Angshuman Maulik

Interventional Cardiologist with a side serving of culinary enthusiast. Oh... and the flute.

[Shariq Shamim @ShariqShamimMD]

#ACC26 Much awaited Door to Unload trial for Anterior MI failed to show the benefit for Impella. Unload before Revasc for Ant MI. Surprisingly mean BP ~140 despite LVEDP in high 20s!

[Evandro Martins F. MD @evandrofilhobr]

HFmrEF + CTO = high risk.
In 836 CAD pts, CTO → ↑mortality (33% vs 19%) & ↑MACCE (60% vs 32%) at 30 mo.
Successful CTO-PCI ↓death (HR 0.49).
Limitations: single-center, retrospective, no systematic viability/CMR.
#CTOPCI #HFmrEF

https://t.co/nKLcIXYIYN

[Salman Allana, MD FACC FSCAI @AllanaSalman]

Now online @JACCJournals Operator annual retrograde CTO PCI volume matters for higher technical success in retrograde cases
Link: https://t.co/2XSmQnnWws
@esbrilakis @RempakosT @m1chaella_alex @Bavana_Rangan @CCAD_MHIF @UTSWMedCenter #CardioTwitter #CTO #PCI

[William Fearon @wfearonmd]

📢 Inviting all interventional cardiologists to complete a survey on the utilization of coronary physiology.
Help our understanding of current practices, including usage frequency, preferred modalities, and optimal timing.

🔗Complete the survey now: https://t.co/zw9Pw9G6CX

[JACC Journals @JACCJournals]

Chronic stent recoil occurred in 1 of 5 lesions treated with second- or newer-generation #DES requiring repeat #revasc, with severe calcium and nonuniform stent expansion identified as risk factors, and was associated with TLR. https://t.co/aPfdcGclCB #JACCINT #OCT

[Muthu Vaduganathan @mvaduganathan]

*New* 2025 JCS/JHFS Japanese Guidelines

Prevention of #HF
#SGLT2i class I (4 T2D & 4 CKD RCTs)
#nsMRA class I (FIDELIO FIGARO)

Treatment of #HFpEF
#SGLT2i class I (DELIVER EMPEROR SOLOIST)
#nsMRA class IIa (FINEARTS)
#sMRA class IIb (TOPCAT)
#ARNI/#ARB class IIb (PARAGON/CHARM)

[Amir Eslami, DO, FACC, FSCAI @AEslamiDO]

Sometimes you take calculated risks after discussing it with your patients. Transparency, honesty and accountability. Complex Impella guided ostial LM-LAD-LCX; surgical turndown. Severe PAD. Complicated by limb ischemia needing successful peripheral vascular intervention and AKI

[Radcliffe Cardiology @radcliffeCARDIO]

📚New #ICRJournal Article: "Coronary Calcification: Types, Morphology and Distribution"

📚 Just Published!

🔓Access it here 👉 https://t.co/ZKJUeHl2N3

#CVImaging #MedEd #CardioEd

[Heart_BMJ @Heart_BMJ]

Evolving use and clinical outcomes of coronary intravascular lithotripsy: insights from an international, multicentre registry https://t.co/zrjEplMzjQ

[Tsutomu Fujita MD @Laserrman]

6Fr rescue #TDADR #Boston HD IVUS,
Reffered Pt (previous PCI failed due to dissection )

6Fr　Boston IVUS shows GW is in EP→＃TDADR G4 with Carnelian MARVEL→TL

＃TDADR is available in 6Fr

@realarainmd　@cto_chip_japan　@DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1　@baijazvascular @ErwMulia @jbspadoni @GTawade84　@drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI　@ikki1127 @CtoEuro @SPyxaras　@JuradoRomanAl　@JiunnWen_Lin @MLCTOAcademy @shci_sec　@drdharmarajk @sapporohunt @ogoktekin

[Angshuman Maulik @Chef_doc_M]

When something very basic a dictum is revisted with evidence

[Alison L. Bailey, MD @a_l_bailey]

One of the most important trials at @ACCinTouch #ACC25 ! Compared fluid restriction to liberal approach in #HeartFailure. Why?

This affects individuals w/HF EVERY DAY!
✨No benefit of Fluid Restriction
✨No HARM for liberal fluid intake
✨Improved QOL in liberal fluid intake

[John Mandrola, MD @drjohnm]

Two questions for #ACC25:

If you add an SGLT2i after any cardiac procedure. And study it against placebo, would it not show a reduction in HHF?

Why do we allow investigators to not tell us total hospitalizations? <-

[Gregg W. Stone MD @GreggWStone]

ECLIPSE publ today in Lancet. In 2005 pts with severe lsn calcification by angiography that did not absolutely require atherectomy, there were no sig differences in acute MSA or 1-year TVF with orbital atherectomy vs. balloon pre-dilatation. Free link: https://t.co/CUwcO8zNL1

[Dr Rob 🫀🩺 🇦🇺 @drhungo]

Some 🔑 numbers when considering
NT-proBNP in heart failure

#MedTwitter #CardioTwitter #MedEd #FOAMed @ESC_Journals

[Tsutomu Fujita MD @Laserrman]

LCX #CTO
Sionblack and N3 failed→G2 punctured→#HDR →XT non TIP→2nd #HDR, 3rd #HDR →AG shows XT was in IP but not exiting to TL→#G2 rerouting failed→#TDHDR→GW was accidentaly slipped away wow→Sionblack crossed to TL→#DCB

@realarainmd　@cto_chip_japan　@DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa1　@baijazvascular @ErwMulia @jbspadoni @GTawade84　@drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI　@ikki1127 @CtoEuro @SPyxaras　@JuradoRomanAl　@JiunnWen_Lin @MLCTOAcademy @shci_sec　@drdharmarajk @sapporohunt @ogoktekin

[Tsutomu Fujita MD @Laserrman]

RCA. double #CTO CABG failed. Great case sharing.
#TDADR,#TDADR,#MHA,#singleaccess,#7Fr
PC by ST punctured HDR failed⇨UB3⇨HDR showed EP⇨KWT⇨＃TDHDR ⇨proximal CTO crossed⇨XT⇨＃HDR⇨XTnot advanced⇨KWTto PL branch⇨＃TDHDR⇨#HDR⇨XTcrossed DTL
@realarainmd　@DaitaroK @calcbreaker @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 @uziyahya46 @DrBIqbal @Bernard_TW_Wong #MedTwitter @akbarul @K_DeSilva @evandrofilhobr @MichaelMegalyMD @asaadnakhle @SCVC2023 @girishviswa　@baijazvascular @ErwMulia @jbspadoni @GTawade84　@drAliyor @SandyCTO #cardiotwitter @PCRonline @SCAI　@ikki1127 @CtoEuro @SPyxaras　@JuradoRomanAl　@JiunnWen_Lin @MLCTOAcademy @shci_sec　@drdharmarajk @sapporohunt @ogoktekin

[Andrew Ladwiniec @ALadwiniec]

Come and join us in May to learn more about CTO PCI!
@cghanratty @jcspratt @simonjwilson1 @jdinaus @SmithElliotjs @Dizzledavies73