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Has #Orbita or #Courage impacted on elective PCI in the UK? our work led by Dr M Rashid, PhD suggests no! ➡️ ahajournals.org/doi/10.1161/JA… Harindra Wijeysundera curzen Dr Asif Qasim MA PhD FRCP Robert W. Yeh Sunil V. Rao Gregg W. Stone MD Shelley Wood (she/her) Less-Is-More Cardiologist chief Dr Shrilla Banerjee MD FRCP 💙 MIЯVΛƬ #IC Dorian L. Beasley MD, FACC

In this retrospective analysis of 25 patients, the authors describe the combination use of rotational or orbital atherectomy with intravascular lithotripsy for modifying calcification prior to stent implantation during percutaneous coronary intervention: okt.to/A0mKC7

Recalcitrant 2-layer ostial RCA #ISR with overhanging struts in the aorta. Scoreflex @csi360, Shockwave Shockwave Medical, Ostial Flash @OstialFLASH, and brachytherapy. +59% increase in MSA. Advanced tools for complex problems that require effective solutions. 💪🏼 Christopher Kovach

Nice slide by nico pijls- the functional significance of a lesion depends on perfusion area

#CathLabHack: Sterile maintenance of #PercloseSutures around #IndwellingLargeBoreSheath w constant pull on nonlocking suture to⬇️#Oozing #StopcockBluntNeedleCombo technique: youtu.be/tVdj7cqTnW8 #CutSheathSideport technique youtu.be/tz-dLQ2CO9I Erik Rafflenbeul PCRonline 🫀

5-year follow up of DEFINE-FLAIR (iFR vs FFR-guided revascularisation) presented by Javier Escaned #EuroPCR2023 ➡️ MACE higher in iFR arm (HR 1.18; CI 0.99 - 1.41, p=0.07) ➡️ All-cause death 3% higher in iFR arm (HR 1.51; CI 1.22 - 2.90) ➡️ Difference driven by CV death

Antonio Maria Leone That isn't true. The increase in events is actually in those that were revascularised, rather than defered.

In this image series, the authors describe an aorto-ostial stenting technique that uses a dual-lumen catheter and floating wire to back a JR4 guide away from a protruding stent while maintaining stability for another guidewire to enter the central lumen: okt.to/G4Pp06

Intriguing new technique: use of a Sasuke dual-lumen catheter exploiting a wire floating in the ascending aorta to access the lumen of a protruding aorto-ostial stent hmpgloballearningnetwork.com/site/jic/clini… Asahi Intecc USA, Inc. Medical Sales Journal of Invasive Cardiology

🆕 #JACC state-of-the-art review highlights a shift toward a more tailored approach in the management of stable angina by performing a precise endotype diagnosis in patients with INOCA. 👀 Read more: bit.ly/3X6Ttr9

An updated in-depth review of OCT-guided PCI, covering technical aspects, optimal strategies, and its application across various anatomical subsets, with a focus on recent randomized clinical trials and the latest clinical evidence. eurointervention.pcronline.com/article/optica…

Evandro Martins F. MD Tsutomu Fujita MD Mauro Carlino Neisser M Dr. Bill Lombardi Alex Truesdell Kambis Mashayekhi Stefan Harb Stéphane Rinfret, MD SM Lorenzo Azzalini Contrast modulation = modulation of the vessel architecture by contrast. HDR is an INTRA plaque phenomenon. Contrast guided STAR is an EXTRA plaque phenomenon. A gentle micro (<0.5 ml) injection keeps contrast intra plaque - thus favoring HDR. Figure from our paper in CCI.

Bailout Cardiac Surgery saves life of 1/1000 patients undergoing TAVI. How many patients die waiting for TAVI/SAVR (or not being proposed Tx)? It is time to discuss criteria for TAVI centers without cardiac surgery onsite. sciencedirect.com/science/articl… GACI Les Jeunes du GACI

Early combination therapy during acute ACS admission ➡️ earlier target achievement ➡️ better prognosis. Care pathways post MI could be simplified: statin + ezetimibe at discharge, ⬇️ the number of steps needed to improve LDL-C control.

hmpgloballearningnetwork.com/site/jic/origi…

NZ CTO Plus Meeting, 3rd and 4th May. Congratulations to Bernard Wong for organising such a great programme. Thanks to Bio-Excel for their ongoing support of complex pci / cto education and training. Looking forward to pairing up with Rustem Dautov for a lively live case!

#cardiology #cardiovascular #prevention #lipids #cardiotwitter #cardioX Circulation

Read the July issue now! 📖 hubs.ly/Q03wyFNf0 Bernard @kaitlynkreb Allison Cabalka Jason H. Anderson, M.D. Veronica Lio Massimo Baudo Lucy Dr. Gilbert Tang DoctorKini Giulia Passaniti Dr. Deepak L. Bhatt #cardioTwitter #cardioX #cardiology #interventionalcardiology