Cardiac Electrophysiology at Northwestern Medicine. Retweets are not endorsements. My personal views are personal and not institutional. #DoctorsForGunSafety
Dec 30, 2023 • 21 tweets • 4 min read
I hesitate to reply on Twitter where nuance goes to die, but, a few points on this thread by JM et al focusing in on Watchman as that's an area I feel comfortable with the data and history. Let's start with a few stipulations:
1. The FDA is far from perfect in its regulatory role and there is always SUBSTANTIAL room for improvement. But, those criticizing the FDA for not mandating perfect clinical trial design, acquisition, analysis, etc must also acknowledge that as long as drug and device
Mar 1, 2022 • 11 tweets • 3 min read
Quick device tweetorial: This should never happen. This case occurred due to a series of questionable clinical actions that lead to a referral to @NMCardioVasc for the below issue:
This original dual chamber pacemaker implant was in 1999 for CHB. The pocket was clearly made too superficial and was not on top of the pectoral fascia. When making a pre-pectoral pocket, ensuring the pocket is on the proper layer is critical.