#SHD changemaker, #transcaval pioneer, making an #interventional #cardiology difference #Emory Structural Heart Opinions are my own

Atlanta, GA
Joined April 2017
Foreshortening vs. Shortening- IYKYK
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Fireworks tomorrow; first spark ten years ago today-happy tenth anniversary to transcaval TAVR and the explosion of transcatheter electrosurgery since.
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A huge thanks to the cath lab staff and many others at Emory Midtown Hospital for donating their precious weekend time for patient care and education. @TCT2022. #emorymidtownhospital #Emoryanesthesia #emorystructuralheart
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Blast from the past- some approaching 20 years! Anyone got older?
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Register now for EPIC Live—a showcase of 13 complex interventions! Where else can you see CTO PCI, BASILICA, Transcaval TAVR,LAMPOON facilitated TMVR, and coronary physiology all performed live? eventbrite.com/e/epic-emory-…
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Lost a good one today. RIP Tonka.
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Next time someone needs my CV I’m just sending them this pic. Some classics here: Duke circa 1995 NYU circa 1990 Albany Medical College Hosp. 1987 Weekend challenge: find and post your oldest pair
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Trusting science and technology to not ruin the bird...hopefully, our leaders feel the same. Happy Thanksgiving
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Oh how far my choice of attire for the day has come...
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"For 8 minutes and 46 seconds we saw, but most of all we heard. 114 words. Two pierced our souls. Two cries for Mama..." We are 1200 physician moms of color and this is our statement: #McStuffinMommies #GeorgeFloyd
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Type1 bicuspid; low left coronary (dominant); poor CT; unsure of valve size (26vs29) and coronary obstruction risk. Opted for sizing BAV with a 25mm balloon. Thoughts?⁦@JasonFoerst⁩ ⁦@J_M_McCabe⁩ ⁦@PradeepYadavMD⁩ ⁦@PaulMahoneyMD⁩ ⁦@CathElectroSurg⁩
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Delayed presentation inferior STEMI s/p PCI. Then this. How best to treat remains uncertain to me.
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“Houston we have a problem!” Transcaval impella day 9 waiting for tissue to scar a little more before BASSINET- a few Definity bubbles can be seen in the pericardial fluid. @jasonfoerst @pradeepyadav
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Agree that results are suboptimal with muscular VSD devices. We have had some success with BASSINET (hybrid surgical or percutaneous). Requires direct RV access. ahajournals.org/doi/abs/10.1…
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To me, it’s the quickest method to get maximum support without limb ischemia.
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Day 5 with transcaval Impella- awake and comfortable with normal Hg, renal and liver function- BASSINET planning CT
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I start with this...emergent transcaval 5L Impella insertion and Swan. No planning CT- projection angles and crossing location fluoroscopically identified.
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Many still ask if it will reverse the shunt and cause hypoxia. It will not. I find most post infarct VSD shunts ratios close to 3:1 (2.9 in this case). The 5.0 Impella will reduce it to less than 2:1 (1.7 in this case).
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Spending too much time on 3mensio these days. Happy Holidays from @EmoryStructuralHeart. #CTfirst ⁦@GruentzigG⁩ ⁦@LombardiFake⁩ ⁦@MayraGuerreroMD⁩ ⁦@DeeDeeWangMD⁩ ⁦@JoaoLCavalcante⁩ ⁦@J_M_McCabe⁩
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