Tom Wilson @TWilsonMD Twitter profile

Last Seen Profiles

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@stwmaniax

Tom Wilson

@TWilsonMD

2 years

@DavidSFOX4 @FOX4 Jesus. Terrible. Faster plane lost awareness of where the slower plane beneath him was. Didn’t see it coming from above.

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Tom Wilson

@TWilsonMD

10 months

@mmamas1973 @agtruesdell @jl35wilsonMD @jedicath @nyalborgesmd @_AdilShakil @BaoGTran @evandrofilhobr @DrIHHashmi1 @BSCCardiology Friday add-ons! Definition of calcific nodules. 1.5mm burr to create gutter, NC 🎈, 4.0 Shock, LM-OM PCI. #veingraftdown 6m after CABG. Massive MSAs!

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Tom Wilson

@TWilsonMD

2 years

@msenussiMD Great. Save 2mL. Not following.

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Tom Wilson

@TWilsonMD

1 year

@DrIHHashmi1 @evandrofilhobr @Hragy @HadyLichaaMD @mmamas1973 @SyedYNaqvi1 @agtruesdell @jl35wilsonMD @jbspadoni @Obisht 85F, SOB, CCS 2-3, mild ischemia on Nuc. Came in 2d later w CP, Unstable angina. Strategy? 16m later doing well, FYI.

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Tom Wilson

@TWilsonMD

1 year

@LAzzaliniMD Curious about the indication for this case. Fixing an apical LAD, in my experience, rarely results in any significant benefit whether it be symptoms, EF, QOL.

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Tom Wilson

@TWilsonMD

2 years

@DrBillLombardi @KateKearney4 @jl35wilsonMD @agtruesdell @BSCCardiology watched a recorded Lombardi/Kearney case. Great info-best line “if you’re doing PCI using a regular Touhy screw thing just stop doing PCI.” #CardioTwitter #CTO

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Tom Wilson

@TWilsonMD

2 years

@jl35wilsonMD @kerrigjl @Umair2017 @ShariqShamimMD @slingsnack #CardioTwitter How would you critique this LAD PCI? 68F, elective planned PCI. Nothing left out.

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Tom Wilson

@TWilsonMD

1 year

@DrIHHashmi1 @w_jyg @jl35wilsonMD @BaoGTran @evandrofilhobr @rotamonster @_AdilShakil @agtruesdell @Obisht @AllaqabanSuhail @ShariqShamimMD how would you handle this ostial R? Low takeoff. Severe Ca++. Rota Floppy/ES, CSI ante/retro, other?

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Tom Wilson

@TWilsonMD

1 year

@kerrigjl @jl35wilsonMD @HadyLichaaMD @ShariqShamimMD @SVRaoMD @timir_paul @BifurcationClub @AmBifClub when bifur PCI is done w poor technique. Start w 3, end w 1. D2 down after LAD stent. Video is 1w after stenting. Why did this fail? Thoughts? Back w CP

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Tom Wilson

@TWilsonMD

1 year

@jedicath @jl35wilsonMD @CMcNeelyMD @agtruesdell @kerrigjl @HadyLichaaMD @DrIHHashmi1 @Obisht Nice ISR case. +/- 14 year old stent for AMI, now CCS3 Sx. Laser busted. Went w OA, SW 🎈, 3.5x38mm XD, post, IVUS. @csi360 @ShockwaveIVL @BSCCardiology

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Tom Wilson

@TWilsonMD

10 months

@mmamas1973 @evandrofilhobr @MarekRadomski71 @jl35wilsonMD @_AdilShakil @DrIHHashmi1 @CMcNeelyMD @BaoGTran @nyalborgesmd @perc_surgeon @SVRaoMD 24M, CP 12h back, waxed and waned, p/w severe acute CP & SOB. Denies coke/meth. Frank STE ant/inf leads w Recip Chgs. Problem? Plan?

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Tom Wilson

@TWilsonMD

2 years

60F, obese, HTN. CP x 4-6h, EKG very unremarkable. Trop 0.4 —> 1.4. LV gram 40-45% w/ anterior hypokinesis. RCA normal. LAD 100%, OM1 95%.

