Here are some important interventional cardiology algorithms I've compiled over the past couple of years. The good IC/CTO operator always knows what the next step is. Major credit to @esbrilakis for many of these algorithms. Must think systematically about every PCI. 1/
Very nice algorithm on tough to wire vessels. Important techniques to know: Use of SuperCross (only use 120/they tend to straighten out), Hairpin wiring technique, deflection balloon, and probably most importantly, appropriate wire shape. 2/
A suggested algorithm on use of hemodynamic support in PCI. 3/
Algorithm on treating bifurcation lesions. 4/
Suggested algorithms on treating balloon undilatable (de novo vs ISR) and balloon uncrossable lesions. Those are important to commit to memory. 5/
Complications. In general steps 1 and 2 are to keep calm and to call for help.

How to deal with coronary perforation: Note: Should know how to use coils and fat embo in the cath lab (attached videos). 6/
Causes and management of No Reflow. It is critical to think of the most likely cause and proceed accordingly. 7/
Lastly, it is critical to know how large the stents you implanted can go up to safely. 8/
Types of coronary perforations
CTO algorithms including how to tackle ambiguous proximal caps, impenetrable caps and the different dissection/re-entry strategies.
This is a very helpful algorithm by @TanveerRab et al. on how to treat patients with OHCA vis a vis coronary angiography. #CommonSense
How to treat ISR per @kevinjamescroce's algorithm. Must treat stent under-expansion which is the predominant mechanism in most.

• • •

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

Keep Current with Musa A. Sharkawi, M.D.

Musa A. Sharkawi, M.D. Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!


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

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!