Lim Yinghao

Consultant Cardiologist, NUHCS | Clinical Assistant Professor, NUS | Structural imaging & intervention, ACHD, PH, PE intervention.

[EuroIntervention @EuroInterventio]

After TAVI, invasively measured transvalvular gradients—but not echocardiography-derived gradients— were associated with mortality up to 2 years. Echocardiography systematically overestimated gradients, particularly with balloon-expandable valves. Read more in our #EIJBestOf 👇
#CardioTwitter #TAVI

🔗https://t.co/Nb5dAvZLpB

@RikAdrMD @verhemel @Rjnuis @JoostDaemen @drnvanmieghem

[Circulation @CircAHA]

A new echocardiographic algorithm provides accurate classification of left ventricular filling pressure, reducing indeterminate cases, particularly in patients with preserved ejection fraction. @SNagueh https://t.co/JPyxVhlXtD

[EuroIntervention @EuroInterventio]

This comprehensive review by Goel et al. explores the principles, procedural details, and outcomes of techniques including BASILICA, ShortCut, UNICORN, and newer methods like CATHEDRAL and Splitter. Each approach is discussed in the context of anatomical challenges, device innovation, and operator experience. @GilbertTangMD
https://t.co/fj0knFuXns

#TAVI #InterventionalCardiology #LeafletModification #StructuralHeart #ValveTherapy #EAPCI

[JACC Journals @JACCJournals]

In another study published in #JACCINT, the timing of noncardiac surgery after #TAVR was not associated with increased perioperative risk, suggesting that surgical delays based solely on interval from TAVR may be unnecessary. https://t.co/wV9xJZvri6 #vhdAS #cvSurg

[Ting Ting LOW @drttinglow]

#ClotWarriors rejoice! Hey it works for us! Mechanical #thrombectomy better than🩸thinning alone for intermediate risk #PulmonaryEmbolism in our cohort🇸🇬!

📍improved PASP, RV/LV ratio, TAPSE, TAPSE/PASP, ICU stay, total hospital days, 30D mortality

https://t.co/FRuJZyxutS

[EuroIntervention @EuroInterventio]

In this paper, @LeivaOrly, @SripalBangalore et al. reported that early catheter-based therapy (≤1 day) in intermediate-/high-risk PE significantly reduces 90-day mortality, readmissions, bleeding, and length of stay vs delayed therapy. https://t.co/wIQPj1IK2j #PE #CBT #CDT #InterventionalCardiology

[Arif Khokhar @DrArifK]

Redo-TAVR for tall-frame valves:
(Navitor, Acurate, Evolut)

Real-world CT analysis led by @yusuke_kobari

Coronary Risk affected by:
🎯1st valve design
🎯 1st valve depth
🎯 2nd valve depth

Article 👇
@JACCJournals

https://t.co/ekN3t1xAvJ

[Arif Khokhar @DrArifK]

UNICORN-assisted Redo-TAVR

⚠️ Sapien-in-Acurate
⛔️ High CO Risk
🛠️ Planning w/ Bench-testing
✅ Preserved coronary flow

Making the Unfeasible -> Feasible.
@RigsHeart @yusuke_kobari @YinghaoLim @YWillemen

[Arif Khokhar @DrArifK]

🌟 ACE Valve academy @RigsHeart 🇩🇰

Live cases, interactive discussions, and peer-to-peer learning on:

🎯 IVUS in TAVI
🎯 Coronary access techniques
🎯 Orbital Atherectomy
🎯 Trans-Axillary TAVI
🎯 Large annuli

And great fun with a great team 🙌
@YinghaoLim @yusuke_kobari

[Ivandito Kuntjoro MD, FACC, FESC, FAMS, FAPSIC @Ditongaje]

Our first #Mitral #TEER #Pascal prior CABG patient, severe DMR, large prolapse P2-P1, flail segment P2/P1 junction. No residual MR with one #PascalACE. Echo POD 1 showed trivial MR, MG of 1mmHg. Thrilled with the result and grateful for the strong teamwork @NUHCS structural heart

[En Ze @ceze]

Trans-national tutorial over the South China Sea. Dr @YinghaoLim from NUHCS, Singapore gave an amazing tutorials on cardiac hemodynamics to Dr in Sarawak, Serdang and the Philippines! Teaching without boundaries!
Thanks Dr Joshua for organizing.

[Lim Yinghao @YinghaoLim]

@ceze It was really nice being reunited with you guys again! Golden bunch

[Lim Yinghao @YinghaoLim]

Aortic PVL closure with 8mm AVP4. 5 Fr guide wouldn’t track despite balloon assistance and anchorage. AVP4 delivered through a Cordis 4 Fr diagnostic

[JK Han MD @netta_doc]

OPTION RCT results presented by Dr. @omwazni

#LAAO is noninferior to #DOAC for #stroke / systemic embolism & superior in ⬇️ risk of major bleeding

#AHA24 🔗 https://t.co/uzt4L8BmbC

[Lim Yinghao @YinghaoLim]

Fun day today!

[Associate Prof William KF Kong 江国辉副教授 @WilliamKokFaiK1]

We made history again- first in Singapore, today we performed a Lampoon procedure for a mitral valve-in-valve case in NUH for a degenerated mitral bioprosthetic valve , also with the new mini TEE probe from Philips, image quality is excellent and the procedure was uneventful

[Elon Musk @elonmusk]

Starship rocket booster caught by tower

[NUHCS - National University Heart Centre,Singapore @NUHCS]

AICT-AsiaPCR 2024 united over 800 clinical experts, healthcare professionals, researchers, & industry partners for an engaging knowledge exchange!

#NUHCS is proud to be Singapore’s only LIVE transmission centre, showcasing 3 educational cases to the global cardiology community.

[Lim Yinghao @YinghaoLim]

@slumberbell @inaheartperki @NUHCS @drttinglow @ezmanshariff @Ditongaje @weiqin_lin @RyanTedfordMD Hurray!

[Lim Yinghao @YinghaoLim]

Bioprosthetic mitral valve flail leaflet. Most impressive V wave I’ve seen - 74mmHg. Successful mVIV with Sapien3 26mm with Sentinel CEP

#mVIV #TMVR #structuralintervention #CardioTwitter

[Lim Yinghao @YinghaoLim]

Echo before and 1 day after pulmonary thrombectomy. Dramatic patient and RV recovery - normalised RV size and function.

@InariMedical #flowtriever
#pulmonaryembolism #clotwarrior