My Toolkit 🧰⚙️🔧: Remove the shaft technique
🔗pcronline.com/Cases-resource…
When a rota burr stalls in a calcified artery, quick thinking and the right technique are critical. Discover a proven method to recover the burr safely and avoid surgery in this problem-solving step by step tutorial shared by Petros Dardas & Nikolaos Mezilis, and reviewed by @nicolasamabile#Interventionalcardiology@kiadeb87
The Proper Way To Exchange Wires For #HDR (and other applications)
Try this out and let me know. There is a rationale behind every step.
(I made this a few weeks ago. I did not like the editing. But it is an important aspect of the technique).
#HDR#contrast1st#HDRFAQs
Here is a mini tutorial on how to prep the MC for contrast injection for #HDR. Remember: the injection is SLOW and GENTLE.
Thank you @jaygirimd for the question, and @aspergian1 for the 100% accurate answer!
#HDR#HDRFAQs#contrast1st
Thanks for step by step. Can you just expand a bit on the wire withdrawal part?Just have a little contrast flowing out into the hub while wire is still in the lumen taking up space? Wouldn’t this still leave some potential space in MC that would cause initial air injection?
Beta-blockers have traditionally been considered a cornerstone of therapy after #cvAMI regardless of #LVEF.
Read the expert analysis for more: bit.ly/4fq8LxZ#HeartFailure
The TAVI-MultiCLOSE study demonstrated the safety and efficacy of a new and easy-to-implement algorithm for percutaneous closure of large-bore arterial access after TF-TAVI. Read more. #EIJBestOfow.ly/qFoO50QcuNi
Calcific aortic stenosis is a prevalent, progressive disorder in older adults, diagnosed via echocardiography. This narrative review describes the clinical presentation, diagnostic evaluation, and management of calcific aortic stenosis.
ja.ma/4hL46rI
High lipoprotein(a) [(Lp(a)] is a genetically determined, important risk factor for cardiovascular disease that should be (but isn't) routinely measured (at least once). There are 5 drugs that look highly effective for markedly lowering levels in clinical trials. This new @TheLancet review is excellent!
thelancet.com/journals/lance…
@escardio#ESCCongress@PCRonline
NOTION 3 Trial
@nejm
🔗nejm.org/doi/full/10.1056/NE…
International trial w 1:1 randomization
Patients w severe symptomatic AS & at least one coronary-artery stenosis FFR of 0.80 or less or a diameter stenosis of at least 90% either to undergo PCI or to receive conservative treatment followed by TAVI.
Primary end point: MACE (composite of death from any cause, MI, or urgent revasc)
PCI assoc w a lower risk of a composite of death from any cause, MI, or urgent revasc at a median follow-up of 2 years
A must-read for all cardiologists: the Atlas of Regional Left Ventricular Scar in Nonischemic Cardiomyopathies is now out 🔥🔥🔥
sciencedirect.com/science/ar…
TAV thrombosis covers a continuum from SLT to CVT. Pharmacotherapy w/ VKA, non-vitamin K oral anticoagulants and an ultraslow, low-dose infusion of thrombolytics should be considered as treatment of first choice. Read more: bit.ly/3WX2LVt
As a cardiologist, here is what I tell my patients
To help them lose weight and maintain muscle mass using nutrition.
Because most people have this all wrong.
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JANS: “Preinterventional Frailty Assessment in Patients Scheduled for Cardiac Surgery or Transcatheter Aortic Valve Implantation—A Consensus Statement of EACTS and EAPC” from EJPC | How to use frailty assessment in transcatheter heart surgery patients. 🔗 ow.ly/9wEB50Qr59a
“Tips, Tricks, and Pitfalls for Cardiopulmonary Bypass” | In this overview video, the authors provide a step-by-step walkthrough for cardiopulmonary bypass cannulation with various alternative options, as well as the pitfalls encountered. ow.ly/HAhc50QrnrP
This State of the Art provides an overview on transcatheter mitral valve replacement for the treatment of native mitral valve disease, including patients with severe annular calcification, with a glimpse into the future of these therapies. #EAPCIow.ly/IGhx50Qacmg
Important paper to understand impact on ‘Lifetime management’ if a patient t has Sapien 3 as index valve. Will help tailor forst implant to enable second. More to come