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RTHahnMD

@hahn_rt

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637
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886
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Interventional Echocardiographer, Professor of Medicine at Columbia University, New York Presbyterian Hospital.

New York, NY
Joined June 2018
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@hahn_rt
RTHahnMD
2 years
Novel Treatment of HOCM with percutaneous intramyocardial septal radiofrequency ablation (PIMSRA) just published: @CathElectroSurg @JAMACardio @bonowr @ACCinTouch @ESC_Journals @JudyHungMD @psorajja
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@hahn_rt
RTHahnMD
2 years
Transseptal Puncture is key to many left heart procedures: see great review @adnanalkhouli @davidrholmes2 New devices may assist “safe” and accurate crossing @brijmaini @MccullochMarti @anthonymedigo @ACCinTouch @escardio @GilbertTangMD
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@hahn_rt
RTHahnMD
8 months
What a great review of HFpEF . TR a part of the late disease stage! @LindenfeldJoann @JACCJournals @ACCinTouch @BurkhoffMd @spinneymd @escardio
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@hahn_rt
RTHahnMD
7 months
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@hahn_rt
RTHahnMD
10 months
The BEST Review to date on Mitral-TEER: See also references: @j_hausleiter @MariannaAdamo1 @nickaram @SwaansMartin @FabienPraz
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@hahn_rt
RTHahnMD
7 months
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@hahn_rt
RTHahnMD
1 year
Evidence that rhythm control benefits HFpEF! Rhythm control also benefits MR&TR! @JACCJournals @ACCinTouch @escardio @CardioNerds #CardioTwitter
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@hahn_rt
RTHahnMD
3 years
Open access article "Proposal for a Standard Echocardiographic Tricuspid Valve Nomenclature" is now available online @PhilippLurz @HamidNadira @GilbertTangMD @AbbottGlobal @EdwardsLifesci @ASE360 @ACCinTouch @escardio @JACCJournals
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@hahn_rt
RTHahnMD
4 years
My first Tweetorial: Tricuspid Valve Imaging from #TVTConnect . #1 /4: Transgastric views essential for assessing leaflet number, chordae, location of regurgitation, procedural planning. @edwinhoMD @azeemlatib @DeeDeeWangMD @TCTMD @ASE360 #echofirst
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@hahn_rt
RTHahnMD
4 years
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@hahn_rt
RTHahnMD
9 months
Please see our open access review on aortic regurgitation:   @ColumbiaMed   @HeartValveCntr   @CUMCHeartSource   @JenaValve   @ACCinTouch @escardio @TCTMD
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@hahn_rt
RTHahnMD
2 years
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@hahn_rt
RTHahnMD
1 year
Out today!! 2023 ACC/AHA/SCAI Advanced Training Statement on Interventional Cardiology @ACCinTouch @JACCJournals @SCAI @AHAScience @adnanalkhouli @ColumbiaCardio @HeartValveCntr
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@hahn_rt
RTHahnMD
1 year
GREAT review of Left Atrial Appendage Occlusion: Current Advances and Remaining Challenges @adnanalkhouli @MCoylewright @DJ_Lakkireddy @drsuneet @JACCJournals @ACCinTouch @ASE360 @jfreeMD
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@hahn_rt
RTHahnMD
4 years
Was asked how to measure a transmitral "double envelope" and here is my opinion (measure the dense spectral) and why. #echofirst @ASE360 @ACCinTouch @echo_stepbystep @iamritu @purviparwani @SLittleMD @DeeDeeWangMD @robertomlang
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@hahn_rt
RTHahnMD
2 years
Beautiful HFpEF Review and New Concepts!    Congrats to co-first authors @AndreasGevaert @rachkataria ! See also       #EchoFirst for initial diagnosis.    @Heart_BMJ
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@hahn_rt
RTHahnMD
3 years
So excited that the new TEE Guideline is finally in press @JournalASEcho ! Thanks to all my coauthors!! @robertomlang @ScaliaGreg @LucySafi @nishath_quader @gb_mackensen @OKhaliqueMD @JaeKOh2 @LindaGillamMD @EchoKen @SLittleMD . Look for the ASE Webinars!
