Coronary-artery revascularization before elective major vascular surgery.

YS

Yader Sandoval

@yadersandoval · X

It was an honor to return to the Minneapolis VAMC, where nearly 15 years ago I had the pleasure to work w/ Santiago Garcia & Ed McFalls on perioperative MI, to present Medicine Grand Rounds on type 2 MI - a wonderful place where CARP originated https://t.co/W8Vw57QP6y https://t.co/kjAJ6YoLTG

LC

Less-Is-More Cardiologist

@DavidLBrownMD · X

@DocSavageTJU @GreggWStone @mmamas1973 @SVRaoMD @ajaykirtane @rwyeh @mirvatalasnag @willsuh76 @djc795 @rajivxgulati @PabloAvanzas @sbrugaletta @ADAlthousePhD @duanepinto @saraceciliamtz @CardiacConsult @DrQuinnCapers4 Who believes that? https://t.co/qycJ2Ikaky

C

coolbreeze09

@crowanmd · X

@DavidLBrownMD An oldie but a goodie, see the CARP trial https://t.co/nyeYrQauIx

DM

David J. Cohen, MD, MSc

@djc795 · X

@Umair2017 @NadeevW @sargsyanz @mmamas1973 @ShariqShamimMD @JingLiu_MD @HadyLichaaMD @Hragy @iamritu @NMerke @hahn_rt The good news is the trial was already done... https://t.co/ISc2FRa0ms

MF

Michael Hofkamp, MD, FASA

@HofkampMichael · X

@DrJenGunter Routine coronary re-vascularization prior to elective major vascular surgery. Seemed like a no-brainer until someone did a study showing it didn’t help. This one dropped during my intern year in I-med and we were all wowed. @farkomd @JenniferSvahnMD https://t.co/mpGkPazObL

LC

Less-Is-More Cardiologist

@DavidLBrownMD · X

@drjohnm @cardiologyhabib @BPetersonCardio I do. The answer is no. See CARP trial. https://t.co/pf9MYe72mv

YS

Yader Sandoval

@yadersandoval · X

It was an honor to return to the Minneapolis VAMC, where nearly 15 years ago I had the pleasure to work w/ Santiago Garcia & Ed McFalls on perioperative MI, to present Medicine Grand Rounds on type 2 MI - a wonderful place where CARP originated https://t.co/W8Vw57QP6y https://t.co/kjAJ6YoLTG

YS

Yader Sandoval

@yadersandoval · X

It was an honor to return to the Minneapolis VAMC, where nearly 15 years ago I had the pleasure to work w/ Santiago Garcia & Ed McFalls on perioperative MI, to present Medicine Grand Rounds on type 2 MI - a wonderful where CARP originated https://t.co/W8Vw57QP6y https://t.co/8u5mMG5Ofw

AT

Aakash Tuli

@AakashTuliMD · X

7/

SM

Sarah Melville

@sarahkmels · X

RT @crowanmd: @DavidLBrownMD An oldie but a goodie, see the CARP trial https://t.co/nyeYrQauIx

T

TheRealBadJanet

@IAmRealBadJanet · X

RT @crowanmd: @DavidLBrownMD An oldie but a goodie, see the CARP trial https://t.co/nyeYrQauIx

DM

Dr Andrew Mitchell

@mitcharj · X

RT @crowanmd: @DavidLBrownMD An oldie but a goodie, see the CARP trial https://t.co/nyeYrQauIx

C

coolbreeze09

@crowanmd · X

@DavidLBrownMD An oldie but a goodie, see the CARP trial https://t.co/nyeYrQauIx

HC

Hiteshi KC Chauhan

@HiteshiKc · X

RT @djc795: @Umair2017 @NadeevW @sargsyanz @mmamas1973 @ShariqShamimMD @JingLiu_MD @HadyLichaaMD @Hragy @iamritu @NMerke @hahn_rt The good…

J

JorgeEdoChava75

@QicenoJorge · X

RT @djc795: @Umair2017 @NadeevW @sargsyanz @mmamas1973 @ShariqShamimMD @JingLiu_MD @HadyLichaaMD @Hragy @iamritu @NMerke @hahn_rt The good…

