Cardiologist , #echofirst #volumetrics #EchoMath #3D
Germany Berlin
Joined February 2013
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@DHZB_Akademie "3D Advanced Echocardiography Workshop" (happening January 22- 24, 2027) makes it clear why this is way "more than just 3D."
The program bridges advanced imaging with intensive clinical realities”specifically targeting ICU management, complex valvular heart disease, mechanical circulatory support (MCS), and heart failure.
Perfect for clinicians who want practical utility, not just pretty 3D pictures.
Yes, it’s a 3D workshop but we are taking it straight to the ICU
At the #echofirst Workshop , we aren't just looking at static valves. We’re tackling the tough cases:
Echo in ICU: Deep dives into ECMO hemodynamics and using echo to guide acute fluid management.
Critical Decision Making: Using acute heart failure echo to trigger therapy (from diuretics to MCS).
Live Knobology: Real-time mastering of GE & Philips systems.
Register & view the full program: backend.dhzb-akademie.de/app…
Just take a look at this GOAT line up 🔝
@alex1708ander @alexsfelixecho @dr_benoy_n_shah @iceman_ex @echo_batman @FGraziani_Grace @VictoriaDe32503 @Ph_Bertrand @StellEkaterina @echo_stepbystep @fiore_corrado @LunaGargani @ArgaizR @papadocardio @eromerodorta @mauripieroni72 @KemalogluOz @JanKnierim @echotainment @DonalErwan @FH_Verbrugge
Nicolas Merke retweeted
Different perspectives. Shared expertise. Positive outcomes.
🚀 When imagers from different specialties exchange ideas, everyone wins - especially the patient. #echofirst @NMerke
📌 2D reference plane matters
📌 3D landmarks (⛔️overzoom)
📌 3D image orientation matters
Nicolas Merke retweeted
Indeed a rare congenital anomaly ✨Rudimentary aortic chordae tendineae: a ruptured strand attached to the free edge of LCC 👀 #echofirst
Nicolas Merke retweeted
doi.org/10.1002/ccr3.8033
@iamritu
AR caused by aortic chordae tendineae strands (ACTS) is rare ….
Nicolas Merke retweeted
🌟Very interesting! Great tweet by master @iamritu about AV strands✨
Recently I had a 45y👨🏽 cryptogenic stroke (2x), no PFO, only finding prominent strands in Ao valve.
I found 📝 about ⬆️ incidence of embolic strokes in this population, without any other cause 🤷🏾
What do U 🤔?
#echofirst #CardioTwitter
@NMerke @echo_stepbystep @dr_benoy_n_shah @StellEkaterina @echo_batman @purviparwani @pabeda1 @kevin_domingues @KemalogluOz
academic.oup.com/ehjcimaging…
pubmed.ncbi.nlm.nih.gov/9842…
Nicolas Merke retweeted
agree w @alexsfelixecho seen more on aortic valve, But degenerative fenestrations typically don't affect valve function(they occur past the closing edge)
But if adjacent tissue is worn away, they stretch & strand avulses, the cusp may no longer be fully supported & can prolapse
AV fenestrations don't directly allow for aortic regurgitation usually, but if they stretch & strand avulses & has a free edge, cusp may no longer be fully supported & can prolapse @joemaleszewski 📷 @MayoClinicCV #echofirst
Nicolas Merke retweeted
Totally agree with you @iamritu
Sometimes in patients with Ao Valve prolapse there is also comissural fenestrations, annalsthoracicsurgery.org/ar…. It may offer additional difficulty to repair
Nicolas Merke retweeted
A case from the recent past - severe AR due to a RCC fenestration without cusp prolapse.
And yes @alexsfelixecho it was very difficult to repair
#echofirst @NMerke
Nicolas Merke retweeted
EACVI Board election 🗳️ to shape the future of #echofirst
President @NAjmoneMarsan with strong team
Treasurer @Ph_Bertrand
Councillor @papadocardio & Vlatka Reskovic Luci
👉 escardio.org/communities/ass…
Nicolas Merke retweeted
Pericardial constraint–associated functional TR☝🏻
An intriguing case and a reminder always to ask: why TR? Not only grading, understanding the mechanism matters! And as in this case, sometimes means looking beyond the valve and the right heart chambers!
#echofirst case report about functional TR non atrial nor ventricular
👉 academic.oup.com/ehjcr/advan…
@dr_benoy_n_shah @echo_batman @echo_stepbystep @StellEkaterina
Non-atrial/non-ventricular functional tricuspid valve regurgitation: a case report academic.oup.com/ehjcr/artic…
#echofirst case report about functional TR non atrial nor ventricular
👉 academic.oup.com/ehjcr/advan…
@dr_benoy_n_shah @echo_batman @echo_stepbystep @StellEkaterina
#echofirst 3D of tricuspid valve by TEE
Make sure to have good 2D as reference plane
#ALAMO is 🔑
👉 Annulus
👉 Leaflets
👉 (no) Artifacts
👉 Movement of Leaflets in the ROI
👉 Orientation landmarks
4D Zoom preparation or full volume
See more #3DEchoBerlin 3D and beyond Workshop 22.01. - 24.01.2027 Berlin
👉 dhzb-akademie.de/course/3d-w…
Nicolas Merke retweeted
Rare congenital anomaly(I’ve never seen)
rudimentary aortic chordae tendineae #echofirst
seen as ruptured fibrous strand attached to RCC free edge w partial flail causing severe aortic regurgitation OR confirmed bit.ly/3ULiWIb
Nicolas Merke retweeted
There are 2 major forms of aortic dilatation in BAV: ascending phenotype (beyond STJ, 70%) and root phenotype (20%).
A case example of
👉 BAV (2-sinus) antero-posterior phenotype.
👉 Ascending phenotype BAV aortopathy
#GlassVue @Philips #echofirst
Nicolas Merke retweeted
#echofirst question
How often is PISA EROA in primary eccentric MR suitable?
How often should we use PISA / EROA for severity quantification?
@argulian @echo_batman @Ph_Bertrand @dr_benoy_n_shah
No comments from here?
No one having strong opinion?
My take on this, is pretty clear; PISA EROA in eccentric Regurgitation is almost always a no go to pursue...
#echofirst can do better
👉 abcimaging.org/wp-content/up…
#echofirst question
How often is PISA EROA in primary eccentric MR suitable?
How often should we use PISA / EROA for severity quantification?
@argulian @echo_batman @Ph_Bertrand @dr_benoy_n_shah
My #echofirst Approach to PISA EROA in Mitral Regurgitation: A Critical Review doi.org/10.36660/abcimg.2024…
#echofirst question
How often is PISA EROA in primary eccentric MR suitable?
How often should we use PISA / EROA for severity quantification?
@argulian @echo_batman @Ph_Bertrand @dr_benoy_n_shah