Pablo Barzallo, MD

PGY-6 Chief Cardiology Fellow - University of Illinois College of Medicine at Peoria OSF St Francis Medical Center. Future Interventional Cardiology Fellow

[Giuseppe Biondi-Zoccai @gbiondizoccai]

Facing excessive ostial stent protrusion? Then consider the Side Flap technique, which offers a controlled and reproducible alternative strategy when true-lumen access is not achievable or fails https://t.co/LLp4fOujqW @ccijournal

[Gregor Leibundgut @swissCTO]

🔊 Proper IVL balloon prep matters!

Even small amounts of residual air can reduce sonic pressure by up to 20%. And remember: non-ionic contrast alone won’t work. IVL requires a saline-contrast mixture to generate shockwaves.

🎥 See the video for the correct technique.

[Annals of Clinical Cardiology @ACCJournals]

Aortic Regurgitation Quantification, Management&Guidelines: A 2026 Update
https://t.co/CiSLnY6b7y
#AorticRegurgitation @emraherdoganmd @OzanGrsoy6 @mirvatalasnag @mmamas1973 @dilek_g_ural @iamritu @gokselcinier @Hragy  @HanCardiomd @TKDsosyal @cerol191 @EvrimSimsek2 @mertilkerh

[FRANCESCO BURZOTTA @BURZOTTA_F]

The ideal puncture site can be identified only by echo!!!!! I think that transesophageal or intracardiac #echofirst guidance should become the only way to perform transeptal puncture!

[Ahmed Ata @Ahmedata7777]

Accordion 🪗 Phenomenon
(Concertina Effect)

[Rich_cathRT(CI)☢️ @Tesslagra]

https://t.co/82UfTFtOZB

https://t.co/t5SwYYvi1m

https://t.co/99gcfLJAjb

https://t.co/iGU8uEkQGb

https://t.co/T4JkJY6GYk

Operator radiation dose comparing left radial artery and right radial artery approaches among patients with subclavian tortuosity- JIC
JIC

[Rich_cathRT(CI)☢️ @Tesslagra]

-Ocular ☢️ of the IC from a radial approach - J of Invasive🫀
-LRA vs RRA ☢️ exposure of the IC, Circulation
-Influence of height on ☢️ exposure of the IC , American Journal of Cardiology
-LRA vs RRA operator ☢️ exposure
1st Meta analysis, 🇺🇸🫀journal

NAPs roles evolving 😁

[Hany Ragy @Hragy]

Everyone wants to learn the Ping Pong technique of delivering a covered stent for a large Perf- this really could save a life! And you want to learn it outside a cath lab!
#EuroPCR @PCRonline

[Gennaro Giustino, MD @g_giustinoMD]

Finally out! Thank you to all the participating centers and operators!!

Balloon-Assisted Translocation of the Mitral Anterior Leaflet to Prevent Outflow Tract Obstruction During TMVR: BATMAN-Registry | JACC: Cardiovascular Interventions https://t.co/8oF6aF3VyI

[Carlo Tumscitz @skat_ct]

@ISeropianMD @MichaelMegalyMD complete video: details of the clockwise rotation (the burr stretches and pulls the guiding Cath in the coronary)

[Angioplasty.Org @angioplastyorg]

1977: "Star Wars: A New Hope" is released & Andreas Gruentzig performs the 1st PTCA. Coincidence? I think not. Gruentzig (L) as he's about to attack a coronary narrowing & Biggs Darklighter (R) aka Red 3 as he's about to attack the Death Star. #MayThe4thBeWithYou #AngioHistory

[Rich_cathRT(CI)☢️ @Tesslagra]

Classic Type III …”inside out sock” with “string cheese” avulsion

[SCAI @SCAI]

According to new data presented at #SCAI2026, treating patients with a sirolimus-eluting balloon during PCI is a safe, effective alternative to traditional stenting.

Read more in @CardioBusiness ➡️ https://t.co/8NvHk1Yw8E

#InterventionalCardiology #PCI #CardioX

[mandeep singh @mandeep_mayo]

ACS contraindications
Memorize the “don’t do” list

[Maximilian Will @maxFwill]

@realarainmd @swissCTO Having a GEC in Place offers several advantages: support, (partial) sealing of the perforation, the ability to inchworm, precise identification of the exit point, and avoidance of prolonged ischemia from balloon occlusion.

[Zille Huma @Zill_cardio]

What are the Implications of Severe AS on Coronary Physiology ⁉️

💥Overestimation of NHPR: FALSE ➕️

💥Underestimation of FFR: FALSE ➖️

💥 ⬆️ in Prevalence of FFR-NHPR Discordance ~ upto 42.3 %

💥Defer PCI if iFR >0.85 or FFR >0.83

💥TAVR/SAVR improves physiology indices

[Gregor Leibundgut @swissCTO]

The 10 Commandments of CTO-PCI

CTO-PCI demands constant evolution from operators as techniques, technologies, and patient expectations advance. Here are key strategies to maximize success rates, reduce complications, and effectively serve our patients:

[Zille Huma @Zill_cardio]

#TCTAP2026
@summitmd_cvrf

❤️‍🔥In-Stent Restenosis and Neointimal Calcification: From Risk Factors to Treatment

💥Different patterns of Neoatherosclerosis as seen on IVI/OCT 👇

[Salvatore Brugaletta @sbrugaletta]

The KISS trial is finally out in @JACCJournals. I had the privilege not only to write the editorial but also to make it together with my friend @MilasinD18 . @PCRonline @escardio @TCTMD @ACCinTouch https://t.co/dDQT0BbBne

[Pablo Barzallo, MD @pabloxbp]

💪🏼

[SCAI @SCAI]

Paranjyothy Rao Pirangi Sanjeeva, MD, MRCP presented a case report on Early Recognition of Abnormal Valve–Sheath Interaction Prevents Catastrophic Vascular Injury During Transcatheter Aortic Valve Replacement (#TAVR) at #SCAI2026.