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@hahn_rt
RTHahnMD
1 year
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@hahn_rt
RTHahnMD
4 years
Here are links to the #echofirst assessment of Aortic Valve Area articles used at #ASEchoJC .       @iamritu @ASE360 @JournalASEcho @JaeKOh2 @BonitaEcho
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@hahn_rt
RTHahnMD
5 years
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@hahn_rt
RTHahnMD
6 years
An unusual case of rheumatic #mitral stenosis with percutaneous balloon mitral valvuloplasty using advanced #3D #TEE . PBMV can be performed with #echo only. #echofirst #CardioTwitter #Interventional
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@hahn_rt
RTHahnMD
3 years
Complex Tricuspid Valve morphology may impact #TEER procedure but not clinical outcomes . Needs further study @kit_m123 @PhilippLurz @thiele_holger @vonBardelebenRS @JACCJournals @ACCinTouch @ASE360 @azeemlatib @GilbertTangMD
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@hahn_rt
RTHahnMD
5 years
Honored to be Guest Editor for JACC: Cardiovascular Imaging, Volume 12, Issue 3, March 2019 Special Issue on Tricuspid Regurgitation—more in April. Visit #JACC Cardiovascular Imaging #EchoFirst #Cmr #CardiacCT #cardiotwitter @ColumbiaDoctors
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@hahn_rt
RTHahnMD
3 years
WOW the new 3D TEE Workflow Enhancements are phenomenal and will significantly improve transcatheter tricuspid valve intra-procedural imaging! @ASE360 #echofirst @robertomlang @lpbadano @mirvatalasnag @iamritu @purviparwani @GilbertTangMD @HamidNadira @Philips @3DEcho360
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@hahn_rt
RTHahnMD
5 years
Two recent articles describing sizing algorithm for #TAVR in bicuspid aortic valves ( #BAV ) agree that annular measurements are valid: @didier_tchetche @CircIntv Technique for identifying annulus non-raphe-type BAV.
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@hahn_rt
RTHahnMD
5 years
One of the best lectures on #mitralstenosis by Igal Sebag. Here are some key slides. @ASE360 #ASE2019 #Echofirst @iamritu #ASEValves
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@hahn_rt
RTHahnMD
6 years
Newest #ASE360 #Guideline for Quantitation of #mitral #regurgitation () in agreement with #ACC #AHA 2017 updated #Valveguideline () and use the same severity scale for primary and secondary #MR .
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@hahn_rt
RTHahnMD
3 years
Just out in Pre-Proof: Recommended Standards for the Performance of TEE Screening for Structural Heart Intervention! Here is a sample of Figures and Tables: @ASE360 @ACCinTouch @escardio @EACVIPresident @robertomlang @SLittleMD #echofirst @lpbadano
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@hahn_rt
RTHahnMD
15 days
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@hahn_rt
RTHahnMD
2 years
FANTASTIC 2021 Year in Review for Valvular Heart Disease: . Part 1: @ottoecho @escardio
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@hahn_rt
RTHahnMD
1 year
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@hahn_rt
RTHahnMD
6 years
Vena contracta (VC): point in a fluid stream where the diameter of the stream is least & fluid velocity is max. Fluid streamlines follow a smooth path, converge just downstream from opening resulting in narrowing of the jet. #EchoFirst PISA measures EROA of VC. #Valvular @ASE360
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@hahn_rt
RTHahnMD
7 months
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@hahn_rt
RTHahnMD
3 years
Quantifying TR particularly tough with respirophasic variability! See this extreme TEE example of 3D VCA 0.8 cm2 to 2.8 cm2. @ASE360 @lpbadano @denisamuraru @cardiopole @robertomlang @FabienPraz @AddK007 @ACCinTouch
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@hahn_rt
RTHahnMD
6 years
Live case @TCTConference showing an investigational transcatheter mitral replacement using new advanced #3D #EchoFirst technology which may improve procedural imaging guidance. #Cardiotwitter #Cardiacimaging @lpbadano @SLittleMD @ajaykirtane @denisamuraru @DeeDeeWangMD
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@hahn_rt
RTHahnMD
4 months
New clinical consensus statement from ESC's HFA/EAPCI on Chronic Right-Sided Heart Failure and Tricuspid Regurgitation.  Epub ahead of print. @escardio @ESC_Journals @MariannaAdamo1 @lpbadano @VDelgadoGarcia @FabienPraz @MarcoMetra see also…
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@hahn_rt
RTHahnMD
2 years
Hypertrophic Cardiomyopathy:  2020 Guidelines, State-of-the-Art HOCM Review and ASE Recommendations for Multimodality Cardiovascular Imaging.  @JACCJournals @ACCinTouch @ASE360 @JournalASEcho
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@hahn_rt
RTHahnMD
1 year
Here are links to all 10!!