KF

Khalid Minhas, MD FACC

@minhaskh · X

RT @djc795: @Umair2017 @NadeevW @sargsyanz @mmamas1973 @ShariqShamimMD @JingLiu_MD @HadyLichaaMD @Hragy @iamritu @NMerke @hahn_rt The good…

RM

Ritu Thamman MD

@iamritu · X

RT @djc795: @Umair2017 @NadeevW @sargsyanz @mmamas1973 @ShariqShamimMD @JingLiu_MD @HadyLichaaMD @Hragy @iamritu @NMerke @hahn_rt The good…

AP

Ash Paul

@pash22 · X

RT @djc795: @Umair2017 @NadeevW @sargsyanz @mmamas1973 @ShariqShamimMD @JingLiu_MD @HadyLichaaMD @Hragy @iamritu @NMerke @hahn_rt The good…

PG

Prof Chris P Gale

@cpgale3 · X

RT @djc795: @Umair2017 @NadeevW @sargsyanz @mmamas1973 @ShariqShamimMD @JingLiu_MD @HadyLichaaMD @Hragy @iamritu @NMerke @hahn_rt The good…

HR

Hany Ragy

@Hragy · X

RT @djc795: @Umair2017 @NadeevW @sargsyanz @mmamas1973 @ShariqShamimMD @JingLiu_MD @HadyLichaaMD @Hragy @iamritu @NMerke @hahn_rt The good…

PM

Patrick M Looser MD

@PLooserMD · X

@Umair2017 @sargsyanz @mmamas1973 @ShariqShamimMD @JingLiu_MD @HadyLichaaMD @djc795 @Hragy @iamritu @NMerke @hahn_rt Preop stenting doesn’t really improve outcomes. OMT for now and if symptomatic can do PCI at a later date. But if you think DOE is an anginal equivalent, PCI 4 weeks DAPT and surgery probably safe too. https://t.co/UzBYxQsVvX

DM

David J. Cohen, MD, MSc

@djc795 · X

@Umair2017 @NadeevW @sargsyanz @mmamas1973 @ShariqShamimMD @JingLiu_MD @HadyLichaaMD @Hragy @iamritu @NMerke @hahn_rt The good news is the trial was already done... https://t.co/ISc2FRa0ms

BB

Bistro Bistec

@phunkyfrehsh · X

@evandrofilhobr @AIU_Medical https://t.co/qc6xU4zcie

FM

Francis Navarra, MD

@fransteezy · X

The CARP trial came out when I was a senior in HS. All I cared about was riding my

JF

Joel M. Topf, MD FACP

@kidney_boy · X

@gautamphadke @hswapnil @docanjuyadav @NephJC no it did not. do you have data showing pre-op revascularization reduces peri op mortality, because it sure didn't in vascular surgery: https://t.co/wzr2YzWnYx #NephJC

NR

Nicolas Rocq

@ZeNicoLs · X

RT @HofkampMichael: @DrJenGunter Routine coronary re-vascularization prior to elective major vascular surgery. Seemed like a no-brainer unt…

LR

(((Liz Ditz))). Mask up, y'all. Viruses are real.

@lizditz · X

RT @HofkampMichael: @DrJenGunter Routine coronary re-vascularization prior to elective major vascular surgery. Seemed like a no-brainer unt…

FA

frank arko

@farkomd · X

RT @HofkampMichael: @DrJenGunter Routine coronary re-vascularization prior to elective major vascular surgery. Seemed like a no-brainer unt…

MF

Michael Hofkamp, MD, FASA

@HofkampMichael · X

@DrJenGunter Routine coronary re-vascularization prior to elective major vascular surgery. Seemed like a no-brainer until someone did a study showing it didn’t help. This one dropped during my intern year in I-med and we were all wowed. @farkomd @JenniferSvahnMD https://t.co/mpGkPazObL

AP

Ash Paul

@pash22 · X

RT @DavidLBrownMD: @keywordsxkenny Risk assessment is important for patient and surgeon to decide if the risk justifies the potential benef…

KF

Khalid Minhas, MD FACC

@minhaskh · X

RT @DavidLBrownMD: @keywordsxkenny Risk assessment is important for patient and surgeon to decide if the risk justifies the potential benef…