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Tom Wilson

@TWilsonMD

2 years

@jl35wilsonMD @MattMcDiarmid1 @_AdilShakil @kerrigjl @CMcNeelyMD @Obisht whisper in LCx, unable to cross w 1.2mm, Corsair to bore a hole, serial PTCA, shockwave 3.5mm, IVUS, 4.0mm Megatron, 4.5NC to 20atm. OM/LPL & LAD staged.

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Tom Wilson

@TWilsonMD

8 months

@JoySanyal74 @_AdilShakil @ShariqShamimMD @jl35wilsonMD @HadyLichaaMD @BaoGTran @nyalborgesmd @SyedYNaqvi1 @CMcNeelyMD 83M w claudication R>L, class 3. Isolated CFA. Plasty or endart? I would strongly consider shockwave+DCB.

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Tom Wilson

@TWilsonMD

2 years

#CardioTwitter @MarekRadomski71 @DrIHHashmi1 @ShariqShamimMD @Umair2017 @kerrigjl 83M, CKD3, CP. LAD iFR+. Strategy for 1,1,1? I went with provisional after PTCA SB w/ Wolverine. Now what? No CP or EKG changes. Reverse crush or leave it?

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Tom Wilson

@TWilsonMD

1 year

@SVRaoMD @ShariqShamimMD @Obisht @DrIHHashmi1 @Allison_Dupont @agtruesdell @jl35wilsonMD @evandrofilhobr @CMcNeelyMD @_AdilShakil @AuroraCVFellows @GreggWStone late night 80M, NSTEMI, Lg thrombus in SVG-RCA, how would you manage?

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Tom Wilson

@TWilsonMD

1 year

@mmamas1973 @jl35wilsonMD @kerrigjl @evandrofilhobr @HadyLichaaMD @DrIHHashmi1 @_AdilShakil @SyedYNaqvi1 what would you call this stenosis? Not me panning. <40%, 40-70, >70, don’t know IFR/IVUS? Ostial LCx also ?

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Tom Wilson

@TWilsonMD

1 year

@willyhfrick @PendellM @smithECGBlog @RobertHermanMD @AmmarNasirMD @The_Nanashi_O @DidlakeDW @cardiojaydoc02 @Hragy @Vadeboncoeur_Al @EcgsOnly Jesus, in the setting of any symptom concerning for ACS I don’t care if it misses criteria by 0.5mm that patient goes to the lab.

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Tom Wilson

@TWilsonMD

1 year

@CMcNeelyMD @jl35wilsonMD @DrIHHashmi1 @_AdilShakil @ShariqShamimMD @agtruesdell @BaoGTran @Obisht @rotamonster @evandrofilhobr @nyalborgesmd @AntoniousAttall @khellox @csi360 glide assist in, multiple passes, stent, IVUS, post 4.5 @ 20atm.

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Tom Wilson

@TWilsonMD

2 years

@kerrigjl @jdrwilcox @ajaykirtane @rotamonster @jl35wilsonMD @MattMcDiarmid1 @_AdilShakil @agtruesdell @jdrwilcox #ACCFIT #ACCEarlycareer 80M, elective Cath AbN Nuc, CP in same day unit preop. After Angio subtle ST changes, persistent CP. What to do?

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Tom Wilson

@TWilsonMD

2 years

@AllaqabanSuhail @DrIHHashmi1 @jl35wilsonMD @DrJayMohan @agtruesdell f/u from prior Cath. IVUS wouldn’t cross. 🎈 Diag, then LAD. 2.5 cutter wouldn’t cross. Did OA, cutter, high-psi NC, stent. See Ca fracture, good stent expansion.

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Tom Wilson

@TWilsonMD

2 years

@BaoGTran Pap muscle rupture/dysfxn, MR = pulm edema

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Tom Wilson

@TWilsonMD

2 years

@AllaqabanSuhail @aspergian1 @ShariqShamimMD @SandeepNathanMD @jl35wilsonMD @ACSCardiology 🦴 2.5NC at 26atm, 1.25 burr to make room for IVUS, upsized to 1.75 burr, shockwave x80, stent. No laser in house. #CardioTwitter #ACCFIT

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Tom Wilson

@TWilsonMD

2 years

@AJamilTajik @jl35wilsonMD @_AdilShakil @MattMcDiarmid1 @mmamas1973 @ASE360 @renujain19 @PatrycjaGalazka take a look at this mitral annular disjunction! Young female, known MVP/Barlow since 2015, OOH arrest w SCAI-C shock. Malignant MVP? 2015 vs present.