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@hahn_rt
RTHahnMD
4 years
Answering @BonitaEcho How To #EchoFirst in Prone Position for ARDS. Transesophageal may be preferred but TTE possible. @ASE360 @ACCinTouch #COVID19 #Covid_19 @iamritu @purviparwani
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@hahn_rt
RTHahnMD
5 years
Current reviews: assessment&importance of Diastolic Function: Litwin etal Kosmala etal New #echofirst methods for LA&RA filling pressures will change assessment algorithm. @ASE360 #ASE2019 @HFSA #HeartFailure @JACCJournals
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@hahn_rt
RTHahnMD
2 years
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@hahn_rt
RTHahnMD
3 years
Just Published: PARTNER 3, 2Yr Primary endpoint remained significantly lower w/ TAVR vs SAVR, but initial benefit TAVR in death & stroke diminished with ⬆️ valve thrombosis. @TheDoctorMack @djc795 @JACCJournals @ACCinTouch @PhilGenereuxMD @PPibarot #TAVR
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@hahn_rt
RTHahnMD
7 months
Evolut Low Risk 4-yr results better for TAVR than SAVR! What will 5-yr results show for all-cause mortality? According to Dr. Reardon, 7-10-yr followup will help determine outcomes and durability. @JACCJournals @TCTMD
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@hahn_rt
RTHahnMD
4 years
Comprehensive Review of Cardiac Amyloid in Aortic Stenosis:. See also Consensus Recommendations for Multimodality Imaging in Cardiac Amyloidosis: . #echofirst @ASE360 @SCMRorg @MyASNC @JACCJournals @PPibarot @JoaoLCavalcante
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@hahn_rt
RTHahnMD
5 years
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@hahn_rt
RTHahnMD
4 years
Comprehensive review of degenerative MR and approach to Asx patient w/editorial @JAMACardio @bonowr @ASE360 #echofirst #cardiotwitter @JudyHungMD @iamritu
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@hahn_rt
RTHahnMD
5 years
Two new studies confirming the staging system proposed for Aortic Stenosis is independently associated with all-cause mortality in both Symptomatic and Asymptomatic pts. @PhilGenereuxMD @PPibarot @JACCJournals #echofirst
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@hahn_rt
RTHahnMD
6 years
Advances in #3DECHO allow more realistic imaging of cardiac structures, less dropout from thin structures and greater understanding of anatomy/morphology. #echofirst #mitralvalve #CardioTwitter #interventional
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@hahn_rt
RTHahnMD
2 years
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@hahn_rt
RTHahnMD
2 years
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@hahn_rt
RTHahnMD
9 months
FREE for 50 days: New Review of Management of Symptomatic TR  More research needed! @BrenerMickey @spinneymd @JoannLindenfeld @JACCJournals @ACCinTouch @BurkhoffMd
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@hahn_rt
RTHahnMD
4 years
Two studies validating new quantitative methods of quantifying severe TR. By TTE: Dahou A et al. . By TEE: Utsunomiya, H et al. . @JACCJournals @JournalASEcho @GilbertTangMD @lpbadano @JoaoLCavalcante #echofirst #ASE360
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@hahn_rt
RTHahnMD
2 years
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@hahn_rt
RTHahnMD
4 years
New concepts of FMR severity in @JAMACardio related to Edge-to-edge repair trials. See and with editorial @bonowr @ASE360 #echofirst @iamritu
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@hahn_rt
RTHahnMD
2 years
Diagnosing Pseudo-severe AS #EchoFirst . Associated Poor outcomes ENROLL in UNLOAD Trial: @PhilGenereuxMD @DonalErwan @cardiopole @PPibarot @drnvanmieghem @ACCinTouch @escardio
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@hahn_rt
RTHahnMD
7 months
