Now out in Journal of Cardiac Failure: A prospective, multi-center registry of Impella 5.5 in HF-CS: 🔗bit.ly/4j8h171 🔑 Treatment with Impella 5.5 alone vs. multiple MCSD associated with ⬆️ survival and ⬇️complications 🔑 Patients bridged to HRT have 94% survival at 12- months

🔑 Patients bridged to recovery have low rates of heart replacement post-discharge and 12-month survival 64% "Bridging to recovery" encompasses palliative and therapeutic intent. Future trials need to capture intention of TMCS to place outcomes in context of goals.

What a great ACC 1-year anniversary of the DanGer Shock RCT NEJM publication leading to upgrade of mAFP (Impella) to Class IIa by ACC/AHA/SCAI. So many informative sub-studies as well. Congrats again to Jacob Møller + investigators! Navin Kapur

My last day as CMO at Abiomed was quite memorable as Mike, Andrew, Devi (all prior or current Worldwide Presidents) and Jacob Møller (DanGer Shock) joined me in the studio for my CMO Corner show. What an honor it’s been… Michael Minogue Navin Kapur Gregg W. Stone MD B. Hadley Wilson MD

Interventional cardiology is a passion. It starts with having a great mentor with day-in-day-out challenges, successes and key failures, the latter which teach you more. There is a “Force”, and there are Jedi’s. We all know who they are: for them nothing matters but the patient.

Special day today at Carolinas Medical Center as Hadley Wilson was honored after “retiring” from the cath lab. He was my “wingman” (and I was his) as we built PCI in the Carolinas. Here we are with Nyal Borges, now the PCI “master” at Sanger Clinic. B. Hadley Wilson MD Navin Kapur

The mechanistic plausibility of why these will work in HFrEF is highly compelling, and clearly displayed by the RELIEVE-HF data. Exciting times for HF patients. Navin Kapur

Can’t believe it’s been 6 years!! Stakeholders in the field are clearly aligned by this “common language” for staging cardiogenic shock. Now onward in your role at SCAI to setting standards to operationalize DanGer Shock and save lives! Gregg W. Stone MD Navin Kapur Babar Basir

On Memorial Day weekend, as you visit with family and friends, remember why you have what you have in the U.S.A. and never forget…history teaches us…. Just visit Arlington; or Normandy where they never made it home…God Bless these men and women… Michael Minogue Alex Truesdell

dlvr.it/TLG79F Many of us 😭 our eyes out at news of this Raja Hatem Darshan Doshi, MD, MS Allen Jeremias William Nicholson Sanjog Kalra Amirali Masoumi David J. Cohen, MD, MSc #ajaykirtane. So many of us owed so much to him professionally and personally. I would never be where I am without him. He was the

This week we lost a close colleague and soldier in our field, Dr Dimitrios Karmpaliotis. And I mean tireless soldier: for patients, fellows, colleagues and family. His skill and persistence to help patients inspired many who will carry this onward. Privilege to call him a friend.

Congrats. The big learning in this data is that the actual observed risk in Impella-supported HRPCI in over 1000 pts was half of what was predicted by either BCIS or NCDR PCI risk scores, suggesting outcome enhancement by Impella support. Fascinating. Gregg W. Stone MD Mamas A. Mamas

Really excited to see the great program put together by Allison Dupont, MD Sandeep Nathan, MD, MSc Behnam N. Tehrani, MD leaders in the CS space. If you want to continue to adv your CS team or need some help getting started please sign up for the pre-con … scai.org/2025-scai-shoc…

What an achievement by the PROTECT IV investigators! 4 years of enrollment preceded by 1 1/2 years of planning. The largest PCI strategy RCT in our field’s hx, and oh how important for ischemic HFrEF patients. Now to complete 1-3 years f/u in all pts. Gregg W. Stone MD Navin Kapur

62yo man, NSTEMI, EF:21%, Mean PA: 35mmHg, PCWP:20mmHg, CPO: 0.56. Protected PCI w/ Impella CP for LM/LAD last remaining vessel. Impella was absolutely essential as the patient lost arterial pulsatility during vessel manipulation. Amazing performance of the device

Manreet….Love this!

Tnxs Cardiac Interventions Today for allowing me to share reflections on “A Decade of Quality Improvement: The National Cardiogenic Shock Initiative” NCSI’s recommendations have become the SOC for AMI-CS management post-Danger Iyad Isseh إياد نبيل العسّة David Wohns Alex Truesdell Link: citoday.com/articles/2025-…

Wow Alex. What a case! Congrats on an amazing salvage. Hopefully back to reasonable QOL.

Check out Eric Topol’s book Deep Medicine. AI has the potential to ultimately make medicine more humane, automating the things you hate to do and giving you more time with patients.

Indeed. This makes total sense to all of us who’ve been in this for many years. The better you can identify Ca++ the bigger lumen with less dissection you can achieve with stenting using roto or IVL. OCT is the most optimal way to see and quantify Ca++.