Houston, we have a problem! TEE screen for TriClip procedure… reveals RA appendage thrombus. Isolated RAA thrombus is rare (without LAA or LV thrombus). Chronic AF and severe RV systolic dysfunction likely responsible.
#iEcho
#echofirst
As chair of the ASE guideline committee, I am thrilled to share a link to the first GL document published in 2019.
@ASE360
Congratulations to Carol Mitchell, Peter Rahko, Lori Blauwet, and writing group members. You’ve set a new standard in excellence.
Starting to love the new 3D color Doppler visualization tools. MV pre-TEER for P1 flail. The “standard” 3D color Doppler shows the medially directed MR jet. The TruView imaging shows an other-worldly MR nebula.
Severe functional TR.
#mitraclip
x2 to septal/anterior leaflets. TR much improved, RV systolic function a little worse (as expected). Learning so much about the forgotten valve; #❤️interventionalecho
@ASE360
78 yo, bioMVR, w dyspnea + hemolysis. Noted clear systolic & diastolic paravalvular flow but predicted a 12x7x20 mm Amplatzer VSD occluder would fit. It didn't - pulled right through with a tiny tug.
Lesson: Diastolic paravalve flow = really big hole.
#iecho
,
#valve
,
@ASE360
,
Some old school AS Doppler. 80 yr old male presents with mild fatigue and a murmur. Peak AV velocity 6.23 m/s; mean AV gradient 100 mmHg! Highest I've ever seen. Amazing what a strong heart will do.
#echofirst
#Valve
#TAVR
Guidelines for the Evaluation of Valvular Regurg After Percutaneous Valve Repair or Replacement. Hot off the press; full pdf now available. Congratulations
@WilliamZoghbi
and all coauthors. Another comprehensive GL from
@ASE360
.
#iecho
Meeting up with two of our incoming
@HMethodistCV
fellows
@ACCinTouch
. Amazing to meet these talented future cardiologists for the first time in 3D! Looking forward to many great moments with
@thakkar_samarth
,
@SammourMD
, and all our new CV fellows.
Congrats to Dr.
@SLittleMD
and the Structural Heart team at
@MethodistHosp
, which has performed its 400th TEER (Transcatheter Edge-to-Edge Repair) procedure. This is the largest volume of procedures performed by the same single team in the
#Houston
area!
4/4. The anterior mitral leaflet just can't open. A form of mitral pseudo-stenosis. The incredible auscultation finding defined by Dr. Flint > 150 yrs ago.
I usually limit my Twitter/X comments to cardio content, but I can’t help but brag about my beautiful wife
@blittlewaun
❤️ and her professional recognition! Houston real estate top producer - helping so many families find their home in Houston. Congratulations Brenda 👏👏
#ASEchoJC
How to get the best 3D views of the MV to guide these procedures? Start with probe manipulation (big or small wheel) to make the mitral valve as horizontal as possible (perpendicular to the US beam). Optimize the left box; adjust width of the right box. Done.
3D ICE to guide closure of an ASD. A great result. Thank you
@SachinGoelMD
for letting me get my hands wet. First images from an old echo dog learning a new trick.
#iEcho
#echofirst
Very happy to announce that the newest
@ase360
GL on evaluation of regurgitation after SHD intervention is now available from JASE online. Congratulations
@WilliamZoghbi
on shepherding yet another GL to completion. Cases coming soon ! herding
The long awaited return of the Houston Methodist Valve Journal Club. Just 26 friends and colleagues having a great dinner and discussing TAVR vs SAVR outcomes (non-inferiority) and durability. Thank you
@IsaMathiasMD
and
@safinmc
for a great discussion.
#iEcho
Imaging Guidance for Transcatheter Mitral Valve Intervention on Prosthetic Valves, Rings, and Annular Calcification | JACC: Cardiovascular Imaging. Now available online. Thank you
@MayraGuerreroMD
and all coauthors.
@HMHCardioFellow
Happy to be at
#ase2018
and very thankful to
@ASE360
for their recognition of my time on the Board of Directors. Such a fantastic society of peers, friends, and mentors.
A very important publication for all Interventional Echocardiographers, Interventional Cardiologists, and hospital administrators. The radiation ☢️ exposure and risk is real. A call to action!
#iECHO
@ASE360
#ACCFIT
Congratulations to Rebecca Hahn, PhD, who received the 2023 Physician Lifetime Achievement Award from
@ASE360
. Dr. Hahn is a pioneering cardiologist specializing in interventional echocardiography and percutaneous treatment of valvular heart disease.
@hahn_rt
@ColumbiaMed
What a fabulous event!
