Interventional cardiologist from Germany, now in the Twins cities, training eCPR with the MMRC
Minneapolis, MN
Joined May 2016
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Jörg Reifart retweeted
📢 Results of "OnScene" trial, nationwide prehospital helicopter ECPR program in 🇳🇱, are out on @NEJM + have been just presented at #ReSS26
🚁 In young adults with refractory #OHCA who were attended by HEMS equipped to deliver prehospital #ECMO (intervention group, 144 patients) vs those attended by HEMS without ECPR capability (conventional group 87 patients), incorporating ECPR was associated with improved survival to discharge vs conventional care. In intervention group 40% survived until hospital discharge (vs 20%). At 6 months, a favourable neurologic outcome reported in 36% in the intervention group (vs 13%). Full results at
🖇️ bit.ly/4iBoHA3
with editorial by @DYannopoulos
🖇️ bit.ly/3WvCXDb
#AHA2026 #ScientificSessions2 #AHA26
Jörg Reifart retweeted
A historic day for Resuscitation Science at @AHAScience #ReSS2026.
ON-SCENE is out in @NEJM — nationwide HEMS ECPR in the Netherlands, cannulation on scene.
40% vs 20% survival to discharge. 36% vs 13% CPC 1-2 at 6 mo. 45 vs 77 min to ECMO flow.
Jörg Reifart retweeted
I analyzed the current #ESC2026 Heart Failure Guidelines 2026 for conflicts of interest. My conclusion: guideline development should demand maximum independence. Industry can and should support research—but it must never determine recommendations. #GuidelineIndependence
🤖 Made with AI
Jörg Reifart retweeted
Two randomized trials of FFR estimates from angio images compared to traditional wire based FFR out in NEJM
Both claim non-inferiority in a composite of of death/MI/late revasc
But neither counts the ~9% increase in rate of PCI with the new method
If total PCIs were counted, both of these would fail to show non-inferiority - i.e. simulations of ischemic testing are *inferior* to measurement!
The corresponding editorial goes further with a long discussion of CT simulations of ischemia, as if this is the standard non-invasive approach, when stress imaging has served this role for decades and continues to be the dominant approach.
Jörg Reifart retweeted
A treasure from the past! A review on ultrasound-guided arterial catheterization, by Cho et al: I was really intrigued by the use of the oblique view synapse.koreamed.org/article…
Has anyone else noticed lint contamination on cath lab towels during PCI? #InterventionalCardiology #CathLab #PCI #Cardiology #CardioTwitter #CathLabLife @TIOCongress @gbiondizoccai @
Jörg Reifart retweeted
Academic publisher Elsevier's profit margin compared to Apple, Google, and Microsoft
Apple: 28%
Google: 25%
Microsoft: 34%
Elsevier: 37% with a revenue of $3.9 billion.
Elsevier's payment to academic authors and reviewers: $0
Jörg Reifart retweeted
Today marked an important step forward in US resuscitation science!
The Center for Resuscitation Medicine’s MMRC completed the first Helicopter EMS–facilitated extracorporeal cardiopulmonary resuscitation (ECPR) in the United States!
Jörg Reifart retweeted
After #PFO closure, continuous implantable cardiac monitoring revealed a high incidence of atrial fibrillation: 19% at 30 days and 28% at 1 year.
Most episodes are asymptomatic and paroxysmal, with a significant proportion occurring beyond 30 days.
eurointervention.pcronline.c…
Jörg Reifart retweeted
TOP-HAT is top notch!
Here is a nice little hack to tackle persistent bleeds after Perclose + wire removal.
The technique was recently described by Ahmad et al in @ccijournal 👉🏼 doi.org/10.1002/ccd.70409
88 y/o man s/p Impella assisted LM PCI. We thought we had successful closure of the 8 Fr access with Preclose. Alas!
TOP-HAT worked like a charm! No more bleeding in <1 min!
Jörg Reifart retweeted
Left ventricular recovery during VA #ECMO?
🫀 pulse pressure directly proportional to SV/inversely proportional to arterial compliance = indirect marker of LV pump function
🩸 PP < 15 mm Hg strongly correlates with severely reduced native CO (< 1 L/min)
🩸 PP < 20 mm Hg associated with decreased survival
However PP alone still be little informative as it may be the same for remarkably different hemodynamic states
🫀 here, proposal of modified cardiac power output incorporating PP vs MAP, to avoid poor or absent pulsatility and/or ineffective unloading biasing its interpretation in reflecting efficacy of organ perfusion
#FOAMcc #FOAMecmo
🔓 rdcu.be/eVDKb
Jörg Reifart retweeted
Our beliefs about LAAC should have been pessimistic going into the trial: CLOSURE AF finds extremely pessimistic data—which only strengthen these priors.
open.substack.com/pub/sensib… via @drjohnm
Jörg Reifart retweeted
#TCT2025 DEB vs DES in de novo lesion! SELUTION trial. Deb is Non inferior to DES. This is going to be future. Stents are great but no metal left behind in 2-5 mm vessels is the way to go.
#CardioX #CardioTwitter #CardioEd #CardioResearch @BurkhoffMd @djc795 @ColletCarlos @georgedangas @jgranadacrf @MartyBLeon @Drroxmehran @sahilparikhmd @PopmaJeffrey @triciarawh @mirvatalasnag @TCTConference @TCTMD @jedicath @kalazizimd @Dr_ibrahimHarbi @BakhshiHooman @chiragbavishiMD @CathWhisperer @aayshacader @caldera_99 @NishithChandra @EspicheCarlos @Julio_Farjat @hect2701 @a_h_ghoneem @stefan_harb @sabeedak1 @pkothapalliMD @evandrofilhobr @GiorgioMedranda @omendiz @mornei2011 @SrihariNaiduMD @KrutarthKPandya @pagingdr_rao @DocSavageTJU @ShariqShamimMD @Shoaib9702 @Sticchi_Alex @poojaotherwise @Tabaza @atunuguntla1 @ladyheart_md @yaqoub_lina @EZancanaroMD
Jörg Reifart retweeted
Learning from the best! Dr Bartos on new & exciting trials 🔬🧪
♥️Detection is 🗝️
♥️DSC as 1st ⚡️ vs standard
♥️Bicarb, 🩸🩸 being investigated
♥️eCPR data coming soon
#CritCareCards25 @SocietyOfCCC @CCCEnthusiasts @JasonKatzMD @jameshorowitzmd @AnnGageMD
Instructions to set this up for yourself: bnrc.springeropen.com/articl… thanks to @VisibleHeartLab
Great early morning PCI practice in the visible heart lab with my co-fellow @gdelriopertuz under the guidance of @OpnAccessCardio 🙌
Jörg Reifart retweeted
"Authors report no relationships relevant to the contents"
WHAT?
Roberta Bogaev is an employee of Abiomed.
Lindenfeld got $2400 in honoraria from Abiomed in 2024.
Lala got $8400 in honoraria in 2024.
Paper should be retracted.
@biykemB @coconnormd @vbluml
🚨 Cardiogenic “pre-shock”: the gray zone before full shock sets in. New working definition could reshape recognition & intervention. jacc.org/doi/10.1016/j.jacc.…
#JACC #HeartFailure #CardiogenicShock @hfcollaboratory
Fascinating article with implications for more than just EP-doctors: More cerebral impacts from aortic/arterial vs trans septal route ahajournals.org/doi/full/10.…
