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A clinical case with high stakes, time-sensitive decisions, teamwork and a great outcome. Thanks to all the thoughtful healthcare staff involved in this case. NM Cardiovascular Northwestern Surgery NU Internal Medicine @NMPulmCritCare @NMGynecology

Time trends in PE Mortality and an evaluation of gender, ethnic and geographic differences. We still have so much to learn and standardize in PE management. Sadiya Khan Karlyn Martin Kush Desai Mike Cuttica NM Cardiovascular The PERT Consortium® ahajournals.org/doi/full/10.11…

Less than 1/2 pts in “no IVCf” group were on AC. I agree IVCf recommended in acute VTE with contraindication to AC. So why were so many not on AC and did not get filter? This is where frailty and expected survival play a role in decisions but don’t get captured in retro reviews

Using death as a competing RF seems faulty when 30-50% of PE is only diagnosed post-mortem. Competing risk theory needs to assume completely different cause of death allowing pts and physicians a clearer indication of the risks that they face with each decision.

Filters have their place for those with acute VTE who cannot take anticoagulation and maybe have a survival benefit in those with massive PE and proximal DVT on anticoagulation. But their h/o complication rates means taking them out as soon as not needed.

x.com/jamesdthomasmd… This seems like an appropriate surgical consult. Thank goodness Ranya Sweis, MD Duc Thinh Pham, MD James D Thomas, MD Patti Vassallo MD are on the case. Karlyn Martin @NMPulmCritCare NM Cardiovascular

I’ve been interviewing medical applicants recently and I ask them about their mentors. Dr. Diane Wayne has been a mentor to me from intern day 1. I can’t imagine the number of people who would say the same. Find a mentor. Be a mentor. Go Northwestern!

Thanks to Ranya Sweis, MD keith for taking care of my 90 yo gma, performing an Impella assisted Shockwave lithotripsy DES of her distal LMCA. One wk post-discharge, she was able to go drop off her ballot. No excuses. Go vote!! Thanks NM Cardiovascular for making it possible.

And a super thanks to the residents NU Internal Medicine Matthew Feinstein and Dr Puthumana for taking care of her on the floor and transitioning her back home.

LVOT-VTI for PE risk strat also correlates with improvement. Thought provoking to use for triage of CDT. Great working with ⁦Mike Cuttica⁩ ⁦S Chris Malaisrie⁩ ⁦Ruben Mylvaganam⁩ ⁦Ben Freed, MD⁩ and ⁦NM Cardiovascular⁩ PharmD team scholars.northwestern.edu/en/publication…

Shifting the curve: establishing procedural skills early in training that equal those of more senior trainees. Practice on the simulator not on patients! Great work from Laura Davidson ⁦Ranya Sweis, MD⁩ and colleagues ⁦NM Cardiovascular⁩ onlinelibrary.wiley.com/doi/abs/10.100…

Great discussion and conference. And in the background Ranya Sweis, MD just performed our 10th CTO of 2021. #WIC #CTOConnect #CTO2021

Intravascular lithotripsy is a nice addition to the toolbox to treat calcific atherosclerosis. While awaiting coronary balloons, here is our experience with peripheral balloon in the coronary. bit.ly/2PUhIZt Journal of Invasive Cardiology Nice work Dr. Brett Yarusi Northwestern Medicine

In past 2 yrs, over 50 #PTE and 90 #BPA for #CTEPH with 100% survival at one yr. Over 75% of PTE pts normalizing PA pressure. Will share our experience in the lit this year. Great work S Chris Malaisrie  #breathewell #pertconsortium Yevgeniy Brailovsky DO MSc FACC The Pulmonary Hypertension Association NM Cardiovascular

Vladimir Lakhter Paul Forfia Riyaz Bashir Johnjlopezmd @sorchaallen Dalila Masic cfbechara Amir Darki MD, MSc Loyola Medicine's PERT Team

The Northwestern Medicine Pulmonary Hypertension Group, Mike Cuttica, MD (Mike Cuttica), and Ruben J. Mylvaganam, MD, of Northwestern Medicine Canning Thoracic Institute and Yasmin Raza, MD, and Daniel R. Schimmel, MD (Daniel Schimmel), of Northwestern Medicine Bluhm