@ASE360
Foundation Gala was sooo much fun. Mentors, honors, awards, and friends. This diverse, inclusive community is such a wonderful family. ❤️
An amazing site! All 8 of our busy PGY4 CV fellows in one place, standing still, together! Amazing what a little food and coffee can achieve early morning. Grateful for this crew, and our PGY 5/6’s who got to sleep in.
@HMHCardioFellow
@HMethodistCV
#ACCFIT
Join ASE in Hawaii 🌴☀️🌴
4 days of short talks, cases,cases,cases, luminary discussions, friends, colleagues, family - on the big island - in January! Register now
#34years
A great weekend spent planning the next
@ASE360
scientific sessions
@NationalHarbor
/DC. Great venue; great speakers; great science. Hope you can all join us in person in June.
#ASE23
That's a wrap! Special thanks to Jim Kirkpatrick
@maddiejane25
for leading great discussions w/ the planning committee for
#ASE2023
!! We look forward to welcoming everyone to National Harbor June 23-26.
#SeeYouOnTheHarbor
Dr. Yang Zhan, senior cardiology fellow (PGY 8), teaching our core fellows using TEE simulators. I wish we had this tech was I was first learning echo!
#echofirst
@BNMoore220
@HuieLin
CoApt study just reported as overwhelmingly positive. Mortality HR 0.62 at 2 yr follow up. Huge implications for those providing MitraClip therapy, and for those patients with symptomatic HF with > 3+ secondary MR.
#valve
#iecho
Happy to share this new editorial with all. The study by Montalto et. al. reminds us of the high mortality associated with severe TR. Many important questions still to be answered. Likely
@hahn_rt
and others will soon provide the answers 😊.
#echofirst
#valve
@ASE360
Many congratulations to these stellar incoming chief fellows
@smitha_narayana
and
@nbharat89
!!
You will no doubt continue to be the formidable, caring, innovative leaders for this program. Can’t wait to see what you both come up with!!
#ACCFIT
#AHAFIT
#CardioTwitter
Very honored to be presenting the inaugural cardiology grand rounds at Cleveland Clinic Florida. Happy to discuss the CV subspecialty of Interventional Echo. Thank you
@ClevelandClinic
Florida and
@JerryEstepMD
for the wonderful hospitality. And what amazing fellows!
#iecho
Reviewing a CT for mitral annular calcification and stenosis. Not the kind of rock you want on Valentine’s Day or any other day.
#valve
,
#structuralheart
,
@hahn_rt
@SammourMD
presents his latest research at the Houston Methodist Research Institute Summer Research Symposia. Great science presented by fellows and post docs. Very impressive!
@HMHCardioFellow
@HMethodistCV
Happy Canada Day! Whether we live above or below the 49th parralell - all 🇨🇦/ 🇺🇸 friends know how to really celebrate this big birthday.
#TrueNorthStrongAndFree
in Texas! 🍻
Shout out to
@DipanJShah
(CV Imaging program Director) and
@WilliamZoghbi
for selecting such an outstanding group of Advanced Imaging fellows this year - 5 of the 7 are women! Can’t wait to work with such a talented group of young physicians. 👍
#WIC
#ACCFIT
@NadeenFaza
@ASE360
Mark your calendar for this expert conversation about mitral and tricuspid management. Join the ASE Interventional Special Interest group via the
@ASE360
members portal.
Our JACCImg editorial published online 👇 1. Severe AS without other cardiac dysfunction is uncommon. 2. Associated cardiac dysfunction upstream of AS, (LV ➡️ LA ➡️ TR➡️RV / PHTN) add significant prognostic risk.
#ASEchoJC
. New
#asecho
lab poster on residual regurgitation after catheter-based repair will be available soon. Look for it in Portland and get one for your lab
Congratulations Dr. Sherif Nagueh for receiving the ASE Meritorious Service Award. Thank you for contributing so much to our society and it’s grateful members.
@ASE360
#ase2018
@MethodistHosp
I still love this post. Remains highly relevant in explaining the Amplazter snowman ☃️ artifact (aka figure of 8) to fellows. Never miss a septal occluder on echo - once you know 😉
♾ in LA & RA = ASD occluder! “The figure-of-eight display of the Amplatzer Cardiac Plug device is the result of the specific epitrochoid geometry of the device mesh & its interaction with US waves”
Thank u
@iamritu
!
#EchoFirst
#Cardiotwitter
@ASE360
I will be joining these 2 legends at the
@CongressodoDIC
from August 22-24 in my dear home town Salvador, Bahia, Brazil! Dr.
