Francisco Soto, MD, MS, MBA
@FSotoMD
Pulm/CritCare | Division Chief | Pulm Vascular Dz | Right🫀Cath Connoisseur |🫀🫁 #Hemodynamics | CritCareEcho | #POCUS | My Opinions
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

Outstanding Pulmonary CCM (and Cardiology) Fellowship Match Day at the University of Tennessee Graduate School of Medicine, Knoxville Excited faculty and fellows showed up to support our incoming fellows: • Dr Mohamed Mohamed • Dr Mandvi Pandey • Dr Christy Smith
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
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…