🫀 First-in-human valve-in-valve TAVI in mechanical prostheses
Bench-to-bedside study: disc dislodgement & retrieval followed by successful TAVI.
Published in European Heart Journal.
👉 https://t.co/tORjwdmhy6
@escardio@PCRonline@secardiologia@CNIC_CARDIO@sacyl@TCTMD
Introducing the percutaneous aorto-coronary bypass graft. The VECTOR procedure revascularizes the left main coronary artery using retrograde and antegrade steps: a retrograde wire exits the left main (distal graft), an electrosurgical wire exits the aortic root (proximal graft), a guidewire rail is created, and a stent graft is delivered from the aorta to the left main. What could possibly go wrong?
https://t.co/iNUNbHdGiT
Wellness is NOT:
- Massages
- Supplements
- Creams
- Facials
Wellness IS about:
- The time to think clearly
- The time to rest
- The time to sleep
- The time to cook
- The time to move in nature
- The time to be with loved ones
Time >> Things
Now we know: if you embarque into bifurcation stenting and want/need to treat LARGE side-branches, POT-KISS-POT is associated with better OCT results. Great 🙏 & 👋 to Gemelli’s interventional cardiology team !!!!!
#CRT2025#JACCINT
In 1958, this man’s heart kept stopping—20 times a day.
Doctors had no solution.
Then his wife demanded an experimental surgery that had only been tested on dogs.
What happened next changed medicine forever. 🧵
61 yrs ago today, radiologist Charles Dotter opened a blocked femoral artery with a catheter. He called it "Angioplasty." Rejected by U.S. surgeons, the concept was embraced in Europe & resulted in Gruentzig's balloon which revolutionized the treatment of CAD. #AngioHistory
Editorial Comment
Low-Carbohydrate High-Fat Diets, Lipid Levels, and Cardiovascular Risk
Open Access
https://t.co/Mbrv3bkcph
These findings demonstrate associations between a self-reported LCHF dietary pattern, increased cholesterol and ketone body concentrations, and increased risk of MACE.
These results remained significant after including individuals on lipid-lowering therapy, excluding individuals with diabetes, applying alternative definitions of carbohydrate restriction, and including only individuals with >2 dietary recalls.
Also, individuals with a high PRS reporting an LCHF diet were more likely to exhibit hypercholesterolemia by LDL-C and apolipoprotein B standards
⚠️Lp(a) and Benefit of Antiplatelet
Therapy #PEGASUS-TIMI 54 Trial
🚩Maintain DAPT if Lp(a) elevated❓
💡 In a secondary prevention 👥
⬆️ Lp(a) derive greater benefit from prolonged DAPT with ticagrelor
Now in @JACCJournals from @TIMIStudyGroup@DrM_ODonoghue
📥 https://t.co/1XzmOloxu5
4 high-risk plaque features on coronary CT angiography were associated with features of vulnerability on invasive OCT: positive remodeling, low-attenuation plaque, napkin-ring sign, and spotty calcification https://t.co/Gis3tFkvjv
Excited to share our new study in @JAMACardio❗
⚠️ In the largest meta-analysis to date of 23 clinical trials (n=7407), regression of atherosclerotic plaque by 1% was associated with a 25% ⬇️ in MACE odds. Change in % atheroma volume could be a surrogate marker for MACE🫀
https://t.co/XzzfZ1cabG
@GBJohnMancini1 @khhumphries @JAMA_current
1/11 🧵