Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
Successful TAVI implantation relies on much more than accurate valve positioning, it requires an understanding of the relationship between the prosthesis and the cardiac conduction system.
@TAVRBot #cardioed #cardiotwitter
Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
#FluoroShield automatically managing radiation while maintaining the critical anatomical information needed throughout the procedure.
Less manual adjustment. More focus on the patient. That's innovation working in the background.
bit.ly/3HWRVLs
#RadiationReduction
Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
Hydraulic Exchange Technique:
super useful in complex PCI/CTO work.
Quick way to get a microcatheter off a short wire without a 300cm wire, trapper, or trapping balloon.
Connect an indeflator to the microcatheter, pressurize to 20 atm (it drops constantly, so keep bumping it back up), and just open the Touhy and microcatheter will come out right away. The hydraulic force pushes the catheter back on its own while keeping the wire in position.
I don’t do it over a hydrophilic wire as it can jump forward and cause a tip perforation. I use a workhorse wire.
Video below
Credit to @JAG24851 for teaching me such valuable skills!
@TCT_ME_ @6ayyeboon @AlkashkariWail @mirvatalasnag @amrmohsen213 @BinAbdulHak_A @MarwanSaadMD @aelsab @MusaSharkawi @djc795 @MohammedQintar @mhammadah @AlhijjiM @JDDCFratti @acamajmd @crfheart @djc795 @mmamas1973 @crfheart @BakhshiHooman @Almanfi_Cardio @Dr_ibrahimHarbi @scottiejj12 @MohammedAlo
Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
Nurses and techs are the backbone of every procedure, but also among the most consistently exposed to scatter radiation.
Prioritizing radiation safety isn’t optional, it’s essential to protect careers, health, and the future of our workforce.
@RAMPARTic @ORSIF_org @SCAI @seiiwaiEPmd @DrAlexanderCoon @SrihariNaiduMD @Allison_Dupont @CCIWholehearted @cathlabedu @DrArgyle @VietHeartPA
Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
Medicines & Their Uses :
1) Paracetamol → Pain, Fever
2) Amoxicillin → Bacterial Infections
3) Omeprazole → Acid Reflux, Ulcers
4) Loratadine → Allergies
5) Amlodipine → Hypertension
6) Metformin → Type 2 Diabetes
7) Diazepam → Anxiety, Insomnia
8) Atorvastatin → High Cholesterol
9) Ciprofloxacin → Urinary Infections
10) Ranitidine → Gastric Ulcers
11) Ibuprofen → Pain, Inflammation
12) Levothyroxine → Hypothyroidism
13) Clopidogrel → Blood Thinner
14) Albuterol → Asthma, COPD
15) Fluoxetine → Depression
16) Losartan → Hypertension
17) Doxycycline → Bacterial Infections
18) Insulin → Diabetes Mellitus
19) Tramadol → Moderate to Severe Pain
20) Pantoprazole → GERD, Acid Reflux
21) Cetirizine → Allergic Rhinitis
22) Warfarin → Anticoagulant
23) Morphine → Severe Pain
24) Escitalopram → Depression, Anxiety
25) Furosemide → Edema, Hypertension
26) Azithromycin → Respiratory Infections
27) Prednisolone → Anti-inflammatory
28) Gabapentin → Neuropathic Pain
29) Domperidone → Nausea, Vomiting
30) Bisoprolol → Heart Failure
31) Montelukast → Asthma, Allergies
32) Digoxin → Heart Arrhythmias
33) Sertraline → Depression
34) Metronidazole → Protozoal Infections
35) Enalapril → Hypertension
36) Lorazepam → Anxiety, Sedation
37) Rosuvastatin → Cholesterol Control
38) Salbutamol → Bronchospasm
39) Allopurinol → Gout
40) Clonazepam → Seizure Disorders
41) Tamsulosin → Benign Prostatic Hyperplasia
42) Famotidine → Acid Reflux
43) Methotrexate → Rheumatoid Arthritis
44) Hydrochlorothiazide → Diuretic
45) Sildenafil → Erectile Dysfunction
46) Levetiracetam → Epilepsy
47) Betamethasone → Skin Inflammation
48) Ramipril → Hypertension
49) Mirtazapine → Depression
50) Aspirin → Pain, Blood Clot Prevention
Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
Check out the newest Care Transformation #AI in Healthcare tools from ACC, developed in collaboration with @MedAxiom, to support smarter, safer, and more effective AI adoption in clinical settings. 🔗 bit.ly/4j856q0
#ACCInnovation
Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
The atrial appendage may look tiny, but it works hard. In normal rhythm, it squeezes with the atria to help fill the ventricles, handles pressure changes, and releases ANP.
But when sinus rhythm is lost, it stops moving and that stillness becomes the ideal setup for clot formation.
Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
A patient brought into the ED with out of hospital cardiac arrest and 30 minutes of CPR.
You drop the TEE probe and see this.
What's the finding and what would you do?
Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
First EVOQUE transcatheter tricuspid valve replacement (56 mm) in Israel at Sheba Medical Center.
80-year-old patient post RV lead extraction and leadless pacemaker, successfully treated for severe TR — no residual TR and doing great the next day. @PCRonline @EdwardsLifesci
Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
“A ballerina valve… dancing tragically.”
Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
Happy Halloween! May your day be fun and your cases easier than this spooky one! #CardioTwitter
Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
"Fellows, what do you observe in this image?"
Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
With the great results of #SELUTION4ISR & #SELUTION DeNovo trials at #TCT2025, the "lowly balloon" is being reborn for PCI. Since I'm always thinking about #AngioHistory, I thought this clip from my 1985 (i.e. pre-stent) interview w Andreas Gruentzig would be appropriate today.
Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
Ball in cage mechanical valve in motion. A remarkable piece of cardiac surgery history.
Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
Wait !!
What is that white thing moving down, is there a bubble?
Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
Saturday begins #TCT2025 at Moscone in San Francisco. But most don't know that in Spring 1977, the 1st coronary angioplasties were done just 3 mi away. Before doing the 1st PTCA in the cath lab, Gruentzig tested his device w/Richard Myler on intraoperative cases. #AngioHistory




















