Javier Escaned

Head Interventional Cardiology Section, Hospital Clinico San Carlos / Researcher and educationalist.

[Javier Escaned @JEscaned]

@VPanoulas @JuradoRomanAl On the same sarcastic pitch, “this will make your life easier” as an interventional cardiologist.

[Javier Escaned @JEscaned]

A must-read discussion on the statistical analysis of Selution De Novo by @ihtanboga . Lots of learning about analysis and narrative construction in the context of clinical trials. @DFCapodanno @PCRonline

[Ibrahim H. Tanboga, MD, PhD @ihtanboga]

https://t.co/2TJJr9MwFV

[SCAI @SCAI]

Wire-free angiography-derived physiology represents an important step toward more efficient coronary assessment. As the field evolves, ongoing research is strengthening the evidence in improving imaging standards and technical capabilities to support broader adoption.

Learn more in the full SCAI expert opinion➡️ https://t.co/mE2yOBnN8y

#CardioX
@ESHLOF @DoosupShin @mirvatalasnag @SripalBangalore @ColletCarlos @JEscaned @NievesGonzalo1 @DrAllenJ @DrAmirKaki @MortonKern @yadersandoval @d_sukul @wfearonmd @myjscai

[EuroIntervention @EuroInterventio]

This editorial highlights Marin et al.’s study showing how PCI reshapes coronary flow dynamics in humans, reinforcing key concepts of coronary autoregulation and the physiological basis of FFR.
#CoronaryPhysiology #PCI #FFR #InterventionalCardiology

@JEscaned @Guusdewaard

Original paper : https://t.co/PLy11lgRKJ

[Davide Capodanno @DFCapodanno]

I am not particularly surprised that the SELUTION DeNovo paper has not yet been published if this is the interpretation being promoted by the authors.

The noninferiority margin was 2.44%. In the intention-to-treat analysis, the upper bound of the risk difference for TLF was 2.38%, therefore technically meeting the criterion for noninferiority. However, in a noninferiority trial the per-protocol analysis carries greater weight, and in that analysis the upper bound of the risk difference is 2.63%, meaning that noninferiority is not achieved. To be precise, in noninferiority trials both intention-to-treat and per-protocol analyses are required, and concordant results are generally expected; when they diverge, the evidence for noninferiority is considered weak.

The authors now state that “the results of the per-protocol analysis did not confirm noninferiority, but they are similar to the intention-to-treat analysis in both direction and magnitude.” Well, where I come from we would say: “If my grandfather had wheels, he would have been a cart.”

[REC Publications @RevEspCardiol]

Prognostic stratification of patients with nonobstructive coronary artery disease managed according to invasive coronary function testing #REC #Aheadofprint @EvaRumiz @ainhoape1 @luiscfcf @SoniaCardona95 @ErnestoValero84 @JEscaned @yulnunezvill https://t.co/ubxlBXye5C

[Mona Tirén @monaltiren]

#CoronaryPhysiology
#AngiographyDerivedPhysiology
#GUIDELINESandRECOMMENDATIONS

🆕 E X P E R T O P I N I O N

A N G I O G R A P H Y-

-Derived

P H Y S I O L O G Y:

👇
https://t.co/9xNBwdTDYN

👋@ESHLOF
@wfearonmd

[CircInterventions @CircIntv]

1/ A wire-free strategy to assess myocardial ischemia in the Cath lab. Will this be a feasible alternative to comprehensive invasive testing in patients with chronic coronary syndrome? @MarLombard1 @JEscaned @NievesGonzalo1 @AFdezOrtiz24 @AdrianJeronimoB ...

[Mamas A. Mamas @mmamas1973]

@SmithElliotjs discussing algorithmatisation in interventional cardiology at #RENEWPCI often based on expert bias, can be difficult to apply, increasingly complex.
Working to frameworks may be a better approach- maintain cognitive flexibility

[Hasan Sohail @hasansohail236]

Two days of great learning and rethinking how PCI should be done at #Renew_PCI in Madrid.
Thank you @JEscaned and @jerd10 for a wonderful meeting.

[Javier Escaned @JEscaned]

@mmamas1973 discussing PCI complexity at #RENEW_PCI face to face sessions in Madrid - outstanding discussions

[Natalia Pinilla @DrNataliaP]

Advanced Coronary Imaging Fellowship @McMasterU
Apply if you want to develop PCI skills guided by #CCTA #IVUS #OCT @IcCanadian @SCAI @SOLACI3 @IC_SIAC @OPCILive @PCRonline @ESHLOF @mmamas1973 @mirvatalasnag @ziadalinyc @ColletCarlos @NievesGonzalo @JEscaned

[Javier Escaned @JEscaned]

@ncurzen @mmamas1973 A great point Nick - we are now learning about the largest vascular compartment of the coronary circulation. But hopefully we’ll not fall into the nearly maniac obsession on cutoffs that dominates the pressure indices culture! (“should CFR be 2.0, 2.2 or 2.5?”)😓

[Carlos Collet MD PhD @ColletCarlos]

Just published Thanks and congratulations to all the co-authors @JEscaned @ziadalinyc @divaka_perera @AntonioMariaLe2 @sbrugaletta @PCRonline @crfheart @CircAHA @BernardBruyne @fredericbouisse @DamienCollison

[Laurie-Anne Boivin-Proulx @ProulxBoivin_LA]

🗞️Our review on post-PCI angina published in @EHJ.

@JEscaned @NievesGonzalo1 @MarLombard1 @AdrianJeronimoB @tommasoggori @Drroxmehran

https://t.co/WsQfF5wpLt

[Javier Escaned @JEscaned]

Registration for RENEW PCI is open! Applications for educational grants are welcome from experienced and less experienced interventional.
https://t.co/SOsWOGK8ua
Looking forward to learning together at the on-line and face-to-face sessions in Madrid!
@shci @dcvalliance @BCIS_uk

[Dr. Ashok Seth @Dr_AshokSeth]

‘Doctor duo’ - Father *102* yrs !! (🙏🏼) and son *70* yrs exercising together,😇!! What a blessing 😊
On this WORLD HEART DAY, pledge to stay fit and healthy and decrease your chances of heart attack.
If we can do it,so can you !‘ DONT MISS A BEAT’
FIT RAHO INDIA ….🇮🇳

[Javier Escaned @JEscaned]

Join us for RENEW PCI 2025! Stay tuned! @Dr_AshokSeth @NievesGonzalo1 @goranEBC @divaka_perera @RobertoGarbo1 #Richard_Shlofmitz @mmamas1973 @MilasinD18 @FlavioRibichini @fhellig @SmithElliotjs @KVM83 @McInerneyAngela, @AlejandroTrav @AdrianJeronimoB @NardiFi @MarLombard1 @Jerd10

[Javier Escaned @JEscaned]

🔄Introducing RENEW PCI 2025.
✅RENEW is an acronym whose first letter, R, stands for Rethink.
✅We believe that rethinking our PCI practice is key to identifying entrenched behaviours, considering areas for improvement, and paving the way for Personalised Interventional Care.

[Javier Escaned @JEscaned]

✅The work invested in the on-line module and over the following weeks will make the most effective use of our time in the RENEW PCI in-person meeting in Madrid/Spain.
✅This will be focused on interactive, live- and recorded case studies as well as practical hands-on activities.