Partner 3 equivalent great outcomes at 5 yrs for TAVR and Surgery (low risk). Both with all-cause mortality </= 10%!! Published online @NEJM
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@hahn_rt
RTHahnMD
5 years
RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke pts Now MORE proof in #JACCJournals . 201 w/cryptogenic embolism #EchoFirst #PFO
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@hahn_rt
RTHahnMD
2 years
YES!!! See our Open Access Article on the New Nomenclature for Complex TV leaflet Morphology @JACCJournals @ASE360 @pattypellikka
@pattypellikka
Dr.Patricia Pellikka
2 years
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@hahn_rt
RTHahnMD
11 months
Great review of current literature on peridevice leak post-LAAO. ⬆️Ischemic events, ­⬆️bleeding. Modifiable factors including undersizing, coaxiality of device to LAA! @adnanalkhouli @DJ_Lakkireddy @docsaw @JACCJournals @ACCinTouch @OKhaliqueMD
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@hahn_rt
RTHahnMD
5 years
Nice review/suggested algorithm @JAMACardio A Practical Approach: “Shared decisions about initiation, continuation,& discontinuation of aspirin for primary prevention...focus on individual pt risks & preferences.” #Cardiology #primarycare @ajaykirtane
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@hahn_rt
RTHahnMD
5 years
New review focuses on the relationship of the right atrioventricular axis, TV, and pulmonary vascular system and how structural and hemodynamic alterations determine the mechanism of TR. @JAMACardio @ColumbiaDoctors #CardioTwitter @crfheart
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@hahn_rt
RTHahnMD
3 years
6-month outcomes TRISCEND study confirmed significant reductions in tricuspid regurgitation, good survival following transcatheter implantation of the Evoque device. @TCTMD #TCT2021 @crfheart @SusheelKodaliMD @PhilippLurz @ACCinTouch @GilbertTangMD @purviparwani
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@hahn_rt
RTHahnMD
5 years
NOTION randomized data comparing durability for #TAVR & SAVR, low risk pts. 6 yr all-cause mortality similar but TAVR less Structural Valve Dysfx (SVD). Significant limitations of study but good news for now! @JACCJournals #EchoFirst
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@hahn_rt
RTHahnMD
4 years
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@hahn_rt
RTHahnMD
3 years
Moderate AS a/w increased mortality, AVR increased survival (HR: 0.59; 95% CI: 0.35 to 0.98; p = 0.04) driven by TAVR (HR: 0.43; 95% CI: 0.18 to 1.00; p = 0.05)! @ClavelLabo @PPibarot @drnvanmieghem #TAVR @JACCJournals @ASE360 @ottoecho
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@hahn_rt
RTHahnMD
2 years
3 @JACCJournals articles on outcomes of TEER for Atrial Functional MR . Privileged to contribute to editorial by @adnanalkhouli @NisthaSodhi @drmaisano @ACCinTouch @GilbertTangMD
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@hahn_rt
RTHahnMD
2 years
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@hahn_rt
RTHahnMD
6 years
Great review of Intracardiac Echocardiography by Alkhouli et al with illustrated standard imaging views and discussion of limitations of current methodology. #Echofirst #intervention #JACCINT @ASE360 @SusanWiegers @adnanalkhouli @structuralheart
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@hahn_rt
RTHahnMD
3 years
Love that ball-in-cage valve! Here is the old and new technology together in one patient! @SCAI @JACCJournals @escardio @ACCinTouch @STS_CTsurgery @VinodThourani @GilbertTangMD @igeorge1975
@JGrapsa
Julia Grapsa
3 years
#JACCCaseReports 🌟🌟🌟 new issue on #imaging & #structural interventions 🌟🌟🌟Last time you saw a caged ball valve? This one was implanted 50 yrs ago by Christian Barnard @m_taramasso @JACCJournals ➡️ @argulian @MinnowWalsh @mividovich @hahn_rt
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@hahn_rt
RTHahnMD
4 years