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Tom Wilson

@TWilsonMD

2 years

@mmamas1973 @jl35wilsonMD @Umair2017 @agtruesdell @kerrigjl @jedicath @aspergian1 #ACCFIT 41AAF, no radial option, typical CP, “MI & stent 5Y ago.” EKGs 15m apart. Great Ex of Vasospasm. Suspect LCx stent was placed for spasm as well. 🚬 cessation mandatory.

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Tom Wilson

@TWilsonMD

9 months

@mmamas1973 @Obisht @perc_surgeon @rickytiago @ShariqShamimMD @jl35wilsonMD @CMcNeelyMD @kerrigjl @CMichaelGibson @djc795 @DrIHHashmi1 how to stop this BS? 58F, LAD PCI 2w ago. Nice LV grm followed by pLAD PCI for questionable stenosis. Pt “not compliant.” No IFR/IVUS.

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Tom Wilson

@TWilsonMD

2 years

@CMcNeelyMD @nfrogge @jl35wilsonMD @kerrigjl No role for BMS today. Zero.

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Tom Wilson

@TWilsonMD

1 year

@perc_surgeon @jl35wilsonMD @_AdilShakil @kerrigjl @Umair2017 @DrJayMohan @HadyLichaaMD @w_jyg 80M, CCS-3, RCA PCI 2Y ago. LM-LAD 1y ago. TIMI-2 in RCA. Mechanism of ISR? How would you fix?

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Tom Wilson

@TWilsonMD

2 years

Such a great day when you happen to run into 1 of these. @jl35wilsonMD @MattMcDiarmid1 @_AdilShakil @DanielJohnsrud

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Tom Wilson

@TWilsonMD

1 year

@mmamas1973 @ShariqShamimMD @DavidLBrownMD @jl35wilsonMD @djc795 @BaoGTran @nyalborgesmd very active 40M, self-ref for CAC of 480. EKG - WPW (new Dx). Next step? ASCVD 10y risk = 9%. Do anything?

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Tom Wilson

@TWilsonMD

9 months

@AuroraCVFellows @AllaqabanSuhail @jl35wilsonMD @jedicath @mmamas1973 @perc_surgeon @RSohnMD @rickytiago @agtruesdell @SyedYNaqvi1 @KopCardiologist @DrIHHashmi1 #ACCFIT case appeared to be easy but the RV marginal @ the cap made life tough. Teaching case for use of DLMC.

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Tom Wilson

@TWilsonMD

2 years

@KAlaswadMD @aspergian1 @SandeepNathanMD @jl35wilsonMD @AllaqabanSuhail @ShariqShamimMD 80M, mLAD PCI 2008, recent NSTEMI w pLCX PCI. Now w severe focal mLAD & severe ISR w under-expanded old stent. 🦴 of old stent at 26 atm. How to manage? Also has severe dLCx/LPL disease.

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Tom Wilson

@TWilsonMD

1 year

@agtruesdell @jl35wilsonMD @_AdilShakil @SyedYNaqvi1 @HadyLichaaMD @BaoGTran @nyalborgesmd @DrIHHashmi1 @w_jyg @MarekRadomski71 @rotamonster 81M, CCS-3, ant. wall ischemia. EF 40%, ant. hypokinesis. Whoever stented this man years ago should hang up the cleats. Strategy?

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Tom Wilson

@TWilsonMD

11 months

@rotamonster @jl35wilsonMD @jedicath @CMcNeelyMD @_AdilShakil @evandrofilhobr @DrIHHashmi1 @CMichaelGibson 84M, Indepen, severe diffuse Ca+ plus 🪨s. Normal EF, +Sx, Mod Ischemia on NM stress inferolat. Already 1 layer in m-DLCx. Rota, IVL, Ranger DCB. OM left it. Thoughts?

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Tom Wilson

@TWilsonMD

2 years

@ShariqShamimMD @MattMcDiarmid1 @jl35wilsonMD @CottonSchwab1 @Umair2017 #CardioTwitter #ACCEarlyCareer . 70F, OP Cath for typical CP, “mildly” abN Nux. Strategy? Hint, it surprised me. Don’t say Rx management please.

