Tim Simpson @TimSimpsonMD
MD, Pharm.D. @UCSFIMChiefs and @OHSUcardio alum. Interventional Cardiologist @OurLegacyHealth with interests in CHIP, CTO, microvascular. Views are my own Portland, OR Joined August 2018-
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@MarekRadomski71 Nice result. What’s been your experience with HDR adjacent to bifurcations? Assume it follows more compliant limb of the CTO, much difficulty reentering into side branch?
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@realarainmd @agtruesdell Could well be- will keep a closer eye on it
@agtruesdell @realarainmd Thanks for sharing- homework for the weekend.
@realarainmd Interesting work- thanks for sharing.
@AaronGoodman33 Incidental coronary artery calcification checking in
@drbharatsambyal @RSohnMD No stent, put her on b-blocker and Asa, FMD workup negative. No further ischemia or angina and discharged home
@Teebi_MD @YaleCardiology Congrats buddy! Yale is luck to have you… Looking forward to watching all your successes from afar
@MichaelMegalyMD If no ischemia could let it marinate w more IIbIIIa if ischemia CatRx, image, stent. Had a recent anurrysmal RCA w huge thrombus and catrx just couldn’t clear it- used Angiojet and worked beautifully followed by 5.0 stent
@DrJayMohan @rajivxgulati @RajTayalMD @Babar_Basir @ShariqShamimMD @LAzzaliniMD @evandrofilhobr @Almanfi_Cardio @SandeepNathanMD @mirvatalasnag @DrBillLombardi Can’t make sense of the LM. I’d try an undersized MP from above, possibly w guideliner. If LM find a surgeon if not laser/dcb ramus depending on availability
@yassersadeknhi Why not go b/l radial? This seems like excessive risk with minimal benefit.
@DOM_UCLA @HsuePriscilla @UCLAHealth @dgsomucla Congrats @HsuePriscilla! Well deserved.
Tim Simpson retweeted
#LateBreaking science from #CRT2024! Read key #InterventionalCardiology takeaways from 5 trials featured at this year’s meeting with top takeaways drafted by SCAI experts ➡️ bit.ly/CRT24Takeaways @CRT_meeting @FarshadForouz @chadialraies @TimSimpsonMD @bkolskk @Allison_Dupont
@evandrofilhobr @ShariqShamimMD Agree- there was already faint staining, probably from flush and filling w con.
@RSohnMD @TWilsonMD Absolutely re: ostial lesions. Had a recent mid RCA w a poorly chosen under supportive guide (you know the one) and delivered 5.5 extension down within stent to deliver post balloon. Painful and risk LSD taking extension in and out to IVUS- this would have been perfect.
@RSohnMD @TWilsonMD Are you using a 1:1 sized guideliner and relying on reflux from guideliner injection or can you go smaller and fill contrast around guideliner?
@AlanHeldman @rajivxgulati @abouzaki_md What are the super wiggles? You add some bends proximally to get even more support?
@oqabdoc @mmamas1973 @MedCrisis @rajivxgulati @minhaskh @djc795 @KPujdak Usually well intentioned but I’m not comfortable w it and call it out by saying “it’s going to be 20 minutes of boring question. I’ll summarize the plan at the end and happy if you want to record that part of the conversation”
@olsonplanner 2001 Toyota 4Runner w 200k miles. When it explodes I’m going to leave it on the side of the road and buy a 2010 4Runner.
Babak Nazer @B_Naz_MD
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