67 yo male with severe bilateral iliac vein stenosis and no infra-inguinal DVT on ultrasound. What do you rely on most to determine stent sizing and landing zones? (imaging in thread)
Reply with how you’d choose your landing zone, especially if you’d do it differently.
0%IVUS
0%Venography
0%Preprocedural CT/MR
0%Other (see replies)
0 votes • 23 hoursPreview of the case imaging here. Live imaging and landmarking in the full case walk-through (link below).
#medtwitter #IRad
ALT Still image from left lower extremity (LLE) IVUS run
ALT Still image from symptomatic right lower extremity (RLE) venogram in prone position, demonstrating iliac stenosis
Technical tip on sequential stent deployment: given more complex left iliac angulation, some cases benefit from deploying the right stent first.
Full #venousdisease case walk-through with @SDhandMD and @HadyLichaaMD in the BackTable App 📺: backtable.com/shows/cardiolo…
Check out some recent @CardioNerds episodes! 🫀🎙️ Available alongside BackTable Cardiology in the BackTable App: na2.hubs.ly/H08xhBh0
#InterventionalCardiology #Cardiology #PulmonaryEmbolism #HeartHealth #CAD
Specialty balloons create controlled dissection, not just more force. Dr. Ziad Ali (@ziadalinyc) and Dr. Nyal Borges (@nyalborgesmd) cover device selection, undersizing in calcium, and why the first device in a lesion matters most.
Watch the full episode on the BackTable App: na2.hubs.ly/H08x84f0
#CV57 #InterventionalCardiology #CuttingBalloon #ScoringBalloon #CoronaryCalcification #ComplexPCI @StFrancis_LI @CHS_LI @atriumhealth
Would you flush a guide extension during PCI without thinking twice?
Dr. Sripal Bangalore (@SripalBangalore) joins Dr. Hady Lichaa (@HadyLichaaMD) to explain why a flush is no different from an injection once an extension is in place, and how hand injection protects against hydraulic dissection in complex coronary interventions.
Access the full episode in the BackTable app:
backtable.com/shows/cardiolo…
This podcast is supported by Teleflex.
#CV52 #ComplexPCI #InterventionalCardiology #PCI #PatientSafety #cathlab @NYUCVDPrevent @SVM_tweets @SCAI
BackTable Cardiology retweeted
Next up: Nikita Agarwal — serving aces on the tennis court and living for doggos! 🎾🐶
From Dallas to UCSD, she’s found a home at Hillcrest and a supportive team that makes cardiology a love-all game! 🫀
So happy to have you on the team, Nikita! 🐾 @UCSDCardiology
BackTable Cardiology retweeted
🫀 CardioNugget™ | Mediastinal Radiation
Thickening + calcification of the aorto-mitral curtain (AMC) is a characteristic echo finding of prior mediastinal radiation.
The AMC = fibrous continuity between the aortic and mitral valves → radiation causes progressive fibrosis → thickening → calcification.
💡 Why it matters: Extensive AMC calcification reflects more advanced radiation-associated cardiac injury and has been associated with increased mortality after cardiac surgery.
#CardioNugget #CardioTwitter #Cardiology #Echocardiography #EchoBoards #CardioOncology #RadiationHeartDisease #MedEd
BackTable Cardiology retweeted
I created LearnCoronary (learncoronary.com), an interactive tool designed to help general cardiology fellows and other early-career learners better understand coronary angiography and the spatial relationships between different angiographic views.
#cardiotwitter @OpenAI
The goal is flow, not a perfect angiography. 🩸
Dr. Riyaz Bashir (@riyazbashir) takes Dr. Hady Lichaa (@HadyLichaaMD) through balloon pulmonary angioplasty for CTEPH: guide shapes for each lobe, pressure wire guided balloon sizing, and why he deliberately undersizes in the first sessions.
Plus, what to do when a patient coughs during the case.
Watch the full episode on the BackTable App: na2.hubs.ly/H08n5cB0
#CV56 #CTEPH #PulmonaryHypertension #InterventionalCardiology #BalloonPulmonaryAngioplasty #PulmonaryEmbolism @MayoClinic @Ascensionorg @SCAI
How long do you fight a backing-off guide in complex PCI before escalating to an extension catheter?
Dr. Sripal Bangalore (@SripalBangalore) joins Dr. Hady Lichaa (@HadyLichaaMD) to explain why that decision should take seconds, not minutes. They share tips for guide selection, positioning, and the safest ways to advance extensions through tricky anatomy.
Access the full episode in the BackTable app:
backtable.com/shows/cardiolo…
This podcast is supported by Teleflex.
#CV52 #ComplexPCI #GuideExtension #StentDelivery #InterventionalCardiology #PCI @NYUCVDPrevent @SVM_tweets @SCAI
BackTable Cardiology retweeted
The website is live at intro2echo.com and the github is at github.com/douyang/echodemo
It was really fun to make the free movement - the video doesn't do it justice, but you can free move both the TTE and TEE probe and it'll generate the 2D image in according to the 3D model.
There's a couple of chapters on common echo concepts and common diseases. Would love feedback!
I'm almost ready to share it, but Claude Code is very good at keeping consistency across views and chapters.
For example, I can specify a heart phenotype, and will make all the images consistent and physiologically plausible.
Even with unlimited time, I don't think I could create such a nice tutorial!
BackTable Cardiology retweeted
Sent someone for CABG recently whose identical twin also had CABG. I wonder if their coronary anatomy is also identical. Anyone ever cath twins?
