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Evaluating Pregnancy Safety During Cardiology Training | JAMA Cardiology | JAMA Network jamanetwork.com/journals/jamac…

Pregnant Cardiology Trainees Report High Complication Rates, Lack of☢️Safety 🤔many fellows/training centers are so focused on learning proficiency in catheter/PCI techniques ☢️falls by the wayside. RTs can be a bastion of help to follow ALARA protocols tctmd.com/news/pregnant-…

“Intermittent claudication” Put these lyrics ⬆️to this song ⤵️and you’ll never hear 👂 it the same again

🐘🐘🐘

I find this eerily similar to baseball ⚾️ decision making when a manager is using analytics vs “going with their gut” Hey, ChatGPT: Surgery or the Cath Lab?’ Study Shows AI Can Aid Decision-Making tctmd.com/news/hey-chatg…

These subclavian loops (i feel) are more challenging than aberrant Subclavians. More points of contact and torque lost in loops ➰. What’s your threshold for switching access typically? #radialfirst

Rich_cathRT(CI)☢️ RadialFirstBot Low With a high degree of expertise and appropriate kit you can overcome this sort of difficulty But this is at the cost of an increased risk of complications Going to the left arm will usually be a good solution Optimised TFA is always there if issues are bilateral

Rich_cathRT(CI)☢️ RadialFirstBot In this cases, I advance a long 80 cm sheath up to ascending aorta and it works well.

Rich_cathRT(CI)☢️ RadialFirstBot Can usually get it done but soooo painful. Only switch when I cannot situate a guide for good backup

Is there an optimal revascularization strategy in critical limb ischemia patients? Check out our article published CCIjournal comparing endovascular vs. surgical revascularization in CLTI. Andrew M. Goldsweig, MD, MS Elissa Altin Eric Secemsky MD MSc Herb Aronow, MD, MPH (he/him/his) Sasanka JayasuriyaMD onlinelibrary.wiley.com/doi/full/10.10…

Long morning of skating edge work 🏒 with my boys. Pizza 🍕 at grandmas the reward

Rich_cathRT(CI)☢️ RadialFirstBot This is where 75 and 85 cm 7F and 8F sheaths would be so useful; using the 6F intermediate length sheaths solves a lot of this (if you can get to the root)

Don’t wave your stick at Mark Messier otherwise you’re gonna fkn eat it #NewYorkRangers | #Rangers

Truck looks like it was attacked by Magneto 🧲

Can we enhance guidewire efficacy for trans-radial access? The EAGER Randomized Controlled Trial published simultaneously with the presentation at #ESCCongress ahajournals.org/doi/10.1161/CI… @tomjford Dr Adam Bland European Society of Cardiology Advocacy Lavinia Baciu #AHAJournals #Cardiotwitter #RadialFirst

🎲EAGER study - small changes can be meaningful Using a 1.5mm ‘Baby J’ guidewire for radial cases: ⬇️fluoroscopy time ⬇️spasm ⬇️failure of radial access - notably in women 🚀Congrats to Dr Bland & fantastic teams at Gosford & John Hunter Hospitals! #ESCCongress2024 #EAGERStudy

For you Rich_cathRT(CI)☢️ #radialfirst BMW wire 4F JR4>>Glidesheath. Wires gets stuck.

Happy 13th birthday to my boy. The sarcasm and rebelliousness are in full force. 😁 Celebrating with a beautiful shorthanded goal.

We spend 15 minutes on tips every time we practice off ice. Payoff time 🏒🚨

I still hear some say that ultrasound guidance for femoral arterial access isn't necessary & doesn't reduce complications. This CircInterventions meta-analysis suggests otherwise. You need to develop proficiency with U/S to get the best results ahajournals.org/doi/full/10.11…