Structural & Complex Coronary Interventionalist | AI & Innovation in Cardiovascular Care | Hawai‘i, U.S. & APAC. Opinions are my own.
Honolulu, HI
Joined December 2014
- Tweets371
- Following348
- Followers684
- Likes1.7K
Rayji Tsutsui, MD, MPH retweeted
An updated #CardioSmart CAC infographic explains how a calcium heart scan works, how to interpret the results & what patients should discuss with their care team.
Share it with your patients to support informed conversations about CV risk & prevention. 🔗 bit.ly/3UM3ZFM
Rayji Tsutsui, MD, MPH retweeted
A “double-tap” strategy after balloon-expandable TAVI improved valve expansion without increasing procedural risk. In selected anatomies, this approach achieved greater stent expansion and remained safe at 30 days.
🔗eurointervention.pcronline.c…
@juliusjonas_;@JonathonLeipsic;@sellers_steph;@David_Meier_
Rayji Tsutsui, MD, MPH retweeted
Knuckles are not just “big” or “small”. They behave differently and this position paper will help make you understand state-of-the-art dissection techniques !
A must-read for #CTO #PCI operators.
1-Start (XT or Gladius/Pilot 200), finish with MG
2- Rolling vs travelling knuckles
3-Redirect if explodes, can change wire to restart
4-Ok for retro knuckle to be bigger unlike antegrade one.
#cardiotwitter #ACCFIT
jacc.org/doi/full/10.1016/j.…
Rayji Tsutsui, MD, MPH retweeted
#TCT1024 Bit disappointed by ECLIPSE Trial results. There have been discussions about IC fellows not getting exposed to atherectomy but seems like it doesn’t matter for most cases? POBA, NC and IVL if needed. No difference in MSA CSI VS POBA in Ca++ lesions!
Rayji Tsutsui, MD, MPH retweeted
Another gem at #TCT2024 that many here had hypothesized: For Medina 1:1:1 DES for the main branch and DCB for the side branch resulted in lower TLR. If DCBs weren’t so costly in the USA, this approach could quickly become the standard. It’s far simpler, faster, and reduces radiation, contrast, and lab time! #CardioTwitter
Severe aortic stenosis continues to be underdiagnosed, with delayed referrals and untimely treatments remaining a critical issue nationwide. It's time to make a difference.
Honored to serve the people of Hawaii and improve heart health in our community!
midweek-hi.newsmemory.com?pu…
Rayji Tsutsui, MD, MPH retweeted
Interested in incorporating routine CCT into your LAAO practice?
Check out the latest expert consensus 📝 on the use of CCT post LAAO published today #JACCINT jacc.org/doi/10.1016/j.jcin.…
Nicely focused conference on PCI. Highly recommended!
Dallas PCI is less than 3 weeks away!
August 16th
Extensive didactic and HANDS ON TRAINING on many aspects of PCI from access to closure…
Interventional fellows course with scholarships available to support travel and accomodation!
Email: [email protected]
For the first time, a hands on Cath Lab staff bootcamp on the important devices in the cath lab.
August 17th
The Imaging and Physiology symposium
We will take you on a journey of assessing and treating CAD from CT FFR to the latest and greatest in the cath lab including
microvascular assessment
functional angiography
Ultra low contrast PCI
Calcium modification
Management of instent restenosis with drug coated balloons
And many orher topics presented to you by world renowned faculty!
2 LIVE CASES demonstrating the use of many of these technologies in the cath lab!
Register now at dallaspci.com
Use code: BSWPCI24
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Rayji Tsutsui, MD, MPH retweeted
Tricuspid Valve lecture #SCA2024 and #AATS2024 key references: bit.ly/TR_Review_EHJ , bit.ly/TEE_SHD, bit.ly/TricuspidReview,
bit.ly/TVNomenclature. @escardio @ESC_Journals @JACCJournals @ASE360
40-60% of aortic valve stenosis indicated for replacement is not getting treated timely in the USA. We have very effective therapies that saves lives. What can we do to treat our community in an equitable manner? #TargetAS @EdwardsLifesci @Medtronic @JAHA_AHA #TAVR #CardioTwitter
Once symptoms develop, up to 50% of patients could die within 2 years. Time to act! #PublicHealth @kalazizimd @chetanhuded @MSummersMD @jaygirimd @jrossimd @PPibarot @PhilGenereuxMD @hahn_rt @DrTomWaggoner @tavrkapadia @Edwards_TAVR
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Rayji Tsutsui, MD, MPH retweeted
Dr Kumbhani reviews approach to #SCAD in the cath lab including classic natural hx study by Hassan and Saw et al that 95% of lesions heal at follow up angio sciencedirect.com/science/ar… @EstherSHKimMD @SCADalliance
Rayji Tsutsui, MD, MPH retweeted
Nightmare in the cath lab 😱
The balloon gets stuck after post-dilation. It gets worse the shaft breaks when you try to pull the system out - you can't retrieve it, you can't snare it.
😨What would you do?
@jeroen_sonck @jcspratt @PCRonline
Rayji Tsutsui, MD, MPH retweeted
Nightmare - first STOP & think - Why is it stuck? Usually its flared within resistant plaque Before you pull (Hard) remember equipment breaks at the weakest point - so deliver a GE as far as possible & then pull both together-
Nightmare in the cath lab 😱
The balloon gets stuck after post-dilation. It gets worse the shaft breaks when you try to pull the system out - you can't retrieve it, you can't snare it.
😨What would you do?
@jeroen_sonck @jcspratt @PCRonline
Inaugural ARCH Hawaii conference was a success with faculty from all over the world. Live CTO case from Japan was fantastic! Shout out to @PaulKhait @jas_singh. Join us in 2025! #ARCHHawaii2024 #ARCH2024 @kalazizimd @JayMathewsMD @SanChris999 @MaeharaAkiko @SukhNijjer
Rayji Tsutsui, MD, MPH retweeted
A new EBC consensus document on CTO and bifurcation lesions has been published. Read the abstract and get more information on the EBC website.
bifurc.eu/latest-consensus/c…
#EBC2023 #bifurcation #CardioTwitter #cardiology @CtoEuro @DrthierryL @GoranEBC @MPAOSS @esbrilakis @Ryvetsprog
Rayji Tsutsui, MD, MPH retweeted
The revised ESC/EACTS recommendations for patients with left main disease in patients at low surgical risk and anatomy suitable for both PCI or CABG were built looking at many numbers and details, but keeping in mind the issue of "equipoise" versus "obvious choice". #ESCCongress
Rayji Tsutsui, MD, MPH retweeted
I'm back from Hot Lines session 4, which was entirely dedicated to intravascular imaging, with ILUMIEN IV, OCTOBER and ICTIVUS. Some results were conflicting, so a meta-analysis from @GreggWStone to summarize the state of the art was helpful. These were my comments. #ESCCongress
Rayji Tsutsui, MD, MPH retweeted
1/28
You are the resident on CICU. A patient arrives with an intra-aortic balloon pump (IABP). What is it? How does it work? How do you troubleshoot?
It's ⏰ for a @CardioNerds tweetorial!
AKA things I've gotten wrong on rounds so you don't have to.
First up: the basics
Rayji Tsutsui, MD, MPH retweeted
I've been thinking a lot about what the three most significant trials could be for my practice among the many presented this year at #EuroPCR. In general, I prefer it when the primary endpoint is presented for the first time. This is my selection, feel free to disagree.