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Colum Owens
@colum_owens
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Consultant cardiologist in Belfast. Tweets are my own. RT doesn’t imply endorsement.
Joined January 2014
@caldera_99 @JenaValve @PCRonline The problem is trying to get the valve into your institution to use it.
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@mirvatalasnag @TurkishAirlines @RBP0612 @baileyannRN @IbebuoguMD @tristonsmithmd @IndahSP_MD @SGuptaMD @DrAnkushG @inghaanMD @Hragy @DrRanyaSweis Sorry to hear that. That’s unprofessional and rude and not what I hope most of us stand for. We can disagree as panelists and have strong options but do that in a respectful way.
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@mirvatalasnag @crfheart @GilbertTangMD @m_taramasso @iamritu @JGrapsa @drptca @JoaoLCavalcante @jamiemccabeMD @mmamas1973 @yaqoub_lina @nickaram The bleeding and pacemaker rate are a concern though suspect will improve. Any commentary about OAC and antiplatelet?
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RT @doctor_oxford: Very few people realise that the vast majority of hospice and palliative care is provided by charity - not by the NHS.…
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@AndreasRck2 @KarolinskaUnsju @BSCCardiology @TAVRBot For bicuspid do you use the marker or upper crown interaction with the valve leaflets?
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@jcspratt @CMichaelGibson Suspect our knowledge of radiation risk, reduction of radiation to the operator and staff and better understanding of mechanical effects of lead coats is better now. However it is vital we do better for ourselves and our trainees.
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@mirvatalasnag @djc795 @RodrigoBagur @wisevision2010 @SCAI @APSIC6 @icruzgonzalez @TAVRBot @GilbertTangMD @fjsawaya @adityadoc1 @AlkashkariWail @atunuguntla1 @KimAtianzar @nickaram @jedicath @OKhaliqueMD @rooshaparikh Ah. Top table live podium stuff. I like !
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@djc795 @mirvatalasnag @RodrigoBagur @wisevision2010 @SCAI @APSIC6 @icruzgonzalez @TAVRBot @GilbertTangMD @fjsawaya @adityadoc1 @AlkashkariWail @atunuguntla1 @KimAtianzar @nickaram @jedicath @OKhaliqueMD @rooshaparikh Yah. How does one get ones hands on that :) they certainly look awesome.
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@mirvatalasnag @RodrigoBagur @wisevision2010 @SCAI @APSIC6 @icruzgonzalez @TAVRBot @GilbertTangMD @fjsawaya @adityadoc1 @AlkashkariWail @atunuguntla1 @KimAtianzar @nickaram @jedicath Yes. Me too. Lots of caveats. Calcium. Quality of scans etc. That’s why NOTION flew in the face (for me) of a stripped down approach. Happy to reassess cors at time of tavi if questions or after.
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@mirvatalasnag @RodrigoBagur @wisevision2010 @SCAI @APSIC6 @icruzgonzalez @TAVRBot @GilbertTangMD @fjsawaya @adityadoc1 @AlkashkariWail @atunuguntla1 @KimAtianzar @nickaram @jedicath Same. Symptoms for me still important and agree on anatomical assessment and to an extent proximal lesions. Plenty of my patients rendered asymptomatic with tavi with coexistant and sometimes severe CAD. Not doing much FFR either. And plenty of patients with just CTCA.
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@mirvatalasnag @RodrigoBagur @wisevision2010 @SCAI @APSIC6 @icruzgonzalez @TAVRBot @GilbertTangMD @fjsawaya @adityadoc1 @AlkashkariWail @atunuguntla1 @KimAtianzar @nickaram @jedicath For me it’s usually TAVI first. Simpler in terms of antiplatelet and access. Life saving procedure and much more likely to facilitate PCI in context of LVSd. For me then the choice is the valve that allows any access. FX+ with its large windows or Edwards (as in this lovely case)
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@EdwinaTeddy @Jackandrews86 @ShockwaveIVL @cghanratty @DrPeterOKane @gib77 Edwina thanks for being part of the course and bringing your experience to the panel. Good to see you.
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