Despite advancements in TAVI devices and implantation techniques, embolic stroke remains the most frequent ischaemic complication. The ProtEmbo trial provided initial evidence for the safety and performance of this novel deflection filter device.#EIJBestOf ow.ly/Pf3h50PHh1u

The identification and management of patients at high bleeding risk (HBR) undergoing TAVI are of major importance, but the lack of standardised definitions is challenging for trial design, data interpretation, and clinical decision-making. The Valve Academic Research

NEW ISSUE OUT 🔉 ✅ State-of-the-art review on antithrombotic therapy in transcatheter structural heart intervention; ✅ Concomitant LAAO and mitral transcatheter edge-to-edge repair; ✅ Off-hours effects in STEMI and cardiogenic shock; ✅ New atrial fibrillation in ACS

This new State-of-the-Art review describes the device-related thrombotic risks associated with transcatheter structural heart interventions and the current evidence-based guidelines for antithrombotic treatments. It also summarizes gaps in evidence and the main ongoing trials.

In patients with STEMI complicated by cardiogenic shock treated with Impella, data from the J-PVAD registry indicate that off-hours admissions are linked to higher mortality compared to on-hours. This "off-hours effect" persists, underscoring the need for improved care during

This study showed that newly diagnosed atrial fibrillation in acute coronary syndrome patients is linked to higher risks of major adverse cardiovascular events and ischemic stroke. Yet, only 53% are discharged on oral anticoagulants. ow.ly/qU1J50T3MFa Editorial 👉

This study compares simplified vs. conventional antithrombotic regimens after LAAO in high bleeding risk patients. Results suggest simplified treatment may be as effective with a lower risk of major bleeding, especially for those with prior bleeding. #Cardiology #LAAO #EAPCI

New study on #PFO closure in elderly patients shows a low rate of cerebrovascular events (CVE) and new-onset AF post-procedure. However, diabetes, atrial septal aneurysm, and advanced age increase CVE risk. Julio Farjat Pasos #cardiotwitter #EAPCI ow.ly/Z2j950T5u5i

New study by Michel Zeitouni, et al shows that coronary microvascular dysfunction in #ANOCA patients limits coronary flow during exercise and saline-induced #hyperaemia due to reduced microvascular resistance. #EAPCI #Cardiotwitter ow.ly/xAab50T5u2W

The PLATEBRISK study suggests that a simplified antithrombotic regimen after #LAAO is as effective as conventional treatment for high bleeding risk patients, with a lower rate of major bleeding in those with a history of bleeding. #EAPCI Pablo Antunez Muiños ow.ly/1xkM50T5u3a

EIJ DEBATE: Should mitral transcatheter edge-to-edge repair (M-TEER) be combined with left atrial appendage occlusion (LAAO)? While this approach could reduce lifelong bleeding risks, it also adds complexity. Experts weigh the pros and cons. ow.ly/jR4B50T3iKT

Healthcare contributes to 4-5% of global greenhouse gas emissions, and the waste from cardiac procedures is a significant part of this. By focusing on reducing, reusing, and recycling, we can minimize our environmental impact. It's time for a change. ow.ly/fH0H50T7jGT

This comprehensive review examines the durability of transcatheter aortic valve implantation (#TAVI) compared to surgical aortic valve replacement (SAVR). It suggests that TAVI valves show similar midterm durability to SAVR, with low rates of valve failure at 5-10 years. However,

🆕The 2024 Core Curriculum for Structural Heart Disease Interventions. It covers everything from aortic, mitral, and tricuspid procedures to advanced imaging techniques and multidisciplinary patient management. Read more: shorturl.at/SMRj3 #EAPCI #Structuralheartdisease

New study by Michel Zeitouni, et al shows that saline-induced hyperhemia correlates well with physiological exercise. Coronary microvascular dysfunction in #ANOCA patients limits coronary flow due to *smaller decrease* in microvascular resistance. #EAPCI ow.ly/xAab50T5u2W

The PLUGinTAVI Registry highlighted the effectiveness of percutaneous paravalvular leak closure after TAVI. With a high procedural success rate of 94% and improved patient outcomes, this study offered valuable insights into managing post-TAVI complications across 14 international

Live from the #ESCCongress 2024 in London 🇬🇧 Read this review by Alessandro Sticchi of the Tri.fr trial 📊: Multicentric randomised evaluation of transcatheter edge-to-edge repair #TEER in the treatment of severe isolated secondary tricuspid regurgitation 🔗

Live from the #ESCCongress 2024 in London 🇬🇧 NOTION 3 📊: PCI with #TAVI reduced death, MI, or urgent revascularization compared to TAVI alone but increased minor bleeding. However, the decision to proceed with PCI should be individualized according to patient characteristics.

Discover our latest review on Aortic Regurgitation by Baumbach A, et al. Explore the latest in AR diagnosis, treatment, and emerging therapies. #EAPCI #Aorticregurgitation #cardiotwitter #medicalresearch #structuralcardiology ow.ly/kBGj50TeiJJ

This study by Benjamin Bay; Christoph Waldeyer, et al showed a significant increase in acute ischaemic strokes (AIS) following PCI over a 16-year period. Despite being a rare complication, the incidence of AIS has increased, underscoring the need for improved prevention strategies.