Mhd Nawar Alachkar

#interventional cardiology
#PCI
#EchoFirst
#WhyCMR

[JACC Journals @JACCJournals]

An 89F referred for #TAVR had an ostial right coronary artery stent protruding into the aorta.

Snare-based retrieval safely removed the stent before #IVUS-guided restenting, demonstrating a feasible percutaneous solution. https://t.co/Mcw5D64wTC #JACCCaseReports

[RTHahnMD @hahn_rt]

Two of our @Columbia @HeartValveCntr studies led by Robin LeRUZ made the impactful #tricuspid regurgitation papers list by PCR!! Great overview by @PCRonline! @JACCJournals @ACCinTouch @escardio @Europace

[Mhd Nawar Alachkar @Nawar_Alachkar]

@mirvatalasnag @PCRonline @TCT_ME_ @SCAI @APSIC6 @atherosociety @aspergian1 @drsonyaburgess @yadersandoval @slumberbell @timir_paul @tietamedeiros @pkothapalliMD @tristonsmithmd @TTelila @HadyLichaaMD PCI to LAD, other PDA and RD conervative unless AP under OMT, then maybe DCB strategy to avoid small stents

[Mamas A. Mamas @mmamas1973]

The natural history of patients with medically managed CCS is not as benign as we think. Our analysis of reconstructed individual patient's data from 29 trials and 53,000 pts shows AMI rates of 12.5% at 5 years and 8.6% mortality rate.
Outcomes will be much worse in non RCT real-world populations where risk factor control less optimal and multimorbidity more prevalent.

work led by @Nicholaswschew and team

➡️ https://t.co/m30sllCBz5

[Mhd Nawar Alachkar @Nawar_Alachkar]

@dr_benoy_n_shah @echo_stepbystep @alexsfelixecho @alex1708ander @alcantaramonica @CASivaram1 @denisamuraru @drandrewsharp @DrRajeshG1 @EACVIPresident @NMerke Even bei comissure prolaps a clip central to medial may help reduce the MI even if not eliminating it

[Mhd Nawar Alachkar @Nawar_Alachkar]

@dr_benoy_n_shah @echo_stepbystep @alexsfelixecho @alex1708ander @alcantaramonica @CASivaram1 @denisamuraru @drandrewsharp @DrRajeshG1 @EACVIPresident @NMerke Severe AS, low flow because the blood escapes to LA, TAVI first, then reassess MR, if necessery TEER

[Gregor Leibundgut @swissCTO]

@MichaelMegalyMD I call it The PEAL (Proximal slEeve removAL) for distal radial access (DRA) in tall patients

[Annette Maznyczka @AMaznyczka]

Is the Cx ostium still the Achilles heel of LM bifurcation PCI?

Our analysis from the EBC MAIN trial is now published in @CircIntv

The Cx ostium was the commonest site requiring revascularization after LM bifurcation PCI, irrespective of whether one or two stents had been deployed.

https://t.co/q14om6LHr4

@Ryvetsprog @GoranEBC @BURZOTTA_F @dmylotte @jacockburn @MPAOSS @alaide_chief @mmlindsay71 @MohanedEgred @h_evald @arunothayaraj @mmamas1973 @BifurcationClub #bifurcation #PCI

[EuroIntervention @EuroInterventio]

IVUS-guided analysis of LM crossover PCI demonstrated that suboptimal stent expansion independently predicts adverse 5-year outcomes. Optimising MSA is critical for long-term success.
https://t.co/gYF4Om4fZY

[Mhd Nawar Alachkar @Nawar_Alachkar]

@EuroInterventio Interesting as previous data suggested MSA of 8 mm² for LM

[Mhd Nawar Alachkar @Nawar_Alachkar]

@MarwanSaadMD @AhmedElkaryoni @MohammedQintar @kalazizimd @mirvatalasnag @AlkashkariWail @PinakShahMD @mnyoung1 @DeVriesJt @EmadHakemiMD @aicardio @djc795 @CathElectroSurg I supppse the pulmonary catheter was used for management of schock?

[Mhd Nawar Alachkar @Nawar_Alachkar]

@KemalogluOz @alexsfelixecho @alex1708ander @NMerke @iamritu @echo_stepbystep @papadocardio @EchoSoliman @DrHaniMahmoud @fiore_corrado @VDelgadoGarcia At which PHT do we consoder severe PR?

[Atul D. Bali, MD @ABaliMD]

Excited to share our paper, now out in @JACCJournals! Important work led by @MAlvarezVillela:

🔥 Fever in AMI-CS is common and is associated with greater illness severity but seems to be noninfectious in most cases
#CardiogenicShock 🫀

https://t.co/d13b93sEhx

[JACC Journals @JACCJournals]

First sham-RCT of thigh-length elastic compression stockings in recurrent vasovagal syncope (VVS) found no benefit for recurrence or VVS-free survival. Routine use not supported https://t.co/dTK6dzFiLp #JACC

[Alessia Gimelli @alessia_gimelli]

A novel CT-based MAC score (2–12) predicts outcomes after mitral valve surgery. Severe MAC (score 9–12) is linked to higher mortality (25% vs 8.3%, P=0.026).
Structured assessment helps risk stratification.
@EZancanaroMD @VDelgadoGarcia @denisamuraru https://t.co/cltQ1r3YrF

[Mhd Nawar Alachkar @Nawar_Alachkar]

@iCardiolgist_XS Stiff bofy wire, when needed more than one, then lanh sheath over one of them

[Abdul Hakeem MD @ahakeem143]

Rivaroxaban vs Warfarin in Acute Left Ventricular Thrombus Following Myocardial Infarction: RIVAWAR, An Open-Label RCT | JACC: Advances https://t.co/XHsKEKMD8p

[Divaka Perera @divaka_perera]

Is FFR/iFR the same in the LAD and LCx in isolated LMCA disease?

We are excited to share our #disruptive findings, online @CircIntv today https://t.co/XKpYIxgKT3

‼️ All pressure-based indices are LOWER in the LAD than in LCx (misclassification 21% by FFR 28% by iFR)

[Davide Capodanno @DFCapodanno]

I am pleased to announce that the new Impact Factor of EuroIntervention is the highest in its 20-year history: 9.5. Ranked 16th out of 230 journals in the cardiovascular category (+5 positions versus the previous year). Thank you all — it’s an exciting rollercoaster.

[EHJ-IMP Editor-in-Chief @EHJIMPEiC]

#EHJIMP 🫁 Can we use free-breathing ECG-triggered cine CMR instead of SSFP? 🔄 Both methods show good agreement 🫀 Ideal for patients with arrhythmias or limited breath-hold capacity 🧪 Similar diagnostic performance to SSFP 📖 Read more 👉 https://t.co/D5PWUFohjI