Interventional Cardiologist | CTO PCI Specialist | DraW Technique | Live Case Operator | Educator & Proctor |@NHSBartsHealth @RoyalFreeNHS

Joined December 2011
43 Photos and videos
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Thx #CTO2025. Thought provoking session on CTO wire skills. DRaW (Differential Resistance Wiring): a conceptual framework to navigate CTO. Think different. ADR & Parallel not opposites. Knuckling a wire skill. @RinfretStephane @crfheart @BartsIntervGrp @KambisMashayek1 @VP_Med
Great talk by @SmithElliotjs about “Differential Resistance Wiring” #CTO2025
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Elliot Smith retweeted
Calling all fellows attending #EuroPCR 2026! Come to one of our three fellows-specific Training Village sessions on best practices for cracking calcium with #ShockwaveIVL. Before it Gets Complex, Get Back to Basics of Calcium-PCI Management features Dr Margaret McEntegart (@mbmcentegart), Dr Erik Rafflenbeul (@KardiologieHH), Dr Elliott Smith (@SmithElliotjs), Dr Maciej Lesiak (@M_Lesiak), Prof Johan Bennett and Dr Neus Salvatella (@cardioyoguini). Learn more and mark your calendar today: shockwavemedical.com/europcr…  ​ US Rx only. Safety Information: shockwavemedical.com/isi/  Product availability may vary by country.
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Elliot Smith retweeted
Food for thought
This is one of the most jaw-dropping, chilling interviews I have seen. Watch this Rabbi from London, respond to question about the terror stabbing in Golders Green!
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Elliot Smith retweeted
Replying to @uninvhrc
@UN Never in history have you shown greater contempt for your founding values than when the one body created to investigate the Iran regime’s atrocities against protesters instead condemns the only effort to stop the mass murderers—which the people of Iran themselves begged for.
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Great message here @AsherElad. While we mustn’t chase futility there are cases we all recall where the RCT parameters simply didn’t apply. The inspirational story of @fmuamba6 is well reported and just one of them @DocDeaner @BartsIntervGrp
When we applied strict RCT inclusion criteria from ARREST, PRAGUE, and INCEPTION to a real-world ECPR cohort published in Resuscitation Plus, something striking emerged: survival wasn’t confined to those who “fit the rules.” Some patients who would have been excluded by trial criteria survived — even with meaningful neurological recovery. RCT frameworks guide us, but at the bedside, rigid thresholds may cost lives. Clinical judgment still matters. #ECPR #OHCA #CriticalCare sciencedirect.com/science/ar… @PCRonline @Sbrugaletta @Ortega_Paz @Anazmicalik @guilbom @hect2701 @NicolaRyanI1 @DrPascalMeier @W_jyg @ICigalini @Hragy @SABOURETCardio @mmamas1973 @djc795 @GreggWStone @toreyj01 @EAPCIPresident @CMichaelGibson @SmithElliotjs @ArielRoguin @aayshacader @twj1974 #europcr @dangiloncardio @deharo_pierre @DanieleGiacoppo @MilasinD18 @Taiebphil @plateletdoc @realarainmd
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COSIRA II MILESTONE ALERT: 🚨 Kudos to Prof. Anthony Mathur, Dr. Amit Bhan, Dr. Krishnaraj Rathod, Dr. Dan Jones, and the entire team at St Bartholomew's Hospital, as well as proctor Dr. @K_DeSilva, for their participation in the COSIRA-II study, joining the growing number of #COSIRAII enrolling sites and completing their 1st randomized patient for the COSIRA II trial in the UK! A special mention as well to the Barts Interventional Group (B.I.G.) for their continued commitment and collaboration. To learn more about the COSIRA-II trial and the participating sites visit: shockwavemedical.com/en-eu//…  ISI bit.ly/3iEq7fC Caution: Investigational Device. Limited by U.S. and Canadian law to investigational use.
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Great to see @BartsIntervGrp presenting a live case at #CHIPCTOIndia2026! yesterday Led by @SmithElliotjs and operators Kalaivani Mahadevan, Weerackody Roshan and Alex Binnie. Also excellent AV support from @rohiniram90, Stephen Hamshere, @SMohanakumar93 & Kate Egan.
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Elliot Smith retweeted
Last night of Chanukah. The point of the light is not optimism. It’s defiance.
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Our statement regarding the decision to ban @MaccabiTLVFC fans from visiting Villa Park in November.
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Looking forward to #CCT2025 Japan to discuss ‘Fusion of Eastern and Western CTO Techniques’. #CTO community what’s the first word that comes to mind for each. Reply East: West: @KambisMashayek1 @RobertoGarbo1 @GLGasparini @DrBIqbal @RinfretStephane @KVM83 @CtoEuro @DrPeterOKane
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Thanks @PCRonline. Join us for more whether you are new to CTO or already an expert @CtoEuro #euroactos in September euroactos2025.com and @swissCTO swissctochip.com @KambisMashayek1 @BartsIntervGrp
How to successfully approach CTO interventions: a step-by-step approach 📺🎧 pcronline.com/Cases-resource… What’s the plan when antegrade isn’t enough? Follow the roadmap in this discussion between @SmithElliotjs, @DrThomasHovasse and Roberto Garbo about the comprehensive approach to CTO interventions, as they provide structured guidance on navigating these complex interventions in a safe and effective way. And if you're on the go, the full interview is also available as a podcast 🎧! #EuroPCR #interventionalcardiology
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Looks like a fantastic program #APEX team. Sorry I can’t be there with you. Good luck.
