“Innovation starts with a problem on the table—and ends with a better device in hand.” From Idea to Market: How to build a medical device company for physicians featuring Dr. David Daniels and Dr. Joe Walsh! #CardioTwitter #Innovation Links in thread ⬇️

A case of BtK long disease shared by @Samsayfo! He highlights the advantages of E8: 1) cover longer anatomical space . 2) longer shaft to treat BtK disease and use from radial access m 3) smoother crossing. 4) 400 pulses.

Dr. @mahesh_maidsh and Dr. @brownc_12 discuss their approach to intervention on complex pathology and decision making for anti-platelet therapy in ACS! #CardioTwitter

The TAVR First Hypothesis! Dr. Andrei Pop discusses this section of a recent publication he was co-author on: Lifetime Management of Aortic Stenosis #CardioTwitter

A look at Single-Access Impella and companion sheath for high risk PCI with @jason_wollmuth and @brownc_12! #CardioTwitter #MCS piped.video/qbOoMorI0dM

A quick look at post large bore closure best practices with great tip for performing final angio through Percloses! Short featuring @brownc_12 and @joewalshmd! #CardioTwitter #MCS

DanGer Shock overview. Everything you need to know in just 4 minutes! #Impella #MCS #CardioTwitter

My personal take to the new board based on what we know now: 👍direct response to ABIM charging high fees, perceived double dipping, lack of accountability (tone deaf), overreach (choosing wisely and other irrelevant campaigns to mission of certification), changing rules constantly, and making too much profit; 👍new board is all cardiologists so they get what we do and what we need - you can talk to the new board members anytime you see them (which we will bc they are at our conferences); 👍it’ll be cheaper but prob only 20-30% less initially as it’s built on loans to start; 👍if approved ABIM will have to stop doing anything in cardiology and everything switches to ABCVM, as both are under ABMS. Thus new board also assures hospital privileges and ACGME requirements are met; 👍whatever you’re doing and whatever stage you’re at in ABIM will be automatically transferred over (so don’t stop); 👍as a direction, goal is to get everyone to maintain certification - cardiologists know you passed once and you should be helped to keep certification - no threats of decertification - we need our workforce to be out there as we’re already short staffed; 👍the ongoing part after initial cert will be built on making sure you’re licensed, filling any gaps in knowledge, and basic attestation to a quality program. Questions will automatically send you to the CME module that teaches what you got wrong. Do that and you’re done (and actually more competent - it will feel useful and relevant); 👍logistically easier as everything you do in cardiology is generally already known in cardiology - so should be already uploaded centrally; 👍the professional societies make up the board so if you don’t like direction you can lobby your own organization to change things and at least for SCAI you could vote the president based on any issue including this one; 👍it won’t be perfect initially but over time should get better and better and closer to what we want bc there is accountability as described; 👍governance by the societies means it shouldn’t spiral out of control into its own beast for profit, especially as the societies have equal input to the board. If there is eventual profit that should go into lowering fees IMO and I will certainly push for that; 👍getting all cardiology organizations to agree on this was not easy and reflects that there will be constant push and pull to make things better. No one society will be dominant; 👍there’s a financial firewall so the societies don’t make money from the new board. They do get money if you choose their modules to close knowledge gaps but you have choice on whose modules you use. On balance it’s a no brainer. Please comment to move forward. End/

My man still picking up AS murmurs

Have you started to use the new add on code for Coronary IVL? Watch @brownc_12 explain using the code for @ShockwaveIVL’s C2+ on multiple vessels! #IVL #CardioTwitter #CardioX

When @brownc_12 ran into an intense nodule in the Left Main, he was able to use @ShockwaveIVL's C2+ to break through. 50 Pulses Left Main to LAD, 30 LM to left circumflex, and have leftover for the rest! Come see the case discussed! #CardioTwitter

Interested in who is being enrolled in the PROTECT IV RCT trial for studying high risk PCI with Impella vs without Impella for EF<40% and multivessel complex CAD? Here is one of our cases that we enrolled and used the new Shockwave C2+ IVL catheter 👇

Please submit your comments to #CMS regarding #CarotidArteryStenting coverage today. Deadline approaching. cms.gov/medicare-coverage-da… @SCAI @chadialraies @andresvargasECU @haseebqazi @jaygirimd @DrDrewKleinPHI @vikasaggarwalmd @jcgeorgemd @JVargheseMD @EricSecemskyMD @Stent4U

@bkolskk @Babar_Basir @AntoniousAttall @djkereiakes @NirmanBhatia @jedicath @adityadoc1 @ekgpdx @KMansour300 @mmamas1973 @achat26 @dohad @brownc_12 @ShockwaveIVL @AbbottNews @TheNarulaSeries @ChuckMcavay @ShariqShamimMD @CMichaelGibson @DHidlayVIR @HadyLichaaMD @adityadoc1

Non practicing MD making $1.2 million a year from the fee you pay for MOC, is telling us how we should not waste our time on a hobby such as photography and spend that time doing MOC (Maintenance of Cash or MOCkery). Please listen to the whole podcast when it's out on 8/8, but i request @chadinabhan to put it on YouTube which has far more reach.

Superb! One of the longest followups in this #FempopPVI patient population. Congrats on this impactful work @sealtin1 et al! @BaoGTran @vascularIR @farkomd @kmadass @HashimKhan_1 @NickMouawadMD @andresvargasECU @brownc_12 @chadialraies @jcgeorgemd @DrJayMohan

We found that intracoronary-administered thrombolytics significantly improved myocardial perfusion and MACE in STEMI patients. @abdarabi journals.plos.org/plosone/ar…