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Tom Wilson

@TWilsonMD

1 year

@jedicath @mmamas1973 @djc795 @angioplastyorg @GruentzigG @jl35wilsonMD @_AdilShakil @DanielJohnsrud @AllaqabanSuhail @ShariqShamimMD @DrIHHashmi1 for the #ACCFIT , review of stent fracture types. Here is type IV. Index procedure 14m ago.

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Tom Wilson

@TWilsonMD

1 year

@jl35wilsonMD @AngryCardio @DrJayMohan @agtruesdell weekend off! Door County, WI to Fayette, MI by @bostonwhaler #nordor

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Tom Wilson

@TWilsonMD

2 years

@SVRaoMD @jl35wilsonMD @AllaqabanSuhail @agtruesdell @DrIHHashmi1 @DrJayMohan @heartdoc45 @SandeepNathanMD Strategy for this moderately tortuous IMO 1,1,1 lesion. CP, failed stress, 53M smoker no DM.

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Tom Wilson

@TWilsonMD

1 year

@Obisht @agtruesdell @jl35wilsonMD @ShariqShamimMD @DrBillLombardi @evandrofilhobr @DrIHHashmi1 @_AdilShakil 70M, abN stress, SOB. Elective PCI, atherectomy->plasty->c/b mLAD perf. Sealed w prolonged 🎈. Took off table. Feels fine, go back and stent or not?

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Tom Wilson

@TWilsonMD

9 months

@Umair2017 @JingLiu_MD @mmamas1973 @Hragy @BCMHeart @MayoCVFellows @HMethodistCV @AntoniousAttall @jedicath @DrJayMohan Personally I despise universal catheters. JL/JR. Better consistent angiography. Less contrast. Every MD I see using universals the catheter is frequently bouncing in and out of LM, far more streaming & overall poor quality.

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Tom Wilson

@TWilsonMD

1 year

@dr_cellini I was a CR, w 2 co-chiefs. We’re paid as junior faculty. At the time residents were making 60-65k, and I think my salary was 120-130. I also had time to moonlight at urgent care.

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Tom Wilson

@TWilsonMD

2 years

@ShariqShamimMD Many interventional cardiologists don’t know the difference b/w coulotte, DKC, mini/nano-crush, step-crush, TAP, etc. Somewhat shocking, esp if you’re dealing w bifur lesions.

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Tom Wilson

@TWilsonMD

1 year

@perc_surgeon If anyone mentions FFR/iFR of a LIMA I’m going to bl*w my head off.

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Tom Wilson

@TWilsonMD

1 year

@sis_medical @perc_surgeon @jedicath @rotamonster @jl35wilsonMD @DrIHHashmi1 @evandrofilhobr @CMcNeelyMD @kerrigjl @AuroraCVFellows thank you to SIS/OPN team out of IL for bringing an OPN 🎈, 1st in WI @ Ascension St. Es! Post Rota, needed some help! 40 atm!

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Tom Wilson

@TWilsonMD

1 year

@jedicath @Obisht @DrIHHashmi1 @evandrofilhobr @Hragy @HadyLichaaMD @mmamas1973 @SyedYNaqvi1 @agtruesdell @jl35wilsonMD @jbspadoni Agree w most. Small RRadial, limited to 6F. After initial 🎈, & KBI I decided on DKC. Thought about nailing diag but D2 was 2.8-3.0mm.

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Tom Wilson

@TWilsonMD

1 year

@jl35wilsonMD @HadyLichaaMD @KAlaswadMD @kerrigjl @DrJayMohan @Umair2017 @DiamondAircraft @nyalborgesmd when the lab calls asking what equipment I want for the 1st case… “I’m in the parking lot, be right there.”

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Tom Wilson

@TWilsonMD

2 years

@TaylorOgan @Rivian @RJScaringe This will get the job done for 25 more years. Hasn’t met a tow truck since 1997. Every single button works. #Landcruiser

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Tom Wilson

@TWilsonMD

2 years

@GreggWStone @mmamas1973 @MarekRadomski71 @kerrigjl @jl35wilsonMD @DrJayMohan @aspergian1 @AuroraCVFellows 75M, LAD PCI in 2015. Promus Elite. Back w typical Sx, abN stress ☢️ (mildly abN). NIH? Or also a component of neoatherosclerosis?

