LAD subtotal ⇨total⇨#STAR⇨#TDADR 6Fr#TDADR Salman Arain　Daitaro Kanno Takuro Sugie Shoichi Kuramitsu, MD, PhD, FACC, FSCAI Yutaka Tadano ROTAMONSTER Maksymilian Opolski jcspratt Kambis Mashayekhi Lorenzo Azzalini Pierfrancesco Agostoni Carlo Tumscitz Neisser M A. Fauzi Yahya Bilal Iqbal Bernard #MedTwitter akbar haq Kalpa De Silva

That stand to PCI as Franz Liszt stands to piano! Pure virtuosity! Amazing hands Tsutomu Fujita MD

I almost made a comment earlier today. Love the simplicity + accuracy of the picture by Andrew SP Sharp. (My annotation in mauve). Comments: 1. A higher SYNTAX score favors CABG up to a point - after that PCI is better again. 🤔 2. Where do you like to practice on this curve?

Try it to believe it: contrast modulation is here to stay. 💥Happy to have a shot of its potential under the wise guidance of Mauro Carlino himself. Eager to try it more 🚀 #CTO #MASTERCTO #HDR

Then you finally understand how much the subintimal space is a good friend in need. Knuckled MC during complex AWE,retro,ADR #CTO case with uncrossable lesion at the anastomosis of the failed SVG with the occluded RCA. #CHIP #PCI #CardioTwitter

Who are the pts who can benefit from #MCS? Interesting scoring system to predict hemodynamic collapse during complex #PCI Cardiovascular Research Foundation #CTO2025

Our new case report has been published online at CCI. This case indicates that the BASE-facilitated TD-ADR is a good antegrade approach for CTO lesions with ambiguous proximal cap. Congrats, Vidya! onlinelibrary.wiley.com/doi/full/10.10… Tsutomu Fujita MD Vidya Sapporo Cardiovascular Clinic 札幌心臓血管クリニック

Maintaining radial patency after CABG Surgery: the Randomized ASRAB -Pilot Study. Lower graft failure with nicorandil or isosorbide mononitrate compared to diltiazem #AHAJournals ahajrnls.org/41XUiUu

#RCA CTO #HDR #TDADR #CBfenestration Maksymilian Opolski Warsaw CTO case 7Fr TDADR with B.C.anchoring UB3→#HDR→IP→XT nontip →2nd →Type 2B→XT non TIP→3rd HDR→XT→Contrast injection show DTL→GW was not crossed→#CB like #SAFER →sionblack was not crossed→#TDADR with

Fantastic energy at #WarCTO2025 in Warsaw! A full day of amazing live cases and insightful lectures that truly pushed the boundaries of CTO innovation and practice! Grateful to be part of such a forward-looking community. #CTO #EAPCI #HDR #TDADR

Eagerly waiting for this!🤩🇯🇵

The Use of CCTA for Pre-Planning PCI x.com/i/broadcasts/1…

👉We grow through what we face. Powerful moments at #EuroPCR 2025 while learning from shared #CTO complication cases. Great technical nuances, but also the value of humility, in this continuous learning in advancing patient care🙏🏻. ⚙️More insights in the next days’ posts.

Just tried the new LithiX HC-IVL balloon by Elixir Medical Corp as the only calcium modifier in this complex and tortuous post CABG (failed SVG) RCA. Nice IVUS and Angio results. What’s your thoughts and experience? #PCI #CHIP #calcified #cardioTwitter

Deeply grateful for the incredible learning experience in the cath lab with Tsutomu Fujita MD and his team!🙏🏻 The insights gained—especially on TD-ADR and TD-HDR—have been truly eye-opening.💡 Thank you all for sharing your expertise, patience, and passion. A masterclass I won’t forget.

Challenging LAD PCI with tortuous anatomy managed using the 120° SuperCross™ by Teleflex. Tracked & trapped in 6Fr thanks to 2.4/3.2Fr distal and prox OD. In my opinion the 120° is the most versatile—any suggestions for having other angles on the shelf? #Cardiotwitter #PCI

Nice feedback, thank you!

🫀 How to rescue an acutely occluded side branch after stenting? step-by-step recanalization using the STAR technique, a valuable bailout strategy for acute side branch loss when conventional wiring fails.💫