Advancing education & safety in interventional cardiology.

New Orleans, LA
Joined May 2010
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
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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
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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
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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
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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
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Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
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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
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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.
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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?
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Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
Steel Heart
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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
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Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
“A ballerina valve… dancing tragically.”
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Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
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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
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Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
"Fellows, what do you observe in this image?"
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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.
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Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
Ball in cage mechanical valve in motion. A remarkable piece of cardiac surgery history.
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Christopher Steelman R.T.(R)(CI)(ARRT), RCIS, AACC retweeted
Wait !! What is that white thing moving down, is there a bubble?
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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
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