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Tom Wilson

@TWilsonMD

1 year

@CMcNeelyMD @jl35wilsonMD @jedicath @AngryCardio @DavidLBrownMD @perc_surgeon @mmamas1973 @kerrigjl @evandrofilhobr @DrIHHashmi1 POD #15 , sustained VT. Sent to cabg w low-int SYNTAX. SVG-PLB down. What do surgeons tell pts about risk of premature graft failure? 4.5 & 3.0mm stents.

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Tom Wilson

@TWilsonMD

10 months

@mmamas1973 @Obisht @evandrofilhobr @nyalborgesmd @jl35wilsonMD @jedicath @agtruesdell @MarekRadomski71 @HadyLichaaMD @CMcNeelyMD @djc795 @DrIHHashmi1 @Umair2017 @ShariqShamimMD @perc_surgeon @SyedYNaqvi1 What is your choice for coronary plaque mod balloon? & why?

Wolverine

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Scoreflex

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Angiosculpt

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Chocolate

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Tom Wilson

@TWilsonMD

2 years

@arun_kahlon Crossover on that 1. What about this?

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Tom Wilson

@TWilsonMD

1 year

@MusaSharkawiMD Agree. But the main problem I see is many IC can’t interpret IVUS worth a ——. 1 thing to do it, another to understand it.

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Tom Wilson

@TWilsonMD

1 year

@agtruesdell @jedicath @jl35wilsonMD @evandrofilhobr @BaoGTran @AllaqabanSuhail @ShariqShamimMD @RSohnMD @timir_paul 70M, Ant Ischemia, CAC 3k. 7F Rad. CSI prox, D2 SubInt, IVUS conf true lumen entry, 1.0mm 🎈, perf. Where is the perf? Bring back to stent?

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Tom Wilson

@TWilsonMD

2 years

@jl35wilsonMD @_AdilShakil @AllaqabanSuhail @kerrigjl @Umair2017 @KAlaswadMD @BaoGTran is there hope for education? Difference b/w throwing an IVUS down a vessel vs proper interpretation. Great move to throw a 2.5 inside a 2.5.

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Tom Wilson

@TWilsonMD

9 months

@HadyLichaaMD @jl35wilsonMD @jedicath @MarekRadomski71 @KopCardiologist @mmamas1973 @SyedYNaqvi1 @agtruesdell @AIU_Medical @nyalborgesmd @kerrigjl @kevinjamescroce @BSCCardiology @toreyj01 #ACCFIT RCA, DLMC to find true lumen, check out this interesting dRCA IVUS run.

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Tom Wilson

@TWilsonMD

1 year

@HadyLichaaMD @perc_surgeon @jl35wilsonMD @_AdilShakil @kerrigjl @Umair2017 @DrJayMohan @w_jyg No laser at this lab. Used small NC, then 2.5 Wolverine to 18, 3.5 shockwave & NC to 24, 3.5 megatron. Post w 4.0 to 20.

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Tom Wilson

@TWilsonMD

2 years

@mmamas1973 @agtruesdell @DrJayMohan @jl35wilsonMD @_AdilShakil @AllaqabanSuhail @BaoGTran @HadyLichaaMD @DrIHHashmi1 how would you retrieve this amplatz ASD closure device? ASx after embo.

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Tom Wilson

@TWilsonMD

10 months

@Umair2017 @DrIHHashmi1 @KateKearney4 @kerrigjl @jedicath @MarekRadomski71 @evandrofilhobr @ShariqShamimMD @perc_surgeon @agtruesdell #cardiotwitter #purposefulpractice 53M, ambig cap. Work on Tuesday, fly to CO on Weds w/ @jl35wilsonMD . Friend caught my ldg for 🦃 day w family.

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Tom Wilson

@TWilsonMD

1 year

@AuroraCVFellows @jedicath @kerrigjl @jl35wilsonMD @_AdilShakil @evandrofilhobr @MattMcDiarmid1 @DrIHHashmi1 @CMichaelGibson for #ACCFIT and early career MD, how would you classify and treat this ISR? Stent from 2007.

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Tom Wilson

@TWilsonMD

2 years

@AllaqabanSuhail @jl35wilsonMD @DMemmini @_AdilShakil @MattMcDiarmid1 @agtruesdell @jcgeorgemd @ShariqShamimMD here is the final result of this massive CTO LCx from 2wks back. IVUS guided, 3.5x48 XD, post-dil to 4.5mm. Crossed w Corsair and Mongo.