@SNagueh
will be discussing HCM, LA strain and diastology, Dr.
@SLittleMD
& I will discuss important topics in valve disease!
An exciting milestone in therapy for so many patients with significant TR. Looking forward to commercial application of TriClip and to robust post-approval outcomes data.
@HMHCardioFellow
@ASE360
#iEcho
Bom Dia. Very honored to represent
@ASE360
in Brazil at the
@CongressodoDIC
. A fabulous agenda with local and international imaging experts. Putting my translation app into turbo mode.
Day one of NY Valves
#CRFNYV
complete. Great team discussion of tough issues, and amazing cases. Congratulations to the
@crfheart
for this new format success. I found one fellow so far
@thakkar_samarth
- but looking for all our stellar young docs.
🧵for the new residents and students on the meaning of 'French' and 'Gauge'.
We've covered this on here in the past, but a lot of new people are starting on surgical rotations, so let's look at them again.
As usual, we'll cover their history and what they mean.
(1/ )
New fellows meet & great. Just a few more of the smiling faces and physician leaders that make our CV fellowship so special. Looking forward to another great academic year!
Dr. Nadeen Faza - interventional imaging fellow extraordinaire. Nice capture of the Balis needle puncture at 12 o’clock on the fossa (viewed from the LA). We always aim to puncture b/w 12-2 o’clock, and we always use 3D echo!
#valve
#iecho
Welcoming our 5 newest cardiology fellows to Houston Methodist. Always exciting to see the best and the brightest following their dreams.
#ACCFIT
#lifelonglearning
Wow - Congratulations JASE! That’s a huge jump and a clear testament to the incredible efforts of
@mikepicardmd
and the entire staff, associate editors, editorial board, and manuscript reviewers that contribute so much to
@JournalASEcho
.
#echofirst
Excited to report that the 2021 journal impact factors were released today.
@JournalASEcho
impact factor jumps from 5.251 to 7.7 ! And we advance from
#38
to
#27
amongst 143 cardiology journals
@ASE360
@mikepicardmd
As a cardiology fellowship program director, this editorial has special meaning. Healing and the humanities are often overshadowed by technology and measured competencies. Thank you
@HeartDocSharon
for sharing this link.
#ACCFIT
Great point! Ao flow reversal is less specific for significant AR in the elderly, but...if new only after TAVR that’s useful. Important to look for it at baseline.
#ASEchoJC
Remembering our fallen this Memorial Day. Arlington National Cemetery photo taken last November. Grateful to have been able to travel then and pay my respects.
The TR expert,
@hahn_rt
and fabulous speakers with interesting TR cases to follow. This webinar will be fantastic! Please join
@RigolinVera
and me as we moderate this event.
It was an honor to present CV grand rounds
@PittCardiology
. Thank you Dr. William Katz for the incredible hospitality. What a treat to meet and discuss VHD and interventional Echo cases with their stellar residents and fellows.
#iECHO
@ASE360
@HMHCardioFellow
Great grand rounds at
@PittCardiology
by
@SLittleMD
discussing interventional echocardiography and new interventional techniques emerging in the field. Grateful to be learning from the experts on a daily basis to do the best for our patients
@UPMC
Truly a spectacular meeting. A huge thank you and congratulations to the phenomenal efforts of two extraordinary people
@HeartDocSharon
@carolKCM
and multiple remarkable
@ASE360
staff and member volunteers. 🙏
#ASE2022
#WIC
Hard to believe that
#ASE2022
is "in the books"! An exceptional meeting for us
@ase360
, as we forge a new future. Our drive for quality education, shared friendships and collegiality keeps us strong! Thank you to
@carolKCM
and our awesome planning cmte
@ray_stainback
@mswami001
Sometimes a research team celebration just needs wine and a little Texas BBQ. So proud of the collective spirit and expertise that makes our valve research mission so satisfying. Thank you Clara, Mirette, Marija, Stefano, Carlos, SuMin and the many others not pictured.
#valve
Now available online at
@JournalASEcho
👇 New recommendations for special competency in Interventional Echo. Thank you to the entire writing group, and all who continue to train and teach in this exciting sub-specialty.
Very much looking forward to the incomparable
@hahn_rt
presenting grand rounds to 9 am ET tomorrow at Houston Methodist Hospital.
#iECHO
@ASE360
join us via the link below.
The
#ASEFoundation
is getting closer to its $5,000 Coffee Day goal. So far, 61 donors
#GaveACup
raising $4,300! If you haven’t already donated, listen to
@robertomlang
and Eric Kruse’s BS, ACS, RDCS, RVT, FASE, “great idea”!