Structural Heart Interventional Cardiologist @UCHealth. Husband & father. Views my own. Alumnus: @BrownUniversity @UToledoMed @BIDMC_IM @BIDMCVFellows
Longmont, Colorado
Joined September 2008
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Hot off the press - "Expedited Removal of a Radial Hemostatic Compression Device Following Cardiac Catheterization Is Safe and Associated With Reduced Time to Discharge" #radialfirst #cardiotwitter
cardiologyres.org/index.php/…
Proposed change to CMS TAVR NCD: Surgeons no longer required to be present for the procedure. Other big changes. Is it good for patient care?
cms.gov/medicare-coverage-da…
Check out my editorial in JACC Asia - "Frailty is not futility"
jacc.org/doi/10.1016/j.jacas…
Anybody else seeing a ton of pericarditis lately? I’ve seen 4-5 cases in the last month. Wondering if it’s part of a larger trend. #cardiotwitter
Mark Tuttle, MD retweeted
NIH has issued ~65% fewer (796 vs. 2300) new grants so far this year compared to the same point in prior years.
Combined with the delayed release of already-appropriated funding and we are witnessing unbelievable real-time damage to the U.S. scientific enterprise.
Mark Tuttle, MD retweeted
Chronic stent recoil occurred in 1 of 5 lesions treated with second- or newer-generation #DES requiring repeat #revasc, with severe calcium and nonuniform stent expansion identified as risk factors, and was associated with TLR. jacc.org/doi/10.1016/j.jcin.… #JACCINT #OCT
Mark Tuttle, MD retweeted
The 10 most striking Kaplan-Meier curves (that I have seen) 🧵
1. Dual GLP1/GIP agonist, Tirzepatide, for prevention of type 2 diabetes in people with obesity
It's easy to miss the dark blue line (15 mg group), because it never leaves the X axis:
Mark Tuttle, MD retweeted
On the day of #TCT_ME_ travel. 81-year-old female with very small annular size & area of 282 mm2 + little calcification!
Treated with 23 Evolut FX plus with mean gradient dropped from 52 to 3 mmHg & no PVL
Typical SMART trial patient
Testament to the power of SE technology
Mark Tuttle, MD retweeted
Welcome thoughtful National Coverage Analysis on #TTVR published yesterday. Access to healthcare is critical and @CMSGov decision is a testament. Great job! Treatment for TR enters a new era! @SCAI @ACCinTouch cms.gov/medicare-coverage-da…
Mark Tuttle, MD retweeted
Congrats to Howard Herrmann, @Drroxmehran @didier_tchetche and #SMART trial investigators for outstanding 2y data and outcomes #CRT2025, with excellent clinical and echo follow up! While no differences in hard endpoints (no surprise), what struck me the most is the adjudicated prosthetic valve thrombosis differences (clinical, subclinical) between #Evolut and #Sapien3 #TAVR, despite no differences (yet) in reintervention. But it reaffirms to us that BVD no matter how it’s defined is not a good thing for prosthetic valves, whether it’s TAVR or in the latest @JACCJournals paper by @StevenYakubov et al, SAVR. @MDT_StructHeart
Mark Tuttle, MD retweeted
Cutting NIH to save budget is like cutting the front lobe of brain to lose weight. It’s <1% of body weight yet it governs reasoning and problem solving functions of the brain, basically determining how smart you are. Dumb move to send IT kids to do your brain surgery, America.
Mark Tuttle, MD retweeted
Back to ECMO here in @GaHeart_NGHS and love it. Here’s why a retro perfusion cannula (that I started in @cusm_muhc) is better than an antegrade (see below)
Mark Tuttle, MD retweeted
"In interventional cardiology we will use the metric system to measure things."
"Like catheter diameters Sir?"
"No - those we will measure using French sizes."
"What about wires Sir?"
"We will measure those in inches"
"Why Sir?"
"No one knows"
