Joined November 2010
- Tweets 2,545
- Following 800
- Followers 202
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285 Photos and videos
Correspondence: Intravenous Artesunate in Artemisinin-Resistant Severe Malaria in Uganda nej.md/4ejFV3X
#Pediatrics #InfectiousDisease
ALT A table comparing baseline characteristics and associated outcomes of children with severe malaria, categorized by the presence of PfK13 variants. The table lists columns for Wild-Type PfK13, PfK13 C469Y or A675V, differences, and P values.
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Original Article: Finerenone in Persons with Chronic Kidney Disease without Diabetes (phase 3 FIND-CKD trial) nej.md/4wWOFV4
#ERA26 | @ERAkidney
ALT This image presents two graphs showing the change from baseline in the estimated glomerular filtration rate. The top graph shows Mean Change from Baseline in eGFR over a period of months for groups taking finerenone and placebo. The bottom chart displays Mean eGFR Slopes for the total period, baseline to month 3, and month 3 to end of treatment for finerenone and placebo groups, highlighting treatment differences.
ALT This image is a forest plot for the annual rate of change in the eGFR according to subgroup. Subgroups include primary causes of chronic kidney disease, estimated GFR, and SGLT2 inhibitor use. The plot shows the difference in slopes with 95% CI for each subgroup.
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Wael Metwally Elsayed retweeted
FIRST #Mirus #Siegel #TAVR in #NewYork in the #STAR pivotal trial! Thank you to my co-PI @KHERA_MD for his leadership, Dr. Samin K. Sharma @DoctorKini @DLBHATTMD Hyo Jin Kang, MSN, AGPCNP-C for their support, and the entire @MountSinaiHeart research team for their efforts, and to our patients for trusting us with this groundbreaking #TAVR technology.
@MountSinaiNYC
@IcahnMountSinai
@Dr_BrendanCarr
@DrDavidReich
@BethOliverVP
@Drroxmehran
Jun 4
Exciting milestone at @MountSinaiHeart! We’re proud to have performed the FIRST #MIRUS #Siegel valve implantation at our center and New York as part of the #STARtrial. A new chapter in the #TAVR landscape begins. Stay tuned — the future of structural heart disease is here. 🫀 #StructuralHeart #Innovation
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Wael Metwally Elsayed retweeted
Jun 5
My Toolkit 🧰⚙️🪛: Self-made steerable catheter to cross the aortic valve in severe aortic stenosis
pcronline.com/Cases-resource…
View this video of the technique shared by @Obisht ⤵️⤵️
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Wael Metwally Elsayed retweeted
This is a 70y old lady had a syncope during Tawaf in Hajj. Transferred to the mobile cath lab in the Haram hospital in 10 minutes. Echo done immediately and revealed severe BAV and angio was normal coronary. Transferred same day to King Abdullah Medical City in Makkah. Next day got the TAVI and the day after went to Arafah to perform Hajj which was uneventful.
We are setting a new benchmark in mass gathering medicine.
The data of the mobile cath lab will be presented at the #TCTMiddleEast2026
The case was done by a brilliant young IC @MakkahCardio
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Wael Metwally Elsayed retweeted
🚨First in Germany🚨
Proud to share an achievement from #TeamElli. we have performed Germany's first #SESAME followed by #TAVI during the same intervention. thanks to @phillipfreeman for proctoring, and to @meril_life for their continued partnership and support.
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Wael Metwally Elsayed retweeted
May 26
In patients undergoing TAVI the extent of myocardium at risk predicts outcomes. Clinical impact of jeopardized myocardium extent in TAVI
@espogiov @azeemlatib @GGStefanini @BiascoDr @MattiAdam_MD @fortuiaco @MarkusMach @kargoli @DaijiroTomii @MDMainardi ahajrnls.org/43vsDv0
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Wael Metwally Elsayed retweeted
May 25
Cut, Shock or Drill? Common Femoral Artery Edition
IVUS guided treatment of a calcified nodule in the CFA.
Full case in the thread above.👆🏼
@agtruesdell @DocSavageTJU @rajivxgulati @ziadalinyc @nyalborgesmd @richardbogle @swissCTO @SripalBangalore @azeemlatib @jedicath @joe_nolatx @evandrofilhobr @Hragy @aymanka @mmamas1973 @mirvatalasnag @SarahFairley7 @stefan_harb @saraceciliamtz @DrIHHashmi1 @TariqShafiDr @abadkhan2002 @MichaelMegalyMD @DrJayMohan @PurumittalDr @NishithChandra @ihtanboga @AnkurKalraMD @SaidAshrafMD
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Wael Metwally Elsayed retweeted
May 18
We are very proud to announce the launch of the
@EIJCaseReports journal on the occasion of #EuroPCR 2026! The first peer-reviewed Open Access journal dedicated to case reports in interventional cardiology is now available online! A huge thank you to all the editorial team behind the work of these last months, the @group_europa and the fantastic deputy editors @valeriaparadies @dmylotte @AndreaScotti21
More cases under review with the aim to support education, clinical learning and decision-making across coronary, valvular and structural interventions. submit your educative case to teach the rest of our community! Discover the first cases online: eijcasereports.pcronline.com #InterventionalCardiology #CardioEd #MedicalEducation
@EuroInterventio @PCRonline @escardio @JACCJournals @ehj_ed @CircAHA
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Wael Metwally Elsayed retweeted
May 14
Recurrent TR after T-TEER can limit TTVR when central clips obstruct valve delivery. The ELASTA-T technique enables controlled leaflet detachment to facilitate TTVR. Read our step-by-step expert review on this novel strategy. #Cardiology #tricuspidvalve
🔗eurointervention.pcronline.c…
@fiorenzofio
@TRheude
@StarneckerF
@XhepaErion
@MichaelJoner3
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Wael Metwally Elsayed retweeted
Burr entrapment, one of the most feared complications in rotational atherectomy. Multiple bailouts, choice driven by operator experience. Algorithms help organize the toolbox, especially for less experienced operators. My usual path: step (2) vasodilator gentle pull (solves most), then (5) wire balloon next to the burr or (6) knuckle wire for the resistant ones. With step (3), skipping rope, a newer iterative technique, I'll probably start following this more logical sequence.