LC

Less-Is-More Cardiologist

@DavidLBrownMD · X

@keywordsxkenny Risk assessment is important for patient and surgeon to decide if the risk justifies the potential benefit of surgery. But only medical therapy lowers risk of patients with stable CAD (with the possible exception of severe left main CAD). https://t.co/pf9MYe72mv

OM

Omar Chehab, MD, MSc

@OmarChehab1 · X

If we know PCI does not improve outcomes preop in patients at high risk before vascular surgeries, why is it a Grade 1B to do stress testing even with those with poor functional capacity? https://t.co/qPhWLtZZfC @DavidLBrownMD @preopconsult https://t.co/LdHdMPvRsr

OM

Omar Chehab, MD, MSc

@OmarChehab1 · X

@preopconsult The Coronary-Artery Revascularization before Elective Major Vascular Surgery study in 2009 showed no benefits of PCI even when indicated. Why are we still doing functional testing ?

LC

Less-Is-More Cardiologist

@DavidLBrownMD · X

@NeerajShahMD @OAB1967 @dmrind @Hragy @iSagarReddy @SchamarDoc @SVRaoMD @djc795 @NSablani There is no indication to do anything other than possibly start medical therapy. If revascularization doesn't improve outcomes prior to major vascular surgery, it's certainly not going to improve outcomes for less risky operations. https://t.co/qycJ2Ikaky

UC

UIC IM Chiefs

@UICIMChiefs · X

While Dr. Kumar and Dr. Yang presented on coronary-artery revascularization before elective major vascular surgery! https://t.co/VJn8b5wl8E

JB

Jyoti Baharani

@renalpages · X

RT @HotKidneyAction: Surgical view - Stevenson - not Renal-specific, but aggressive revascularization before major vascular surgery not sho…

MB

Matt Graham-Brown

@DrMattGB · X

RT @HotKidneyAction: Surgical view - Stevenson - not Renal-specific, but aggressive revascularization before major vascular surgery not sho…

JM

Jim Moriarty

@HotKidneyAction · X

Surgical view - Stevenson - not Renal-specific, but aggressive revascularization before major vascular surgery not shown to be of benefit https://t.co/WKMg1EXp5Y #UKKW2021

GE

Guillermo Escobar

@GAEscobarMD · X

@DrJohnMcP @DGlaucomflecken This never happens to me…nobody ever clears anyone for vascular procedures… The weird thing is that somehow we do them safely anyway…it’s almost as though anesthesia is safer then we think + “clearance” is overused…maybe we should study that someday? https://t.co/Fbiu2NJsac

LC

Less-Is-More Cardiologist

@DavidLBrownMD · X

@mmamas1973 @TTelila @djc795 @DLBHATTMD @ShariqShamimMD CARP trial. https://t.co/pf9MYdPqXV

LC

Less-Is-More Cardiologist

@DavidLBrownMD · X

@KrisSkeggs That's mythology. https://t.co/pf9MYe72mv

LC

Less-Is-More Cardiologist

@DavidLBrownMD · X

@drjohnm @cardiologyhabib @BPetersonCardio I do. The answer is no. See CARP trial. https://t.co/pf9MYe72mv

GK

Greg Katz

@gregorykatz · X

@DoGood_MD @TylerWebster @MalloryPaigeMD @MSchoenfeld_MD @nyheartdoc Unless a pt is having an acute coronary syndrome or is in decompensated heart failure, there’s very little value in preop testing. Highest risk pts get no benefit from preop revasc, why would lower risk pts https://t.co/Iie3HBbDAu

EJ

Evan Jacobs

@ejacobsmd · X

@gpianomd @CMichaelGibson Evidence does not seem to support this... https://t.co/HQrL2SPTs0

SF

Sree Kanna, MD, FRCSC

@VulnerableAorta · X

RT @Docjoshsoc: @DrZeigler1 @venkmurthy @GreggWStone https://t.co/moDEaHdxgD

AG

Aorta guy

@DrZeigler1 · X

RT @Docjoshsoc: @DrZeigler1 @venkmurthy @GreggWStone https://t.co/moDEaHdxgD

JS

Josh Socolow

@Docjoshsoc · X

@DrZeigler1 @venkmurthy @GreggWStone https://t.co/moDEaHdxgD

CC

Colin C

@doc_ccc · X

@cardiojaydoc02 @DavidLBrownMD We've known for years that prophylactic revasc. before non-cardiac surgery doesn't improve outcomes. However, burden of reversible ischaemia still gives some additional info regarding perioperative CV risk. The question is how to use that info. https://t.co/jqa3UDE63W