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Tom Wilson

@TWilsonMD

1 year

@SyedYNaqvi1 Selective engagement of the wrong vessel. I never use the TIG for routine angiography. Judkins for the win.

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Tom Wilson

@TWilsonMD

2 years

@mmamas1973 @MattMcDiarmid1 @AllaqabanSuhail @jl35wilsonMD @_AdilShakil @agtruesdell 70M w CP, Lg ant will ischemia. PCI D1 2020, LAD 2015. Strategy? RCA mild Dz. No stent ostial Diag. #CardioTwitter

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Tom Wilson

@TWilsonMD

2 years

@AJamilTajik @AuroraCVFellows @jl35wilsonMD @MattMcDiarmid1 @_AdilShakil Was just explaining this beautiful phenomenon to a colleague. He didn’t believe me. Hasn’t spent time in the wonderful and tremendously educational suite 530.

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Tom Wilson

@TWilsonMD

2 years

@MarioIannaccon8 @alaide_chief @VPanoulas @mmamas1973 @BarberoUmberto @FabriziougoMD @Fabri84Dascenzo @CristinaAuri17 @EPTIG @giuliamasiero3 @GEICC3 @CerrahpasaC @ItaloPorto2 Never understood the use of JR guides for RCA interventions. Esp anything more than a simple type A lesion. Taking the proverbial knife to a gunfight.

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Tom Wilson

@TWilsonMD

8 months

@SVRaoMD @ShariqShamimMD @_AdilShakil @AuroraCVFellows @jl35wilsonMD @CMcNeelyMD @agtruesdell @SyedYNaqvi1 @DrIHHashmi1 @HadyLichaaMD NSTEMI in 2020, didn’t touch diag. Back in 2024 w/ NSTEMI. What will the diag look like now, 4y later? Diag not the culprit! #CardioTwitter

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Tom Wilson

@TWilsonMD

1 year

@agtruesdell @DrIHHashmi1 @_AdilShakil @ShariqShamimMD @CMcNeelyMD @kerrigjl @jl35wilsonMD @w_jyg how would you attack? Old cypher, severe LM-LAD ISR, ostial LCx hanging by thread, ambiguous origin.

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Tom Wilson

@TWilsonMD

11 months

@SyedYNaqvi1 @evandrofilhobr @KPujdak @Obisht @DrIHHashmi1 @HadyLichaaMD @ashaukat09 @jl35wilsonMD @DrBIqbal @mirvatalasnag @yourheartdoc1 @Almanfi_Cardio @DrJayMohan @AntoniousAttall @djc795 @DrAmirKaki @FahdWaqar @PCRonline @EuroInterventio @nyalborgesmd @mmamas1973 @ammozid @agtruesdell @MohanedEgred I bet the “aneurysm” has looked similar for decades. Could’ve just stented across IMO.

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Tom Wilson

@TWilsonMD

7 months

@SyedYNaqvi1 DCB if available. If not gentle balloon inflation w a Wolverine

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Tom Wilson

@TWilsonMD

1 year

Laser in my limited experience doesn’t work well for thrombus obliteration. I used penumbra and attached to GEC, improvement but still thrombus. 6F MP guide w/ Lg thrombus retrieval. Balloon, 2B/3A overnight. Partner stented following day. EF preserved next day.

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Tom Wilson

@TWilsonMD

9 months

@CMcNeelyMD @MarekRadomski71 @KambisMashayek1 @SyedYNaqvi1 @kevinjamescroce @esbrilakis @LAzzaliniMD @djc795 less than 1m until #CTO2024 , looking forward to picking up a few tips and tricks, watching and learning during live cases.

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Tom Wilson

@TWilsonMD

1 year

@jedicath @evandrofilhobr @jl35wilsonMD @HadyLichaaMD @BaoGTran @DrIHHashmi1 @w_jyg @kerrigjl @Umair2017 @CMcNeelyMD @agtruesdell are you a “green needle” or “pink needle” aka Angio Cath doc? I prefer the latter.

“Green” aka front wall

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“Pink” thru n thru

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Tom Wilson

@TWilsonMD

11 months

@jedicath @BSCCardiology @PhilipsHealth @ziadalinyc @SukhNijjer @JEscaned @RSohnMD @hect2701 @djc795 @twj1974 @DocSavageTJU @abadkhan2002 @NishithChandra I’ve used BSci and Phillips extensively. For years I used Phillips/Co-Reg, but I now prefer BSci given the resolution/image quality.