Proud to be part of the #APEX team running the Interventional Cardiology Workshop at Asiri Central Hospital on Saturday 2nd August, during the 2025 Sri Lanka College of Cardiology academic sessions in Colombo. @DrPeterOKane @twj1974 @JehangirDin @SmithElliotjs @VP_Med
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Elliot Smith retweeted
Congrats to @MLCTOAcademy directors. Great organization, awesome lectures, interesting debates and beautiful live cases full of learning points. @KambisMashayek1 @RinfretStephane #AlexAvram @esbrilakis @RobertoGarbo1 @GagnorAndrea @MohanedEgred @SmithElliotjs @JEscaned
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Great session. For a deep dive into IVUS in CTO & #DRaW differential resistance wiring you can see the case with @BeatrizVaqueri3, Stephane Carlier & me in immersive 360 recorded in Barcelona. Thanks Bea for hosting us. youtu.be/b30XkMDDoFo?si=9Zy8… @BartsIntervGrp @MLCTOAcademy
Elliot Smith and Stephane Carlier showing a great interactive CTO case during IVUS workshop precourse of Boston Scientific during #MLCTO. Amazing teaching experience 🚀🚀🚀 @MLCTOAcademy 10th MLCTO Edition @BSCCardiology
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Elliot Smith retweeted
Many of our @BartsIntervGrp team were Faculty at the the annual #GCIS2025 meeting in South Korea recently. Professor Mathur, @Bhcintervention @krishnaraj82 @dr_aramasamy & Dr. Bourantas. Excellent talks and discussions leading to brilliant collaboration between the two countries.
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Bruno. Legend. Seen motivating the subs on the bench before KO with Arsenal yesterday @smithy24700 @smithymanyoo @JeremyCraneMD
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Great point @realarainmd. We’re all finally understanding that it’s not about staying in plaque but getting the vessel open. And ALL these techniques facilitate wiring. So when you use them you need the right wire skill at the right time…That’s the aim of #DRaW
Replying to @realarainmd
What is #CASE? #CASE 👉🏼 Contrast Assisted Subintimal Entry - the #contrast1st equivalent of BASE. Why is it important? #CASE is a quick and easy way to access the EP space and use the lessons taught by @RinfretStephane (art of knuckling) and @SmithElliotjs (DRaW) to maximize chances of success! 😍 🔑 There are only two outcomes to a contrast microinjection - either the contrast is IP (#HDR) or EP (#CASE) As @Kandzari showed from the Ringer trial, there are several possible causes of perforation during #CTOPCI - contrast microinjection is not one of them!
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This. Thanks. 💔…enough 🎗️
I feel immense shame and pain seeing the barbarism that Hamas & a slew of terror organizations put on in Gaza – the depravity of armed men thinking it’s courageous to parade the bodies of literal toddlers and their mother as some trophy for victory; the sickness, evil, and stupidity required to believe that marching with a locked coffin of an 85-year-old peace activist who did so much for Gazans is somehow good for the Palestinian cause. Instead of having a parade for a dead mother, her two babies, and an elderly man of peace, their bodies should have been handled by medical crews with no armed terrorists in sight. This could have been done differently, but Jihadi fascists chose the appalling spectacle instead. I’m ashamed of any Palestinian who supports or justifies this; I’m ashamed of any “pro-Palestine” activists, “journalists,” or “experts” who are going out of their way to whitewash this and blame Israeli bombardment for killing Israeli hostages without blaming Hamas for taking hostages in the first place. Those who attacked me repeatedly for calling out Hamas and their Jihadi fascism from day one never seem to understand why I view them as a far more serious existential threat to the Palestinian people than any far-right party or government in Israel. Hamas isn’t just bringing death and destruction upon the Palestinian people; it is decaying and eroding the value system of the Palestinian society and causing rot and degradation from within. This is a serious and terrible consequence of the group's actions that will decimate hopes for Palestinian freedom, independence, and sovereignty, not to mention respect among the nations of the world. What transpired today isn’t just illegal, immoral, vile, and disgusting; to me, and many who aspire to have a Palestine worth fighting for, it is a matter of values and principles. It’s imperative for all Palestinians of conscience, even if they’re furious at Israel for what it did to Gaza after October 7, to speak out and say not in our name. It is imperative to distance the Palestinian people from the depraved evil and vile display of fascist cowardice that’s masquerading as “resistance.” It’s time to reject Hamas and separate the Palestinian people’s just and urgent aspirations from a despicable death cult that’s dehumanizing our people time and again. It’s time to denounce all the pro-“resistance” terror enthusiasts in New York, Europe, Australia, and elsewhere who keep cheering on Hamas and are celebrating the shameful parade of dead children, their mother, and an elderly peace activist. I am ashamed that my once beautiful Gaza, with a vibrant society that stood for values and had so much potential to be the crown jewel of the Palestinian people, has been degraded and embarrassed by inhumane terrorists who are a stain on the Palestinians and their cause. Gaza is not Hamas despite the terror group’s control. I have seen dozens of Palestinians in the Strip condemning what took place today and denouncing the inhumanity of Hamas. Saying these words does not making me "self-hating," for I am proud of my Palestinian heritage and care deeply about my people. To the Bibas and Lifshitz families, I am truly sorry for your loss – I grieve with you, and I share your pain. We shall overcome.
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