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Ilias Nikolakopoulos Profile picture
@INikolakopoulos
Sep 5, 2020 • 3 tweets • 4 min read • Read on X
When use #ldtra during a #radialfirst approach?

👌if no #STEMI and:
1⃣ dialysis or CABG w/radial graft likely (better
radial artery patency) or
2⃣ left radial preferred (e.g. prior CABG: better pt
and👩‍⚕️comfort) or
3⃣ pt has thick forearm (better hemostasis) When to use #ldtra (distal ...
❓How-to #ldTRA?

Twitterature: @ferdikiem and many others provide great tips from U/S guidance to compression and more

Literature is catching up:
ongoing studies➡️NCT03611725, NCT04232488, NCT04318990, NCT04194606, NCT04171570 Literature vs Twitterature
Source: sciencedirect.com/science/articl… from our team @MHIF_Heart

#cardiotwitter #ACCFIT #SCAIFIT #ACCEarlyCareer

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More from @INikolakopoulos

Ilias Nikolakopoulos Profile picture
Jul 11, 2020
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. Image
#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. Image
Read 4 tweets
Ilias Nikolakopoulos Profile picture
Jun 26, 2020
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
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 Profile picture
May 20, 2020
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…
@BifurcationClub @BURZOTTA_F @sbrugaletta @Ryvetsprog @ajaykirtane @GreggWStone @CMichaelGibson @lamelaspablo @GoranEBC @PCapranzano @YbarraLuiz @RinfretStephane @DLBHATTMD @rwyeh @SVRaoMD @JACCJournals @EuroInterventio @BinitaShahMD @mszerlip @SrihariNaiduMD @DKarmpaliotis
@duanepinto @BrianBergmark @djc795
@FaroucJaffer @kevinjamescroce @ziadalinyc @YChatzizisis @habib_samady @ronwaksman
@lorenzo2509 @evivemmou @Bavana_Rangan @DrCindyGrines @SCAI @HenrytTimothy @CathLabDigest
Read 6 tweets

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