New issue out today ๐ฃ๐ฃ
Highlights include:
โข A State-of-the-Art review on coronary interventions in patients undergoing TAVI
โข Early haemodynamic valve deterioration after TAVI
โข 30-day outcomes of redo-TAVI with SAPIEN 3
โข First clinical experience with the Unica device for tricuspid regurgitation
โข The UNICORN technique in native aortic valves
and more
https://t.co/C7WKy64Say
@A_Trimaille@G_Tarantini01@npfam1@Jmparadis27
#TAVI #StructuralHeart #InterventionalCardiology
This State-of-the-Art review provides a comprehensive and practical overview of coronary interventions related to TAVI, encompassing coronary evaluation and physiological assessment, the indications and timing of percutaneous coronary intervention before and after valve implantation, and strategies for managing coronary obstruction. https://t.co/yojhLj5N5p
This a unique case from @BSWHRR_CARD , courtesy of the Master of Tricks @jfcondado + @raulmgmd and nicely put together by our stellar fellow @jonw1n ๐๐๐ details at https://t.co/51nVhklViV๐๐ป๐
Higher #TAVR device implantation was linked to improved outcomes with similar safety events, including valve migration, across implantation depths. Long-term effects, including redo-TAVR feasibility, need further study. https://t.co/zRRe8TgGVB
#EuroPCR#JACCINT
BATMAN was assoc w/ high technical success, effectiveness in preventing #LVOT obstruction, & appeared to be safe in ViR & ViV procedures. Adverse events were higher in ViMAC, according to an LBCT presented at #EuroPCR & simultaneously published in #JACCINT https://t.co/hHqTKZ7K1p
๐ฅ #EuroPCR 2026 Major Late-Breaking Trials๐ฅ:ย
Long-term mortality following PCI with DES versus CABG for left main disease
An individual participant data meta-analysis of the SYNTAX, PRECOMBAT, NOBLE and EXCEL trials presented by Brian Bergmark showed no significant difference in all-cause mortality between DES PCI and CABG over 10-year follow-up in patients with left main coronary artery disease suitable for revascularisation.
Read the press release here โก๏ธ https://t.co/rPxXxuumpC
#LeftMain #PCI #CABG #CoronaryArteryDisease #InterventionalCardiology #ClinicalTrials
@PCRonline
What effects do LBBB, RBBB and LVH with repolarization abnormalities have on exercise stress testing interpretation?
๐ด LBBB โ ST changes are unreliable due to abnormal repolarization. False-positive ST depressions may appear in V5-V6, I, aVL. Instead, use nuclear stress imaging or stress echo for accurate assessment.
๐ต RBBB โ Less impact than LBBB, but ST-T changes in V1-V3 are not ischemic. Focus on inferolateral leads (V5-V6, II, III, aVF, I, aVL) for valid ischemia detection.
๐ข LVH with repolarization abnormalities โ ST depressions & T-wave inversions (strain pattern) are common, especially in lateral leads (I, aVL, V5-V6). These changes often lead to false positives, making imaging crucial for confirmation.
1/9
๐จ ๐๐ฒ๐ณ๐ ๐บ๐ฎ๐ถ๐ป (๐๐ ) ๐ฐ๐ผ๐ฟ๐ผ๐ป๐ฎ๐ฟ๐ ๐ฎ๐ฟ๐๐ฒ๐ฟ๐ ๐ฑ๐ถ๐๐ฒ๐ฎ๐๐ฒ is one of the most complex subsets for PCI, carrying a high risk of late complications.
The ultimate game-changer for improving patient outcomes? ๐๐ป๐๐ฟ๐ฎ๐ฐ๐ผ๐ฟ๐ผ๐ป๐ฎ๐ฟ๐ ๐๐บ๐ฎ๐ด๐ถ๐ป๐ด (๐๐๐) .
Here is a breakdown of the new EAPCI & EBC consensus statement. ๐งต๐
#Toolkit ๐จโ๏ธTips!
Transcaval TAVR, step by step: from access to closure.
Dr. Ajay Yadlapati breaks down how he approaches these cases.
For those using transcaval access: what are your go-to tricks for planning, crossing, or closure?
#TAVR#CardioX#StructuralHeart
Burr entrapment, one of the most feared complications in rotational atherectomy. Multiple bailouts, choice driven by operator experience. Algorithms help organize the toolbox, especially for less experienced operators. My usual path: step (2) vasodilator + gentle pull (solves most), then (5) wire + balloon next to the burr or (6) knuckle wire for the resistant ones. With step (3), skipping rope, a newer iterative technique, I'll probably start following this more logical sequence.
#CHIP #Rotablator #RA #atherectomy #entrapment
Coronary slow flow is not diagnostic of microvascular dysfunction in patients with angina and unobstructed coronary arteries.
Coronary physiology interrogation has debunked one of the fallacies of the last decades.
New Journal Club review: NOBLE 10-year outcomes of PCI vs CABG in left main disease
๐https://t.co/BVu92fFLuv
Long-term evidence comparing PCI and CABG for unprotected left main coronary disease has been limited and sometimes conflicting. The 10-year results from the NOBLE trial now provide important clarity on all-cause mortality outcomes with both revascularisation strategies.
Read this review by @RuxSava
#interventionalcardiology #clinicaltrial #MedX
@realarainmd There is that brilliant technique publish bt @PCRonline
https://t.co/UOG0sfoOT4
I actually did a video at bedside to try it yesterday, I will post it shortly
did you try this @realarainmd