PM

Patrick M Looser MD

@PLooserMD · X

@DavidLBrownMD @ShariqShamimMD @cardiojaydoc02 Didn’t they do that trial already? https://t.co/UzBYxQsVvX

DF

Dorian L. Beasley MD, FACC

@cardiojaydoc02 · X

@terrysimpson @Toaster_Pastry Hmmmm....someone did it. https://t.co/3cSewytkU6

AV

Alex Vesey

@alex_vesey · X

RT @DavidLBrownMD: @EJSMD @venkmurthy @DocSavageTJU @lamelaspablo @DrMarthaGulati @DavidWienerMD @ErinMichos @onco_cardiology @jct_ucb @Min…

LC

Less-Is-More Cardiologist

@DavidLBrownMD · X

@EJSMD @venkmurthy @DocSavageTJU @lamelaspablo @DrMarthaGulati @DavidWienerMD @ErinMichos @onco_cardiology @jct_ucb @MinnowWalsh @drjkahn @praveen520 @gina_lundberg @Vilavaite @CardioIAN @anish_koka @ethanjweiss @AnastasiaSMihai @lipiddoc No. See CARP trial. https://t.co/qycJ2Ikaky

GW

Greg Westin

@greg_westin · X

@VascularMD @khalilqatoMD @DartmthSurgHSR https://t.co/6iudM3HPNI

CA

Camilla Alderighi

@camialderighi · X

RT @DavidLBrownMD: @DocSavageTJU @GreggWStone @mmamas1973 @SVRaoMD @ajaykirtane @rwyeh @mirvatalasnag @willsuh76 @djc795 @rajivxgulati @Pab…

HC

Henry Cruz

@RealCruzHenry · X

RT @DavidLBrownMD: @DocSavageTJU @GreggWStone @mmamas1973 @SVRaoMD @ajaykirtane @rwyeh @mirvatalasnag @willsuh76 @djc795 @rajivxgulati @Pab…

LM

Lina Ya’Qoub MD

@yaqoub_lina · X

RT @DavidLBrownMD: @DocSavageTJU @GreggWStone @mmamas1973 @SVRaoMD @ajaykirtane @rwyeh @mirvatalasnag @willsuh76 @djc795 @rajivxgulati @Pab…

RR

Riaz Rahman

@riaz_rahman_md · X

RT @DavidLBrownMD: @DocSavageTJU @GreggWStone @mmamas1973 @SVRaoMD @ajaykirtane @rwyeh @mirvatalasnag @willsuh76 @djc795 @rajivxgulati @Pab…

AJ

Aditya A Joshi

@AdvancedHFBuddy · X

RT @DavidLBrownMD: @DocSavageTJU @GreggWStone @mmamas1973 @SVRaoMD @ajaykirtane @rwyeh @mirvatalasnag @willsuh76 @djc795 @rajivxgulati @Pab…

KF

Khalid Minhas, MD FACC

@minhaskh · X

RT @DavidLBrownMD: @DocSavageTJU @GreggWStone @mmamas1973 @SVRaoMD @ajaykirtane @rwyeh @mirvatalasnag @willsuh76 @djc795 @rajivxgulati @Pab…

LC

Less-Is-More Cardiologist

@DavidLBrownMD · X

@DocSavageTJU @GreggWStone @mmamas1973 @SVRaoMD @ajaykirtane @rwyeh @mirvatalasnag @willsuh76 @djc795 @rajivxgulati @PabloAvanzas @sbrugaletta @ADAlthousePhD @duanepinto @saraceciliamtz @CardiacConsult @DrQuinnCapers4 Who believes that? https://t.co/qycJ2Ikaky

FC

FOAM Cards

@FOAM_Cards · X

(1/2)Trial of the day: CARP McFalls EO, et al. "Coronary-artery revascularization before elective major vascular surgery". The New England Journal of Medicine. 2004. 351(27):2795-2804. https://t.co/7wx6ZpKUOe #FOAMcards