Today we performed the 1st case of non-calcified pure aortic regurgitation treated with Myval Octacor in Mexico and whole Latin America. Minimalistic approach: No TEE, no general anesthesia & smooth implant. Complex case with excellent result #Meril#Myval#Octacor#TAVR#TAVI
Nunca, nuncota, nuncototota se disculpen con los ofendiditos.
No les compren sus falsos pudores y su pseudo superioridad moral.
No buscan la virtud. Su único objetivo es humillarlos. No se les sometan.
No les den el control de su alma.
Sus acciones son amores.
Nunca dejen que un enemigo los defina.
No se les hinquen si no quieren ser sus perritas para siempre.
No contribuyan a una sociedad inquisidora del humor ni de las palabras.
No le den autoridad moral a los voceros oficiosos de las «buenas costumbres».
No dejen que sean los comisarios quienes definan los límites de la libertad.
No le presten vida artificial al wokeismo.
No decepcionen a la gente que ven ustedes líderes en contra de todos los autoritarismos, de los cuales los de la pureza moral e ideológica siempre han sido los peores.
PCI before TAVI—necessary?
In patients with CAD, deferring PCI was noninferior to a PCI-first strategy at 1 year for the composite of death, MI, stroke, and major bleeding.
https://t.co/KwN2tauPyY #ACC26
@MrReyKing El Lic Juan Hernández, la Familia Naca Millonaria, PaulKing, Duva Yescas y toda la fauna que sale con él... Están en el olímpo de esta jungla del Internet. Es lo mejor que nos ha pasado! Que nunca nos falten!
#TMVR with balloon-expandable aortic prostheses provides favorable long-term outcomes & acceptable durability, with low rates of severe structural valve deterioration & valve failure https://t.co/3bYWwpZIuu
#JACCINT#CardioX
Outstanding 11/10 issue of #JACCINT@JACCJournals on #Tricuspid and #Mitral transcatheter interventions including M-TEER, T-TEER, #TMVR, #TTVRR, including #AltaValve 6m EFS outcomes, conduction disturbance mechanism post #TTVR, 3D annular changes post T-TEER, L and R heart remodeling post #TTVR, cases on CIED lead management, TV annuloplasty and VA-ECMO to facilitate T-TEER / TTVR, cardiac damage and M-TEER.. Lots to digest!
See full issue here (limited time to download):
https://t.co/AKqz2zC5Z8
Mild PVL after #TAVR is NO LONGER acceptable, especially in low/intermediate risk and younger patients. In #JACCINT@JACCJournals the OCEAN-TAVI registry showed long-term higher mortality and TAV failure even with mild PVL. Minimizing PVL when safe should be routine now.
2 seminar studies including one from our @MountSinaiHeart@MountSinaiNYC@IcahnMountSinai by @ParasuramMD et al shows underexpanded balloon-expandable #TAVR risks early failure and ROUTINE DOUBLE-TAP post dilatation improves balloon-expandable TAV expansion!
Like #PCI where you routinely pre-dilate a lesion and post dilate the stent to avoid ISR, and pre- and post-dilating in redo-PCI for ISR, optimizing valve frame expansion, minimizing PVL during index #TAVR is now paramount to confer durability, REGARDLESS of the type of TAV: balloon-expandable and self-expanding. Best view to do post-dilatation is at RAO CAU with TAV parallax removed to visualize the SHORT AXIS of the native annulus to evaluate frame geometry. WE MUST ACT NOW!
OCEAN-TAVI registry on mild PVL and TAVR long-term outcomes
https://t.co/tb8sVDtxOp
Editorial
https://t.co/DpgpyraYIT
Routine Double-Tap in SAPIEN 3 Ultra Resilia
https://t.co/BaU67xCF7g
Real-time Fluoroscopic analysis of underexpansion in balloon-expandable TAVR
https://t.co/lEfR4dXrTM
Editorial
https://t.co/kZVv6gpub4
Myocardial bridging, often in the mid- to distal LAD, can cause ischemia or arrhythmias under stress. Once thought benign, its impact depends on bridge depth, length, and location. Accurate anatomical and functional assessment is essential https://t.co/3iztduVrdC #JACCCaseReports
“Here’s a thought for every man
Who tries to understand what is in his hands…”
The visualiser for ‘Cast No Shadow (Unplugged)’, taken from the deluxe 30th anniversary edition of the ‘(What’s The Story) Morning Glory?’, is now on YouTube.
👉https://t.co/2zWS3CVjK7
🎬:Chris Curtis
2025 ESC/EACTS Guidelines for the
management of valvular heart disease: @ESC_Journals
🥸Few highlights - dense document, please read full document for details.
😱 Summary
👇👇👇
The 2025 ESC/EACTS guidelines on the management of valvular heart disease have just been released, with an important update: the age threshold for the Heart Team to consider TAVI instead of surgical intervention has been lowered from 75 to 70 years in patients with tricuspid aortic valve anatomy deemed suitable. #ESCCongress https://t.co/QGIlHvfRm4
This #JACCINT study demonstrated that multiplanar supra-annular measurement provides a comprehensive evaluation of aortic root anatomy, enabling more precise #TAVR sizing for both BAV and TAV patients https://t.co/qhxbnJNhdt