A new #Cardiology subspecialty where women shine—Excerpt from the Inaugural Women In Structural Heart (WISH) symposium. #ACCWIC @DrVivianNg @Drroxmehran @iamritu @LindaGillamMD @gina_lundberg @MayraGuerreroMD @avolgman @WomenAs1 @DrMarthaGulati
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@hahn_rt
RTHahnMD
4 years
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@hahn_rt
RTHahnMD
5 years
More proof that Increasing severity of #TricuspidRegurgitation is A/W Mortaility! We should treat TR earlier! Editorial @iamritu @ASE360 @ESC_Journals
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@hahn_rt
RTHahnMD
4 years
Here is a personalized URL providing free access until April 8, 2020 to the article: Assessment and Procedural Guidance with Echocardiography for Transcatheter Tricuspid Regurgitation Devices: #echofirst @ASE360
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@hahn_rt
RTHahnMD
2 years
Nonstructural Valve Dysfunction=any abnormality not intrinsic to prosthetic valve➡️valve dysfunction.  Pannus! @PPibarot @GAilawadiMD @GilbertTangMD @MarcDweck @ASE360 @iamritu
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@hahn_rt
RTHahnMD
3 months
After approval first in the EU, Finally a TTVI available in the US for our severe, symptomatic TR patients!! @escardio @ACCinTouch @SusheelKodaliMD @VinodThourani
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@hahn_rt
RTHahnMD
4 years
Great tutorial of proper measurement of LVOT for accurate calculation of LV stroke volume—even more important to measure at the annulus in Non-AS valves. See PDF of our editorial to guideline. @JournalASEcho #EchoFirst @PPibarot
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@EGarciaSayan
Enrique Garcia-Sayan, MD, FACC, FASE
4 years
Can't see 2 identical-appearing cusps in long axis and be in true center of a valve that has 3 cusps. Once squared, major error in LVOT area and subsequent AVA and EOA. Note formula for predicted LVOT by BSA. Also, post TAVR new-LVOT measured from outer to outer stent frame.
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@hahn_rt
RTHahnMD
26 days
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@hahn_rt
RTHahnMD
6 years
New review on #aortic #Stenosis and #TAVR #echocardiography with how to more accurately assess #aortic #Valve area.
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@hahn_rt
RTHahnMD
8 months
More evidence of association b/w depth of LAAO implant and device-related thrombus. See also outcomes of DRT @freixa_xavier @pedro_cepas @JACCJournals @adnanalkhouli
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@hahn_rt
RTHahnMD
3 years
Beautiful Review of Cardiac CT in Evaluation of Infective Endocarditis! Congrats @OKhaliqueMD @AChoiHeart @onco_cardiology @journalCCT @DeeDeeWangMD
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@hahn_rt
RTHahnMD
3 years
Happy to share our early experience with a first generation Transcatheter Tricuspid Valve Replacement device. @GilbertTangMD @tavrkapadia @m_taramasso @JACCJournals @ajaykirtane @mirvatalasnag @Pooh_Velagapudi @iamritu @bapat_savrtavr
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@hahn_rt
RTHahnMD
1 year
@MST_EU
MST_EU
1 year
A few good memories from a great time spent in #London during the #PCRLV #2022 #PCRLV2022 with excellent experts such as @hahn_rt using our #TEE #simulator #MrTEEmothy . We will definitely see you all next year for outstanding sessions for interventional echocardiography!
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@hahn_rt
RTHahnMD
2 years
Part 1: lecture #ASE2022 on Updates in TV, in Hot Topics in Structural Heart Disease.  Shared the stage with @gb_mackensen and heard a great research abstract by @kcharlottelee . @VicFerrariMD @ASE360 @HeartDocSharon #echofirst @SLittleMD @iamritu @purviparwani @VDelgadoGarcia
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