Discover and read the best of Twitter Threads about #oct

Most recents (10)

1/25
How would you tackle this heavily calcified LAD with calcified #nodule that was appropriately identified by intravascular imaging? #OCT
doi.org/10.1093/ehjcr/…

In this #EHJCaseReports #tweetorial we take a deep dive into the Rx of #calcified coronary lesions.
#Cardiotwitter
2/25
Calcified lesions are top of the totem pole of complex PCI
Main armamentaria are balloon-based #IVL & ablation-based (rotational/orbital) techniques, while ancillary tools eg guide extension catheters are useful too. eurointervention.pcronline.com/article/intrav…

#EHJCaseReports #tweetorial
3/25
What do you see with this non-compliant balloon in this calcified RCA?
What would you do next? Poll in next tweet! doi.org/10.1093/ehjcr/…
Read 25 tweets
After 800 years, I’ve pumped something for R1 of Extracalibur in @ExcaliburOCT! Featuring @Xartin1’s Rood! (1/13)
#ExcaliburExperiment #OCT #myart #digital
(2/13)
(3/13)
Read 13 tweets
#ESCCongress When coronary angiography is not enough: @RaberLorenz turns on the light with #OCT
🔦ACS-⬆️resolution of OCT -gold standard to ID thrombus, ID unclear culprit, ACS aetiology, rule-in & rule-out
🔦#MINOCA
🔦Stent thombosis
🔦Optimize PCI
@mirvatalasnag @Hragy
Read 6 tweets
We r discussing some issues of OCT guided PPCI. Please share your thought regard this STEMI case.
A 39yo/M with Anterior STEMI , 4 hrs onset. LAD was occluded #OCT #PrimaryPCI @RoccoVergallo @BURZOTTA_F @ziadalinyc @MaeharaAkiko @twj1974 @YongcheolKim2 @BBpini @AbbottCardio
Following thrombosuction, revealed severe stenosis in mid LAD. Would you directly advancing OCT or perform predilation ?
Japanese introduced C-Push and D-Push method. But we have no experience using that strategy, so the lesion was predilated using 2.0 mm balloon at nominal atm before advancing OCT catheter. Here it is the OCT result.
Read 16 tweets
AGIKplenum: Unverzichtbar im Katheterlabor!?
(Raum 12 @kardiologie_org)

❤️Erster Vortrag:
Intravaskuläre Bildgebung📸 (David Leistner | @m_leistner | Berlin)

#DGKJahrestagung @HolgerNef @kaschenke @MarcVorpahl @thiele_holger
MLD-MAX Konzept

1: MLD
#DGKJahrestagung 2021
Read 8 tweets
1/24
A picture is worth a thousand words. This month's #EHJCaseReports tweetorial focuses on intravascular imaging in coronary intervention.

For starters, what do you see on this #OCT image of an intracoronary honeycomb🐝?

academic.oup.com/ehjcr/article/…

Poll 👇

#cardiotwitter
2/24
The intracoronary honeycomb on the image above is ⬇️

Find out the answer in #EHJCaseReports:

academic.oup.com/ehjcr/article/…
3/24
Honeycomb-like structure, a rare cause of myocardial ischaemia has multiple communicating channels divided by thin septa. Angiographically fuzzy & hazy appearance often without significant stenosis, they're best detected on high-resolution IVUS/OCT
academic.oup.com/ehjcr/article/…
Read 24 tweets
Evolving changes in vessel wall as seen in OCT over the years after Bioresorbable scaffold (BRS) implantation @mmamas1973 @ziadalinyc @DrJayMohan @SripalBangalore #BRS #OCT #cardiotwitter #imagingfirst
1/ Immediate post-implantation: "Preserved Box" appearance (Meryl MeRes 100 BRS)
2/ Preserved Boxes which is defined as a box appearance with sharply defined borders w/ bright reflection while strut body shows the low reflection Image
Read 12 tweets
Check out the #MINOCA section in updated NSTE-ACS guidelines at #ESCcongress
bit.ly/3bcrixp

Here is a tweetorial on #MINOCA
🧲Class I Recommendations🧲

-> Use of Diagnostic algorithm
-> Use of #whyCMR
-> Use of working dx & Rx according to the underlying Dx
MINOCA has MI in it-> DOES the definition allows for the inclusion of non-ischemic causes of troponin elevation?

Given this limitation of the troponin bioassay, the “Fourth 4th Universal of MI" defined Injury from infarction

INJURY IS NECROSIS WITHOUT ISCHEMIA!
#ESCCongress
The hallmark of myocardial injury ⬆️ troponin, However, these entities differ conceptually
▶️ myocardial injury = nonischemic mechanisms of myocyte injury (eg, myocarditis),
▶️MI = ischemic mechanisms (eg,
plaque disruption or supply-demand mismatch).

#ESCCongress
Read 10 tweets

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