Despite having been taught by Ryan J Tedford MD @Brian_Houston12 Gregory Jackson (among others), I have improbably never done this in several hundred attempts

Aspiration thrombectomy remains a useful tool for STEMI patients with high thrombus burden who do not respond to balloon predilation- check out our just-published review! sciencedirect.com/science/articl… Arasi Maran MUSC Cardiology Fellowship Programs Ravi Hira

Great talk this morning by Sunil V. Rao on nuanced management of anti-platelet therapy particularly in high-bleeding risk patients post-PCI at NC/SC American College of Cardiology

Thought it to be a calcified lesion- could not image first, proceeded with OA, which stalled. Mangled stent- astutely identified by Marc Kennedy, wisely adviced by Dr. Bill Lombardi to stent over it. All is good Matt Evans Sayyad Kyazimzade, MD, MPH Sanjog Kalra Robert Riley

I recently learned this lesson again after Tripp Mostertz, MD “prepped” a Swan for me by flushing the balloon with saline and leaving it for me on the back table. Great thread! Ryan J Tedford MD Gregory Jackson @Brian_Houston12 MUSC Cardiology Fellowship Programs

Proud to have been part of the first Shockwave Medical coronary case at @CharlestonVAMC! Great case with great mentor Arasi Maran - just another day in the life of MUSC Cardiology Fellowship Programs

Everything you need to know about cardiac sarcoid including the data-free-er zones…MUSC Cardiology Fellowship Programs HF noon conference today by @Brian_Houston12 #EnnisJames Jan Griffin Nisha Gilotra Farooq Sheikh Gregory Jackson Dharini Ramu Mo Elshazly Jeffrey Winterfield #MUSCSarcoidCOE

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Outstanding talk today by MUSC Cardiology Fellowship Programs AHFTC fellow Sheng Fu, MD on cardiomyocyte biology, neurohormones, ventricular remodeling, and pharmacogenomics. Including some classic MUSC Health Johns Hopkins Cardiology studies! @dkassjhu Douglas L Mann “This is teaching”

3.5 years and hundreds of RHCs later, I’ve finally done it #thermodilution Ryan J Tedford MD @Brian_Houston12 Gregory Jackson MUSC Cardiology Fellowship Programs

Thrilled to have had a chance to scrub our live case #TAVR at #ACC23! Huge thanks to my mentors NickAmorosoMD --danny. Arasi Maran and congratulations to the whole team! MUSC Cardiology Fellowship Programs

Great collaborative case with interventional friends --danny. and Matt Evans and great use of the Alpha Vac for vegetation aspiration during lead extraction! Dan Levin MUSC Electrophysiology MUSC Cardiology Fellowship Programs Jeffrey Winterfield Aorta guy Roger Carrillo, MD

Definitely learned this one the hard way

This is the answer. Annual stroke risk is low - days to even weeks of interrupted anticoagulation is unlikely to be dangerous. Daily bleeding risk in critically ill patients is almost certainly higher.

What do you think of this EKG in the setting of chest pain? Stephen W. Smith Pendell Meyers Sam Ghali, M.D.

49 year old with multiple CAD risk factors presenting with acute onset chest pain. Thoughts? Sam Ghali, M.D. Stephen W. Smith Pendell Meyers

Typical chest pain. Initial troponin negative. I think this will be *very* easy for the QoH Pendell Meyers Stephen W. Smith