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Ravi Hira
Interventional Cardiologist at University of Washington and Medical Director of COAP. Interested in CHIP, CTO, quality and outcomes.
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Ravi Hira Jun 15
Softer wires usually make a smaller subintimal space but I think management of subintimal space is less dependent on the knuckle and more on use of crossboss and optimal pluggin of inflow with trapliner. Use the XT and Mongo most commonly for knuckling.
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Jack Hall Jun 14
The Wollmurh Technique
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jcspratt Jun 5
It’s a wire issue: there is a short section of the Sion Blue that is 0.010 cf 0.014: after overinflation (& 24 atm is significant overinflation) there is a shrinkage of the balloon hypotube- hence the stickiness
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Ravi Hira Jun 8
“one resource that seems endless — and free — is the professional ethic of medical staff members. “
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Ravi Hira Jun 8
So sad but so true 😔
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Raj Ratwani, PhD Apr 11
It’s date night....dinner or EHR documentation? ’s shows compelling data that physicians are on the EHR Friday nights instead of engaging in other important downtime activities.
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Ravi Hira Jun 7
The EF is low but EDP is low too. Would start with a RHC and depending on CO/CI would consider MCS support and then do bifurcation PCI.
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Jedicath Jun 7
“Nothing prolongs a procedure like a short-cut” Applies to all surgeries & procedures
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Medlife Crisis (Rohin) Jun 3
Lots of theories about why Indians dominate the Spelling Bee (this year's champs⬇️). Here's mine: these kids have spent their whole lives spelling their names out to people. They never had a choice...they didn't find spelling, spelling found them😎
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Francesco Saia Jun 2
32yo STEMI with borderline inferior ST elevation. Cath lab: no more chest pain and ST resolution, distal embolization to the apical branch. What would you do? Please answer below/RT/comment
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Ravi Hira Jun 2
Replying to @saia_francesco
I have to say, I’m quite surprised at how wide the variation in management for a 32 yo is - med management vs PCI vs CABG. I would aspirate, 2b3a, image and stent LM-LAD (there is definitely an ostial lesion).
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Tony Breu May 31
1/17 How do calcium channel blocks (e.g., amlodipine) cause edema? I've known since medical school that amlodipine can cause edema, but I’ve never taken the time to examine the mechanism. The explanation is cool and has implications as the summer heat approaches...
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Mark Lewis May 31
With thanks/apologies to and his take-no-prisoners podcast calling out various acts of conference malfeasance, bingo has hereby begun …
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Ravi Hira May 30
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Catherine R. Counts May 23
“The researchers found that the number of hours worked by the interns was the only factor correlated with telomere shrinkage. The interns in the study worked an average of 64.5 hours per week, but as individuals worked more hours, their telomeres shrank faster.”
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Amit Keswani M.D. May 22
Thank you for the opportunity to talk about an important contributor to .
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Alex Truesdell May 23
👍Really great access "rescue" technique (for a common problem)👇(link and first image) by (and my personal recommended preventive strategy [2nd image]): ...
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Debra L. Beck May 23
Public Reporting of PCI Outcomes--a hot topic! My latest on via
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Ravi Hira May 23
Replying to @sameergafoor
No...it’s a very impressive echo. Just wondering if it was because of VA ECMO?
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Ravi Hira May 23
Also agree that disease based reporting is preferable and we are making efforts at COAP to use claims/admin databases to look at that. But not sure the current mechanism of abstraction to obtain high quality clinical data would be tenable for disease based states given the cost.
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