
Sunil Upadhaya, MD, FACP
@sunilupmd
Chief Cardiology Fellow| @TulaneUniversitySOM | #ACCFIT
ID: 1550971641399808000
23-07-2022 22:30:36
157 Tweet
108 Followers
329 Following


How to check for bleeding after #Impella single-access PCI: pull out 14F sheath, advance 4F sheath, push Perclose knots 🪢 onto 4F sheath, do angiogram👇. I learnt it from Duane Pinto MD MPH. Quite useful when you can’t do final angiogram from radial (tall pts, tortuosity, etc).

#JSBT - A Deeper Dive 🧵 Given the wide spread interest generated by #JSBT (UTHealth Houston Heart & Vascular Style), I thought I would explain the technique in a little more detail. 👉🏼 #JSBT is a technique for protecting the SB ostium with a jailed balloon during PROVISIONAL bifurcation PCI




Transcaval experience Henry Ford Health published MyJSCAI Ahmad Jabri MD , FACC, FSCAI Babar Basir William W. O'Neill Khaldoon Alaswad MD Pedro Engel, MD, FACC, FSCAI Tiberio Frisoli Safe Adhoc option when transfemoral is not an option jscai.org/article/S2772-…

Now accepting applications for the 2026-2027 Women's Heart Health Program Fellowship!🫀Click here for details: massgeneral.org/heart-center/e… Nandita Scott Amy Sarma Emily Lau, MD, MPH Michael Honigberg, MD, MPP Mass General Heart Brigham and Women’s Division of Women’s Health

First American pericarditis management consensus published today, special thanks to the writing committee, been my honor to chair this! Allan L. Klein Paul Cremer MD Massimo Imazio Sarah Kohnstamm, Allen Luis, Vartan Mardigyan Monica Mukherjee MD, MPH Karen Ordovas Sneha Vakamudi MD, MSc, FACC George Wohlford

Over my career, I’ve attended a lot of special events but tonight topped them all! So moving to see Keith C. Ferdinand, MD, FACC, FAHA, FNLA surrounded by family and friends for his portrait unveiling at Tulane! Such a well-deserved honor! Tulane Medicine Association of Black Cardiologists Family Heart Foundation Clyde Yancy, MD, MSc National Forum


Performing BASILICA: a step-by-step guide to prevent coronary obstruction during TAVI My toolkit 🧰⚙️🔨pcronline.com/Cases-resource… Mohamed Abdel-Wahab & Ahmed Abdelhafez share a proactive method to safely prevent coronary obstruction in high-risk TAVI patients. This clear, hands-on tutorial


1/ To tag along this excellent discussion, a poll and a case to follow. In crossover stenting, we not too infrequently see "pinched" side branch. This can be plaque shift, carinal shift or MACH effect. Salman Arain Salvatore Brugaletta purushottam mittal Evandro Martins F. MD Hany Ragy Jack Hall

4/ The incidence of abnormal FFR in the side branch with angiographic significant stenosis after MV stenting varies between 27% to 52%. 1. Koo et al. 2005. 27%. 2. Ahn et al. 2012 (for DS >50% QCA). 28.4% 3. Kang et al. 2013 (for DS >50%). 32% 4. DK CRUSH VI trial. 52% Sunil V. Rao





Immediate coronary angiography does not improve 1-year survival compared to delayed or selective strategies in patients with out-of-hospital cardiac arrest without ST-segment elevations. ja.ma/4mfY7xf JAMA Cardiology



In pts with small aorta sometimes is better to place the AL guide before the impella (specially if 2 guides used). Nice trick is to use the MIV catheter with extra curve gives a bigger reach to avoid the guide Mladen Vidovich