually.
@Lross246 @mirvatalasnag (3/11) #ValveDiseaseDay #Tweetorial: There are many barriers to treatment, some of the top contributors include access to SHD clinics, referral bias, socioeconomic issues & symptom recognition. #cvVHD
Read 11 tweets
Learned a lot at the Redo Cardiac Surgery Session with @RuelMarc1 at #sts2020 Especially Redo Sternotomy AVR After CABG is a hot topic in 2020 #Partner2a #cardiotwitter #tavr
Prof Naka exemplifiying #SAVR & SAVR post CABG: STS 1.06 vs 1.87 or Euroscore II 0.71 vs 2.13 " Re-operative cardiac surgery tends to be Associated with higher Rates of early mortality and morbidity than primary chest surgery" #tavr
2) As M.Pasic states in the OR his First rule in surgery " Vorbereitung ist alles' Preparing is Key. Second Slide by Prof.Naka on preparing for re-entry: - avoid unnecessarily exposing the innominate vein and opening the AP Window #lessismore
Read 9 tweets
@tavrkapadia delivering @CleClinicMD Grand Rounds. On #TAVR. Starts by showing how morbid and complex the open surgery is. Many elderly patients are not candidate. Hence #TAVR was developed. #meded
The team that ensures ZERO percent mortality in #TAVR for any patient coming to @ClevelandClinic with Aortic stenosis. #meded
Heart is NOT stopped! After #tavr can see immediate hemodynamics improvement!
Read 10 tweets
Do you use #whyCMR in your patients undergoing #TAVR. More slides in the thread #CVimaging #ACCImaging #ACC19
Annular assessment by #whyCMR accuracy similar to #YesCCT

data from @JACCJournals
#ACCimaging #ACC19 #Cvimaging
Peripheral calcification is the limitation for #whyCMR use in #TAVR #ACCimaging #CVimaging #ACC19
Read 7 tweets
1PANACHE: Safety:Efficacy of Neladenoson Bialanate, Partial Adenosine A1 Receptor Agonist, in CHF & Preserved EF: PANACHE RCT

2PIONEER-HF: Initiation of Angiotensin-Neprilysin Inhibition after Acute Decomp CHF: Open-Label Extension of
3 Hopeful Heart Trial: Blended Collaborative Care for Treating ❀️Failure & Comorbid Depression: 12-Month Outcomes

4 CODIACS-QoL: Randomized Trial of Depression Screening After ACS: Comparison of Depression Identification After ACS-QOL & Cost Effectiveness
5 PARTNER 3: #TAVR or SAVR in Low-Risk Patients: Results of the PARTNER 3 Trial

6 Self-Expanding #TAVR or SAVR in Patients at Low Risk of Surgical Mortality

7 Outcomes of #TAVR with Balloon-Expandable Sapien3 Valve in Bicuspid Aortic Stenosis: An Analysis of STS/TVT Registry
Read 12 tweets
Had a chance to take a deep dive into a recent paper on #frailty in #TAVR by @glen_martin1 @mmamas1973 et al so I figured I'd share some thoughts tweetorial-style
πŸ…ΏοΈ Patients: 2,624 TAVRs from the population-based UK registry... lucky them - 95 prospectively collected variables on all TAVRs in the land
ℹ️ Independent var: F-R-A-I-L-T-Y as measured by 3 scales - CSHA Clinical Frailty Scale, Katz activities of daily living scale, poor mobility per MD's impression... I personally like all of these but *caveat* they reflect disability > frailty
Read 11 tweets

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