Here's a case describing a novel technique (the double-DCB technique) for the treatment of recurrent in-stent restenosis by applying 2 different DCBs, thereby avoiding the implantation of another layer of metal in our patients. https://t.co/dXa5lfToF9 #JACCCaseReports#PCI
Leaving LESS Behind ‼️
What is the rationale, pros & and cons, indication, and PCI strategies for patients undergoing PCI with BRS or DEB ⁉️
#EuroPCR@PCRonline
1/9
🚨 𝗟𝗲𝗳𝘁 𝗺𝗮𝗶𝗻 (𝗟𝗠) 𝗰𝗼𝗿𝗼𝗻𝗮𝗿𝘆 𝗮𝗿𝘁𝗲𝗿𝘆 𝗱𝗶𝘀𝗲𝗮𝘀𝗲 is one of the most complex subsets for PCI, carrying a high risk of late complications.
The ultimate game-changer for improving patient outcomes? 𝗜𝗻𝘁𝗿𝗮𝗰𝗼𝗿𝗼𝗻𝗮𝗿𝘆 𝗜𝗺𝗮𝗴𝗶𝗻𝗴 (𝗜𝗖𝗜) .
Here is a breakdown of the new EAPCI & EBC consensus statement. 🧵👇
I would say that the KISS trial @JACCJournals not only proved that you do not need to do routine SB intervention (commonly kissing), rather I would say the most significant change is proving the concept of POT-side-POT (done in 57% of SB interventions and seems to be more favorable than kissing).
I have been recently doing POT-side-POT instead of kissing when I need SBI and that study proved it can be better!
Congrats to the authors and @sbrugaletta for an insightful editorial!
https://t.co/H3m2dHoufQ
#cardioX
After 2 years of work, the 🇪🇺 consensus on #IVUS#OCT use in #LM#PCI is now published in #EHJ. Great international collaboration coordinated by #EBC and #EAPCI !!!
It includes fantastic practical images that can be hung on the walls of all cath labs…
https://t.co/2TbBTIoMxu
A back table illustration of the technique published by @PCRonline to remove a stuck perclose footplate in the vessel!
Simple and I believe can get us out of trouble!
https://t.co/UOG0sfoOT4
#CardioX peeps, comments welcome
DCB in bifurcation PCI 🎯 (when to use?)
Use DCB if:
• Small side branch
• Good lesion prep ✅
• No heavy calcium
• TIMI 3 flow
Avoid DCB if:
• Heavy calcification ⚠️
• Large thrombus
• Poor flow
• Acute recoil
💡 DCB = no metal, less DAPT
🫀 Select carefully → outcomes ≈ DES
#ACCAsia @JACCJournals@ACCinTouch
All Graft master stents starting from 2.9 mm can be post dilated upto 5.5 mm
So no need to have all sizes- u just need one in your lab during any time !
(Slight foreshortening can occur - . It doesn’t matter in such catastrophe )
An important point to note #cardiotwitter
@ESC_Journals@RoccoMontone@ehj_ed Do you really take embolic protection device nowadays? We've been doing cases without it nowadays and it has become simpler without it..
DKCRUSH-VIII trial: Was IVUS-guided double-kissing crush stenting superior to angiography-guided approach for patients with complex coronary bifurcation? #ACC26 View slides here: https://t.co/CUIvx7k6Bl
HOST-EXAM trial 10-year results: Clopidogrel monotherapy is superior to aspirin for chronic maintenance after PCI, significantly reducing both thrombotic and bleeding events. #ACC26 View slides here: https://t.co/ihoudzlxIi
Presented at #ACC26:
Among patients with intermediate coronary lesions, angiography-guided revascularization was noninferior to pressure-wire–based guidance with respect to death, myocardial infarction, or revascularization. FAST III trial results: https://t.co/lKLehrrpm1
Editorial: Redefining Physiology in the Cardiac Catheterization Laboratory https://t.co/tSiweN2Yjo
@ACCinTouch
Presented at #ACC26:
Among patients with unprotected left main coronary artery disease, intravascular ultrasonography–guided PCI did not result in a lower risk of ischemic events or death than angiography-guided PCI. Full OPTIMAL trial results: https://t.co/bJ51ghVFq2
Editorial: Seeing the Left Main Coronary Artery Clearly — Is IVUS Always Necessary? https://t.co/Om82iZjnAL
@ACCinTouch