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Tom Wilson

@TWilsonMD

2 years

@EcgsOnly

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Tom Wilson

@TWilsonMD

2 years

@WCInvestor Is this satire?

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Tom Wilson

@TWilsonMD

10 months

@jl35wilsonMD @mandeep_mayo Try getting shockwave through this massive module…oh & btw his SVG to RCA, LCX and OM are down 6m after CABG. Who says vein grafts last 20 years?

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Tom Wilson

@TWilsonMD

1 year

@jedicath @ShariqShamimMD @MusaSharkawiMD @toreyj01 @agtruesdell @mmamas1973 @ziadalinyc @evandrofilhobr @JEscaned Patients always deserve a full evaluation of the LM. IVUS preferred. Many “30%” lesions are missed.

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Tom Wilson

@TWilsonMD

1 year

@jl35wilsonMD @AntoniousAttall @agtruesdell @mmamas1973 @LAzzaliniMD @_AdilShakil @DeepBlueDoc21 @MattMcDiarmid1 Why are people asking about lipid profiles? This is purely a technical discussion. For the umteenth time, we don’t have DEBs/DCBs in the US. Isn’t the assumption inherited lipid disorders and/LPa will be investigated?

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5

Tom Wilson

@TWilsonMD

2 years

@ShariqShamimMD @Umair2017 @jl35wilsonMD @tarun_jain93 @kerrigjl @_AdilShakil @MarekRadomski71 87M, class 3 SOB, Ostial LM & ostial LCx. Normal EF. On Imdur, Coreg. Strategy?

7

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5

Tom Wilson

@TWilsonMD

9 months

Check out @rickytiago and @esbrilakis on the latest episode of #senseipodcast . This has been a terrific podcast for continued learning. Thank you both.

Sensei Podcast Episode 65: Ricardo Santiago

Insights on how to learn CTO and complex PCI by Dr. Ricardo Santiago from the PCI Cardiology Group, Bayamon, Puerto Rico.

www.youtube.com

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1

6

Tom Wilson

@TWilsonMD

10 months

@Obisht @CMcNeelyMD @_AdilShakil @evandrofilhobr @BaoGTran @nyalborgesmd @agtruesdell @ShariqShamimMD @DrIHHashmi1 @DrJayMohan @MattMcDiarmid1 wknd in the Black Hills w/ @jl35wilsonMD . Great airport shuttle #RRC , side-by-side trail-running, & shooting silenced #hush .

1

0

5

Tom Wilson

@TWilsonMD

1 year

@rotamonster @jl35wilsonMD @agtruesdell @evandrofilhobr @ShariqShamimMD @djc795 I’ve used enough aminophylline all the lab nurses don’t give me the look anymore…

2

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5

Tom Wilson

@TWilsonMD

2 years

#cto2023 nasty winter storm approaching. May complicate travel for those out of Midwest. Oh the great Midwest. Heavy snow, high winds

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4

Tom Wilson

@TWilsonMD

1 year

Not as easy as I had hoped. Mongo, G3N, some progress, back to Mongo. Crossed. Balloon/MC uncrossable. Laser, ruptured 1.2, small perf, tamp both LAD/RV marginal, 1.75mm burr, plasty and stent. Lost Diag in process.

1

0

6

Tom Wilson

@TWilsonMD

10 months

@RSohnMD @mmamas1973 @evandrofilhobr @MarekRadomski71 @jl35wilsonMD @_AdilShakil @DrIHHashmi1 @CMcNeelyMD @BaoGTran @nyalborgesmd @perc_surgeon @SVRaoMD @docsaw I can’t say w 100% certainty if this was SCAD or thrombus. IMO it’s thrombus without SCAD.

1

0

3

Tom Wilson

@TWilsonMD

2 years

@jl35wilsonMD @RinfretStephane @BaoGTran @kerrigjl @Umair2017 #Cardiotwitter when dual injection is performed by…non complex PCI Interventionalists. 🤔

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2

5

Tom Wilson

@TWilsonMD

1 year

@DrIHHashmi1 @mmamas1973 @jl35wilsonMD @AuroraCVFellows @DanielJohnsrud @BaoGTran @rotamonster @csi360 76M, BMI 45, EF 30%. 95-99% ost RCA, ca+ nodule 6m back s/p Lm-Cx PCI. Now CTO. I got lucky, CSI of ostium, Cutter, stent, IVUS. Would you attempt? Go primary retro? Other?

