Should interventional cardiologists perform thrombectomy?

“Sutor, ne ultra crepidam” a Latin expression for shoemakers not beyond the shoe, a common saying to warn people to avoid passing a judgment beyond their expertise. With mechanical thrombectomy changing the management of stroke and becoming the standard of care for patients with large vessel occlusion (LVO), a new challenge has emerged, adequate access … Read more

Bifurcations: EPISODE 3 – TAP TECHNIQUE

As the summer holidays wind down to the final few days, many of us are heading back to the routine of work, school and home.  With the end of summer, my Bifurcation Series comes to a close as well. The final episode is the TAP technique. Operators find this to be the least cumbersome of … Read more

Bifurcations: From An Interventional Cardiologist’s Perspective

Approximately 15-20% of all coronary interventions are bifurcations1. Based on the overall Syntax Score, coronary artery bypass grafting is often recommended particularly in the setting of multi-vessel disease, diabetes and impaired left ventricular function. Once a decision to proceed with percutaneous revascularization is made, it is imperative that operators select the most appropriate revascularization strategy … Read more

Fast and Curious: Rushing to Medical Emergencies

Guidelines in the U.S. support that any patient who presents with a possible heart attack (ST elevation myocardial infarction-STEMI) is planned to have a cardiac catheterization promptly, and ideally within 90 minutes of being diagnosed with an EKG. One of my friends who is an interventional cardiologist like me, recently found himself in a interesting … Read more

Intermittent Fasting

Recently, there has been growing interest in intermittent fasting. In clinic, I find it is much easier to answer questions about coronary angiography and interventions than it is about fasting. This month, I invited Dr. Christian Assad to provide us with an overview of intermittent fasting in a Video Interview. Dr. Assad is currently an … Read more