Post

How to get URL link on X (Twitter) App

On the Twitter thread, click on or icon on the bottom
Click again on or Share Via icon
Click on Copy Link to Tweet
Paste it above and click "Unroll Thread"!
More info at Twitter Help

Ilias Nikolakopoulos

Aug 4, 2020 • 3 tweets • 5 min read • Read on X

@InvasiveCardiol

"Successful Rotational #atherectomy of an Undilatable Ostial Saphenous Vein Graft Lesion"

Case published @InvasiveCardiol by our team @MHIF_Heart
@evivemmou @esbrilakis

invasivecardiology.com/articles/succe…

#ACCFIT #cardiotwitter

See ⬇️⬇️for rationale and treatment strategy 1/3

1. Why #atherectomy?
-Lesion undilatable w/standard & modified balloons.
2. Orbital or rotational?
-Rotational preferred due to prior PCI.
3. Temporary pacemaker?
-Yes, due to RCA SVG.
4. More and shorter runs preferred over fewer and longer.

#cardiotwitter
2/3

Previous reports:
pubmed.ncbi.nlm.nih.gov/10867100/ (series)
pubmed.ncbi.nlm.nih.gov/1615808/ (+DCA)
pubmed.ncbi.nlm.nih.gov/8707428/
pubmed.ncbi.nlm.nih.gov/10762820/
pubmed.ncbi.nlm.nih.gov/7489594/
casereports.bmj.com/content/12/10/…
pubmed.ncbi.nlm.nih.gov/29921223/ (body)
sciencepublishinggroup.com/journal/paperi… (body) ncbi.nlm.nih.gov/pmc/articles/P… (orbital)

3/3

• • •

Missing some Tweet in this thread? You can try to force a refresh

This Thread may be Removed Anytime!

Twitter may remove this content at anytime! Save it as PDF for later use!

More from @INikolakopoulos

Ilias Nikolakopoulos

@INikolakopoulos

Jul 11, 2020

@cvinnovations

Very glad to participate with 2 posters in this year's online only @cvinnovations!
Both from the PROGRESS CTO registry:

#1: cdmcd.co/b4n78w
#2: cdmcd.co/vbJ8y3

#cardiotwitter #ACCFIT

#1: 1-year outcomes in patients undergoing CTO PCI according to target vessel.
Previous work pubmed.ncbi.nlm.nih.gov/25442459/ had identified circumflex lesions as having ⬇️procedural outcomes.
1-year outcomes were similar in our analysis.

#2: 1-year outcomes in patients undergoing CTO PCI according to baseline LVEF.
Outcomes worse as LVEF⬇️, mainly driven by ⬆️ mortality, but not MI and revascularization rates.

interventions.onlinejacc.org/content/jint/1… Here is previous work looking at 2 year MACCE rate.

Read 4 tweets

Ilias Nikolakopoulos

@INikolakopoulos

Jun 26, 2020

@evivemmou

Our retrospective study evaluating fluoroscopy and cineangiography parameters before & after x-ray system optimization. Found reduced patient cine but not fluoro doses. Operator dose not measured. #cardiotwitter @evivemmou @Bavana_Rangan @esbrilakis @MHIF_Heart
1/4

https://twitter.com/InvasiveCardiol/status/1273266038604476416

Cine adjustments: from from 10R/minute at 15 frames/second with 0.24 μGy/frame to 5R/minute at 10 frames/second with 0.14 μGy/frame plus Copper (Cu) filter 0.1/0.3mm. 2/4

Fluoro adjustments: From 10R/minute at 10 or 15 pulses/second to 5R/minute at 7.5 or 6 pulses/second plus pre Copper (Cu) filter 0.2/0.6mm. Pulse width was lowered to 5ms from 8 ms. Peak voltage (kVp) was changed from 70 to 81 kV. 3/4

Read 4 tweets

Ilias Nikolakopoulos

@INikolakopoulos

May 20, 2020

@esbrilakis

How does treatment of coronary bifurcations differ among operators?

Our short survey led by @esbrilakis can help answer this question.

Please feel free to complete (responses are anonymous) and RT/share with colleagues.

Thank you!
#cardiotwitter #ACCFIT
surveymonkey.com/r/coronarybifu…