BackTable Cardiology retweeted
I was asked by @HadyLichaaMD and @DrAnkitKPatel to join them on the @_backtablecards podcast and discuss why a cardiologist should or should not do an MBA
We ended up spending an hour discussing why a cardiologist should consider getting a business training
If you are interested in getting an MBA, please listen to the podcast: I post the YouTube link below - you can also listen to the podcast on the app.
The timestamps are here:
00:00 - Introduction
04:52 - Why Pursue an MBA
08:06 - Choosing the Right Program
11:15 - Building a Cardiovascular Center on Aging
14:54 - Balancing Clinical Work and Business School
18:48 - Focusing on Finance and Analytics
23:27 - Evaluating Programs and Medical Devices
29:47 - Reimbursement and Training Implications
33:05 - MBA Return on Investment and Opportunity Cost
36:28 - Who Should Consider an MBA
46:20 - Artificial Intelligence and Business Education 50:53 - The MBA’s Impact on Cardiology
54:33 - Closing Remarks
Many thanks to Hady and Ankit - great people spreading great ideas!
Take a look here
👇👇👇
youtu.be/wJVY1iPVbLo?is=a5Gz…
When clinical questions become business questions, is an MBA the next step?
Dr. Abdulla A. Damluji (@DrDamluji) shares how business education changes the game in cardiology and healthcare leadership.
Listen now on the BackTable App: na2.hubs.ly/H08fjRg0
#CV55 #Cardiology #MBA #BusinessOfMedicine #Leadership @ClevelandClinic @JACCJournals @DrAnkitKPatel
BackTable Cardiology retweeted
🫀 CardioNugget™ |
hsCRP can change your statin decision!
Patient has borderline PREVENT-ASCVD risk (3–<5%)?
Check for risk enhancers 👇
🔥 hsCRP ≥2 mg/L
TWICE
no identifiable cause of inflammation
➡️ High-intensity statin can be useful to reduce ASCVD events
(Class 2a recommendation — NEW in 2026)
⚠️ Don't act on one random elevated hsCRP — infection, trauma, inflammatory disease, etc. can transiently raise it.
#CardioNuggets #PreventiveCardiology #ASCVD #hsCRP #Lipidology
BackTable Cardiology retweeted
🫀 CardioNugget™ |
The new “CPR” of ASCVD risk assessment
The 2026 Dyslipidemia Guideline says: Don’t just calculate risk → refine it.
Think C → P → R 👇
🧮 C = CALCULATE
Start with PREVENT-ASCVD → “What does the calculator say?”
→ Estimate 10-year ASCVD risk
👤 P = PERSONALIZE
Now ask → “What does PREVENT NOT know about my patient?”
Look for risk enhancers such as:
• Family history of premature ASCVD
• ↑ Lp(a) / apoB / hsCRP
• Chronic inflammatory disease
• Persistently ↑ TG or LDL-C
• Reproductive risk factors
• Higher-risk ancestry
🫀 R = RECLASSIFY + REASSESS
Still unsure about lipid-lowering therapy?
→ Consider CAC to reveal whether atherosclerosis is actually present
→ Reclassify risk and reassess treatment.
🧠 Think of it as:
PREVENT = estimated risk
⬇️
Risk enhancers = personalize the estimate
⬇️
CAC = break the tie when uncertainty remains
💡 CPR = Calculator → Patient → Plaque
#CardioNuggets #PreventiveCardiology #ASCVD #Lipidology #CAC #PREVENT
How do you keep a procedure radial when the subclavian anatomy is working against you?
Dr. Sripal Bangalore (@SripalBangalore) joins Dr. Hady Lichaa (@HadyLichaaMD) to work through an octogenarian on a direct oral anticoagulant with extreme tortuosity. They cover the mother-daughter technique, slender long sheaths, and when to switch rather than keep struggling.
Access the full episode in the BackTable app:
backtable.com/shows/cardiolo…
This podcast is supported by Teleflex.
#CV52 #RadialFirst #ComplexPCI #InterventionalCardiology #TransradialAccess #CathLab @NYUCVDPrevent @SVM_tweets @SCAI
BackTable Cardiology retweeted
#CarotidRevascularization 2026 comprehensive review
Hot off the press & Free for 45 days
We summarized the most important aspects of #CarotidArteryDisease management for your quick review
kwnsfk27.r.eu-west-1.awstrac…
@timir_paul @MichaelMegalyMD @zghouzi @BaylorCardio @BinitaShahMD @SCAI @SripalBangalore @DougDrachmanMD @mirvatalasnag @fjsawaya @kerrigjl @samitshahmd @DrAmirKaki @agtruesdell @Babar_Basir @sanjum @monteleoneMD @sahilparikhmd @ACCinTouch @Pooh_Velagapudi @aayshacader @EricSecemskyMD @KardiologieHH @SVRaoMD @Allison_Dupont @piccoloraf @vascularIR @SDhandMD @AnkurKalraMD @chrisme43177172 @AntoniousAttall @adityadoc1 @djc795 @DrJayMohan @adnanalkhouli @JayMathewsMD @DrLouMDPhD @JGrapsa @cardiojaydoc02 @DLBHATTMD @kmadass @PLooserMD @AaronFrittsMD @DrDamluji @jaygirimd @hvanspall @mmamas1973 @venkmurthy @t_intheleadcoat
