✨Ultra-Low Contrast PCI for bifurcation lesions: Case-based #Tweetorial 👇

Diagnostic image below with lesion in RCA/rPDA/rPL bifurcation.

Creatinine = 3.1
Total contrast use = 3 cc (final cine)

1/10🧵

#CardioTwitter #ACCFIT #Cardiology #CardioEd

❌Don't stent and say 'IVUS agrees w/ what I did'
🔑 IVUS and say 'I agree w/ what IVUS says'.
✨ Don't know what IVUS says?
💥 Time to learn!
#CardioTwitter #CardioX #IVUS

mandeep singh presents our findings from the CHAMP Trial. #Genotype -guided P2Y12 inhibitor monotherapy within a week of #PCI is feasible and likely safe in patients with #HBR . Rajiv Gulati Chet Rihal Amir Lerman Naveen Pereira Linnea Baudhuin, PhD 🧬 Ann Moyer #ACC2024 🫀🩸

During a solar eclipse, the gaps between leaves on trees act as multiple pinhole cameras,

and each gap projects its own crescent-shaped image of the eclipsed sun onto the ground.

📹gottigreen

#ACC24 LBCT NICVD
Impact of novel CPUs and primary PCIs. >30K PCIs for AMI in 2023. Largest PCI network globally Nadeem Qamar NICVD INTERVENTIONAL CARDIOLOGY American College of Cardiology SCAI Now World Heart Federation CindyGrines, MD PCRonline 🫀 The Lancet Dr Jehangir Ali Shah Sabha Bhatti MD Hany Ragy Aga Khan University Cardiovascular Research Foundation

Been an absolute privilege to serve on ⁦American College of Cardiology⁩ Board of Governors Steering Committee! Numerous hours of brainstorming,bringing ❤️ value to our patients! ⁦Nicole Lohr, MD, PhD⁩ ⁦⁦Joseph Marine⁩ ⁦Malissa Wood⁩ ⁦JOHN GORDON HAROLD, MD, MACC, MACP, FRCP, FRCPI⁩ ⁦⁦⁦Daniel M Philbin, MD⁩

#CardioTwitter #EPeeps this is a replica of the first Medtronic battery operated 'portable' pacemaker! The scratches on the sides were from all the tape to keep someone accidentally flipping the on/off switch 🤯
ECU Cardiology Mayo Clinic Rochester Cardiology Fellows @

Finally! DCBs approved in the US, indicated for ISR. #CardioTwitter
#DCB #Agent But let's not forget, the fix for ISR is 'doing it right the first time'!

Such a nice recognition. So fortunate to work with amazing colleagues Mayo Clinic CV
@MayoClinic Paul Friedman, MD

newsweek.com/rankings/world…

Please just watch and share the word - a paradigm shift is needed now!🫀

Great reminder for utilizing CT scans for valvular disease! Print this table and tape it somewhere close! #CardioTwitter

Excellent graphics by Umair Khalid explaining the crucial features for best outcomes. Should strive in every patient to get these mental checks ✅ post procedure.
You get this by differentiating between 'imaging endorsed' and 'imaging informed' PCI (credit Kevin Croce MD, PhD)

1/4 Just publ in the Lancet our updated network meta-analysis of imaging-guided (OCT or IVUS) vs. angio-guided PCI across the spectrum of CAD. With 22 RCTs and 15,964 pts this is the 1st study to demonstrate that imaging reduces all-cause death (by 25%), as well as all MI (17%).

Years of research by Dr. Samuel Asirvatham with #PulsedFieldAblation positioned Mayo Clinic today to be one of the first in the nation to clinically treat #AtrialFibrillation patients with a new Pulsed Field Ablation ( #PFA ) option.

Talk about #oddlysatisfying . Patient with decompensated #HF . Consulted because of a plateau in diuresis.
#CardioTwitter what date do you think I got consulted 😄
ECU Cardiology Armaghan Y. Soomro, MD, FACC Aaysha Cader Hooman Bakhshi David J. Cohen, MD, MSc Dr G Rajesh (Gopalan Nair Rajesh) Wahaj Aman, MD, FACC Waleed Kayani Umair Khalid Mahwash Kassi

Excellent graphic!