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Francisco Soto, MD, MS, MBA

@FSotoMD

Pulm/CritCare | Division Chief | Pulm Vascular Dz | Right🫀Cath Connoisseur |🫀🫁 #Hemodynamics | CritCareEcho | #POCUS | My Opinions

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Hemodynamics and Right Heart Cath tweetorials collection. All in one place! Threads: 1. PA Catheter (PAC 101). The basics 2. Waveform recognition (PAC in ICU) 3. Quality control: 🔑troubleshooting before you use the data 4. Preventing the most dreadful PAC complication

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Francisco Soto, MD, MS, MBA Reposted

Let’s discuss “Contemporary Treatment of Pulmonary Arterial Hypertension: A U.S. Perspective” Exciting PC Webinar on 11/25 2 PM EST ⏰ @ATS_PC All star panelists @SandeepSahayMD @IoanaPreston @mardigomberg @JimWhiteCurePAH and MChakinala Register here: bit.ly/4fyIz45

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Francisco Soto, MD, MS, MBA Reposted

Very good questions & interesting article. I have barely experience with adults but in ped. pat. we would never ever pause therapeutic AC despite studies that show similar results with ASS. Thrombus/PE diagnostics➡️ direct visualization in echo, therapy➡️ angiographic extraction


Excellent. Thanks for the input. That helps 🙏🏻

This matches 1:1 my experience: the obstruction of the flow is the immediate consequence (liver) just like in this clip: thrombus in the hepatic venous confluence just beside the TCPC conduit If the Fontan is fenstrated there's a risc of systemic embolization rather then cyanosis



Congratulations to @KoraAbhi @NephroP for the distinction!! As a PCCM physician, I have greatly benefited of @NephroP ‘s top contributions His humble and inquisitive posts keep us on our toes and force us to keep learning

Congratulations @NephroP for your @ASNKidney educator of the year award at #KidneyWk! Amazing recognition for your dedication to advancing #POCUS in nephrology! (Also - nice suit)

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Francisco Soto, MD, MS, MBA Reposted

It’s a passive system- there is no « pump ». Will not see increase pressure necessarily but back flow responses: SVC syndrome, big liver, edema. RV is needed to build pressure in response to obstruction. while thromboembolic events can raise preclots P you won’t get high mpap…


Francisco Soto, MD, MS, MBA Reposted

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