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2

5

Tom Wilson

@TWilsonMD

2 years

@RSohnMD @brandonjonesmd Whoever said “that’s a better image than IVUS would’ve got” is captain obvious! Boston IVUS would’ve done the job as well, but that OCT run is beautiful.

0

5

Tom Wilson

@TWilsonMD

10 months

@mmamas1973 @CMcNeelyMD @_AdilShakil @jl35wilsonMD @Obisht @nyalborgesmd @BaoGTran @DrIHHashmi1 CP and STE resolved after PCI. No cutting balloon available. Look at high D1 ostial 20-30% stenosis, present before PCI. Still SCAD?

1

6

Tom Wilson

@TWilsonMD

9 months

@_AdilShakil @jl35wilsonMD @mandeep_mayo @ShariqShamimMD @mirvatalasnag IMO very unlikely for all SVG (not arterial) to have spasm. This is technical failure. Vein grafts for ya.

2

0

5

Tom Wilson

@TWilsonMD

9 months

@Umair2017 @sargsyanz @mmamas1973 @ShariqShamimMD @JingLiu_MD @HadyLichaaMD @djc795 @Hragy @iamritu @NMerke @hahn_rt If no ACS could easily get through knee surgery. Now anesthesia won’t touch. Think you’re stuck heading to the lab.

1

0

5

Tom Wilson

@TWilsonMD

2 years

@MilaKovaevi1 @BURZOTTA_F This appears to be an academic exercise. Why do you need a wire to find an adequate entry site? Standard technique with US and Fluoro is sufficient.

0

5

Tom Wilson

@TWilsonMD

1 year

@DrBillLombardi @agtruesdell @MarekRadomski71 @KateKearney4 @DrIHHashmi1 @CMcNeelyMD @LAzzaliniMD 46F, occluded pLSCA, patent LIMA (on CT), EF 25%, no q-waves, +Sx, if you had to fix RCA CTO would you try using this occluded SVG first? Chance of engaging occluded SVG? LM subtotal

3

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5

Tom Wilson

@TWilsonMD

2 years

@DrAnkushG @abadkhan2002 @LAzzaliniMD @evandrofilhobr @DrSaritaRao2 @mmamas1973 @mirvatalasnag @DrRajeshVijay @angioplastyorg @sbrugaletta @SripalBangalore @DrDarshanDoshi @abhinav5424 @ShariqShamimMD Owe the Pt and answer for LM. Eyeball test won’t do it. I don’t use physiology for LM, esp in ACS. IVUS for me.

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1

5

Tom Wilson

@TWilsonMD

2 years

@LloydKlein10 @rafasadaba For LM PCI and low-intermed SYNTAX score there is no mortality benefit to CABG w/ much higher rates or prolonged hospitalization, recovery, AFib. PCI loses on repeat Revasc. That’s about it. And all that data is old (very little IC imaging).

1

0

5

Tom Wilson

@TWilsonMD

10 months

@AntoniousAttall @DrJayMohan @DrAmirKaki @RyanMadderMD @toreyj01 95+% of my cases are done w IVUS/OCT. There are many who don’t use/don’t understand/can’t interpret properly. 1 thing to throw a catheter down a vessel, another to understand and properly interpret the images. How to address?

2

0

5

Tom Wilson

@TWilsonMD

10 months

@ramonlopezpalop @MPAOSS Good example of why the LV gram should not be abandoned completely as some have argued.

1

5

Tom Wilson

@TWilsonMD

10 months

@AHMalik_MD @AllaqabanSuhail @mandeep_mayo @DougDrachmanMD @djc795 Asking for guidance or help, when appropriate, demonstrates wisdom and humility. The goal is solving a problem for the patient, not pondering potential litigation down the road. Good question

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4

Tom Wilson

@TWilsonMD

1 year

@AmBifClub @BifurcationClub @jedicath @Obisht @DrIHHashmi1 @BaoGTran @jl35wilsonMD @GoranEBC @_AdilShakil how would you tackle this 🪨 pile bifurcation? LAD required stent ablation, still looks good.