Dad to Twin 👦•Husband• Interventional Director, Structural Heart Program, Mount Sinai Fuster Heart Hospital, NYC •Associate Professor• Tweets are my own views
💡 Advancing real-world experience with ShortCut in complex ViV-TAVR patients
The largest published commercial experience with ShortCut provides real-world evidence from 150 patients treated across 28 U.S. centers, including >50% first-time users.
Key findings include:
✅ >99% leaflet-splitting success, including 57% dual leaflets
✅ >36% of patients were treated for failed TAV
✅ >87% of patients were high risk for acute coronary compromise
Despite treating a highly challenging patient population, these results support the feasibility, reproducibility, and safety of ShortCut mechanical leaflet modification to help prevent coronary obstruction during complex ViV procedures.
💚A sincere thanks the investigators, authors, advisors, and participating centers for their collaboration and contributions to this important publication.
📖 Read more at: https://t.co/2bKqhYbrj3
@JACCJournals@RajMakkar@aakriti_15 @IgnacioInglessis-Azuaje @CurtissStinis, @PradeepYadavMD@VinodThourani @StanleyChetcuti @MatthewSummers@VivekPatel @BassemChehab @patelapurva@GilbertTangMD@KHERA_MD@MichaelRinaldi@tjsimard@JeffreySouthard @BenjaminStripe @whisenant_brian@KeithAllen @YosephRozenman @DvirDanny@CarlosSanchez, M.D. @PopmaJeffrey@MartyBLeon@PhilGenereuxMD
#JACC #NYValves2026 #NYValves #PiCardia #ShortCut #AorticValve #AorticStenosis #Cardiology #complexTAVR #Innovation #leafletlaceration #leafletmodification #leafletsplitting #LifetimeManagement #LifetimeManagementofAS #MedicalInnovation #medtech #Partnership #startuphealth #StructuralHeart #TAVI #TAVR #THV #transcatheter #valvefailure #VIV #ValveinValve #ViVTAVR #StructuralHeart
Exciting milestone at @MountSinaiHeart! We’re proud to have performed the FIRST #MIRUS#Siegel valve implantation at our center and New York as part of the #STARtrial. A new chapter in the #TAVR landscape begins. Stay tuned — the future of structural heart disease is here. 🫀 #StructuralHeart #Innovation
JUST OUT #JAMA the real-world US experience of Evoque #TTVR in >1000 pts from the TVT registry, showing encouraging 30d outcomes vs TRISCEND 2, among 82 trial and early commercial sites, with early commercial experience. Key takeaways:
- Mean age 77, 69% female, 73% NYHA III/IV, 91% prior HFH, 84% AF, 38% prior CIED, 68% on anticoagulation
- 40/40 split on primary vs secondary TR, 9% CIED related TR
- Interestingly, 40% mod/severe MR!
- 26 cases done via IJ
- 50/50 split between 44/48 vs 52/56 mm sizes
- 1 TTVR embolization/6 migration (in-hospital, none after), 8 acute surgical conversion, LOS 2 days post TTVR, 94% D/C home
- 30d: 3% all-cause, 2% CV mortality, 3.1% HFH, 15.9% pacemaker, 1.4% bleeding at access site / major vascular complication, 2.2% unplanned cardiac interventions, 1.3% cardiac arrest, 0.5% TV reintervention, 0.4% lead dislodgement/dysfunction, 0.6% cardiac perforation
- 98% mild or less TR, near TR elmination
- 94% on anticoagulation post TTVR
- Predictor of pacemaker: larger Evoque sizes; no predictors of bleeding
Pretty remarkable results in this sick population requiring complex TEE +/- ICE guidance. We are proud to be one of the early commercial sites to offer this therapy to our patients @MountSinaiHeart
Congrats to all investigators for their brave efforts in bringing this therapy to US patients! Future procedural and technology refinements should improve this therapy further!
FULL TEXT here:
https://t.co/ouiKF82w1R
@MountSinaiNYC@IcahnMountSinai@DoctorKini@KHERA_MD@LucySafi@georgedangas@DLBHATTMD@Dr_BrendanCarr@DrDavidReich@BethOliverVP
Thank you #MateoMarinCuartas my co-Guest Editor, and all the co-authors from around the world, in the spirit of a multidisciplinary heart team of surgeons, interventional cardiologists, imagers, FITs (fellows in training), on the important topic of #TricuspidValve disease, published as a special edition in #AnnalsofCardiothoracicSurgery showcasing the importance of decision making of surgery vs transcatheter treatment #T-TEER #TTVR.
Full text on all the papers below:
https://t.co/exXZv9oOZ4
I'm particularly proud to present our own @MountSinaiHeart Step-by-Step Primer on Performing #Mitral and #Tricuspid #TEER, for the first time showing how the 2 procedures can relate each other, to facilitate procedural safety and efficiency, in a manner that is easy to understand.
https://t.co/UXdLdmhSic
Full lecture video here:
https://t.co/bSP3qY4IUf
On my YouTube channel
https://t.co/gmVokCkCDZ
@MountSinaiNYC@IcahnMountSinai@DoctorKini@KHERA_MD@LucySafi@Dr_BrendanCarr@DrDavidReich
I’m happy to share that our YELLOW-III study has been published in JACC: Cardiovascular Imaging. 110 stable coronary artery disease patients receiving maximally tolerated statin therapy were treated with evolocumab 140mg every 2 weeks for 26 weeks.
https://t.co/vMfkYyBhwQ
@amitisinvesting Not sure about international equities at this point unless it’s a large value. Better opportunities in the US market. But all the best my friend. You are doing a great job and love reading your tweets.
Catch the end of the debate LIVE: https://t.co/Iv1y0CXGht
DEBATE: TAVR is Preferred Over SAVR in the Lifetime Management of Young, Low-risk Patients
YES, We Can Do Redo-TAVR!: Eberhard Grube, MD
NO, We Can Put a BIG Surgical Valve for TAV-in-SAV: Vinayak N. Bapat, MD
NYTVS IS THIS WEEK! Don't miss out on 9 live cases, key insights from outstanding faculty, and networking with renowned leaders in the field 🫀
📆December 11, 2025
📍 The Mount Sinai Hospital
Register NOW: https://t.co/qJsW6hwXAy
#Cardiology#Cardiotwitter#StructuralHeart