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Patrick Myers Profile picture
Patrick Myers
@pomyers
Cardiovascular surgeon, @EACTS secretary general, president @CTSNet, director @STS_CTsurgery, interested in clinical research. (opinions my own)
Oct 31, 2020 • 7 tweets • 5 min read
Excellent investigative journalism from @deb_cohen and @Edsbrown on the #EXCEL debacle and how @BBCNewsnight reported the behind-the-scenes issues.

It's great that @escardio and @EACTS are coming together to revise guidelines. We still need #retractEXCEL

medscape.com/viewarticle/93… The insights from the DSMB and how data was truncated at 3 yrs for plenary session presentation just before guidelines were written, while DSMB chair called the investigators out on this is baffling
Oct 10, 2020 • 11 tweets • 7 min read
@kaulcsmc discussing TAVI in low-risk patients
Disclosure: from an impartial observer
#EACTS2020 Current recommendations for TAVR
#EACTS2020
Oct 10, 2020 • 13 tweets • 6 min read
@BavariaMd giving insights of TVT registry on TAVI
#EACTS2020 Importance of registries
#EACTS2020
Oct 10, 2020 • 7 tweets • 4 min read
Dr Barili updating meta-analysis from last year - TAVI and SAVR

#EACTS2020 Major updates in data from randomized trials. 5 yr follow-up now doubled!
#EACTS2020
Oct 10, 2020 • 10 tweets • 6 min read
@gbiondizoccai at #EACTS2020 SYNTAX score is an angiographic score of angiographic complexity
Designed to predict feasibility of PCI - nothing to do with feasibility of CABG or outcomes
#EACTS2020
Jul 17, 2020 • 25 tweets • 10 min read
After almost 1 year, the wait is over - the #EXCEL investigators finally release the UDMI data in @NEJM
nejm.org/doi/full/10.10…
🧵 in a nutshell:
- the EXCEL investigators had the UDMI data, although they said they didn’t
- It shows higher MI risk for PCI - This is research fraud and the papers should be retracted

@BBCnewsnight have had this data since december, why did it take 7 months more? Gosh @NEJM, what is up?
/2
Feb 3, 2020 • 12 tweets • 5 min read
PVL is decreasing with improving sizing and devices in TAVR. I definitively have this impression from my practice. Or is it really? 1/11 2/ @VictorDayan1 showed in October that the criteria for PVL weren’t the same between PARTNER2 and PARTNER3

Oct 2, 2019 • 34 tweets • 12 min read
After a few days to go over the #EXCEL 5 year results published in @NEJM and thinking hard about @DrMoritzWvB tweet on IC and cardiac surgery seeing things quite differently, here are a few thoughts. Glad to hear your thoughts
@tssmn @ctsnetorg @EACTS
1/30 2/ Congratulations to the investigators for an outstanding RCT! Important question and results, which will have an impact on guidelines. The protocol was powered for non-inferiority of the composite outcome at 3 years, and congratulations for following these patients to 5 years