#CHIP #Rotablator #RA #atherectomy #entrapment
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Wael Metwally Elsayed retweeted
May 14
🫀 CardioNugget: TAVR & Coronary Obstruction
• D1 = annulus → coronary ostium
• D2 = annulus → cusp tip
⚠️ High risk: D2 > D1
• Leaflet displaced ↑ during TAVR
• Longer cusp can override ostium
• Acts like a flap → seals coronary
🚨 → Coronary obstruction risk
#CardioNuggets #CardioMed #MedEd #TAVR
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Wael Metwally Elsayed retweeted
May 14
Measured vs. Predicted Prosthesis-Patient Mismatch after TAVR for Bicuspid Aortic Valve. Outcomes from the AD-HOC Registry @G_Tarantini01 @tommaso_fabris @AndreaScotti21 @dr_ofir @LandesUri @azeemlatib ahajrnls.org/3PiLKVU
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Wael Metwally Elsayed retweeted
May 13
The European Valve Durability TAVI Registry highlighted the long-term performance of TAVI. The incidence of moderate or severe structural valve deterioration (SVD) during long-term follow-up was relatively low, with severe SVD being even rarer than moderate SVD. SVD occurred more frequently in patients treated with older-generation intra-annular valves and in those with small-sized valves.
eurointervention.pcronline.c…
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Wael Metwally Elsayed retweeted
What can firsthand experience reveal about the new Shockwave C2 Aero? CLD's Partner Spotlight page features practical insights into how #ShockwaveC2Aero is being used to approach coronary calcium modification in real-world cases. Find more:
hubs.ly/Q04gh_0k0
@ShockwaveIVL
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Wael Metwally Elsayed retweeted
🔹IVUS-guided stenting of LUPV in a patient who presented with exertional dyspnea following previous cardiac procedure
🔹V/Q scan showed decreased perfusion in upper lobe of left lung
🔹Cardiac CT confirmed severe stenosis of proximal LUPV
🔹Simultaneous LA-LUPV showed resolution of pressure gradient post stenting
@rashaalbawardy @AlkashkariWail @AlrahimiJ #TCTMiddleEast2026
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Wael Metwally Elsayed retweeted
May 12
An image is worth a 1,000 words: Nightmare in the cathlab
Participate in the quiz to test your knowledge ❓pcronline.com/Cases-resource…
Based on the angiographic findings, what is the type of stent fracture seen in this image submitted by P Sadana 🇮🇳 and selected for #EuroPCR 2⃣0⃣2⃣6⃣ ?
#CardioEd #interventionalcardiology
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Wael Metwally Elsayed retweeted
Hard to believe a stucked rotaburr and IVUS catheter going in parallel… the last thing I would do during stucked rotaburr is to deliver an imaging catheter
May 4
An image is worth a 1,000 words: what is the unexpected finding on the IVUS during a complex coronary intervention?
❓pcronline.com/Cases-resource…
Participate in the quiz to test your knowledge!
Image submitted by T. Warisawa and Y. Nakamura 🇯🇵and selected for #EuroPCR 2⃣0⃣2⃣6⃣
#interventionalcardiology
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Wael Metwally Elsayed retweeted
🧵 Cardiorenal pharmacotherapy cheat-sheet — 5 drug classes, one visual.
RAASi | ARNI | SGLT2i | ns-MRA | GLP-1 RA
Key patterns worth knowing:
• 4 of 5 reduce MACE or HFH
• All 5 slow eGFR decline or cut albuminuria
• Hyperkalemia risk: RAASi, ARNI, ns-MRA
• SGLT2i → genital infections | GLP-1 RA → GI side effects
Hemodynamics snapshot:
↓ eGFR on initiation is expected with most — don’t panic, it’s often renoprotective long-term.
ARNI is the outlier: eGFR no change, but watch UACR.
Save this. Share it. Your patients’ kidneys will thank you. 🫀🩺
#Cardiology #Nephrology #HeartFailure #CKD #SGLT2i #GLP1 #MedEd #CardioreналSyndrome
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Wael Metwally Elsayed retweeted
The KISS trial is finally out in @JACCJournals. I had the privilege not only to write the editorial but also to make it together with my friend @MilasinD18 . @PCRonline @escardio @TCTMD @ACCinTouch jacc.org/doi/10.1016/j.jcin.…
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