Francisco Soto, MD, MS, MBA
@FSotoMDPulm/CritCare | Division Chief | Pulm Vascular Dz | Right🫀Cath Connoisseur |🫀🫁 #Hemodynamics | CritCareEcho | #POCUS | My Opinions
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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)
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…
Check also this: jnm.snmjournals.org/content/53/sup…
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