Finally! Fluid restriction in heart failure is basically BULLSHIT

More data to what we already know

Introducing the CRISP technique…. Coils are frequently used for therapeutic graft closure to reduce competitive flow following native vessel intervention. Stable deployment of coils can be challenging with a risk of migration/embolization particularly if the graft is patent and

Limb preservation is one of the most rewarding acts in the cath lab! Older patient presented with worsening bilateral foot wounds, rest pain, and inability to walk for a month. Bilateral SFA long CTOs, and not a good surgical candidate. Left SFA CTO treated with reverse CART.

Coronary aneurysms lack evidence in how we treat them, pooling the current literature shows surgery used more with LAD with similar mortality to CABG, while PCI has high mortality and used more in RCA. #cardioX

It might be subtle differences but sizing might be a bit better using IVUS. I wonder what OCT enthusiasts think.

Complete revasc but in the legs! 3 vessel below knee CTO-completed with foot flow to heal the wounds. #CardioX

A lot of work has been done on the impact of #CTO #PCI on LVEF, which I believe is largely due to reversing ischemia and hybernation in true ischemic CM patients. This is most pronounced in LAD CTO PCI patients. Our new paper American Journal of Cardiology studies the impact of Non-LAD CTO PCI on

Is it #HDR or not? Prox LAD #CTO, Gaia Next III just into cap (I thought), first injection, advance Gaia but a bit much into the body (could not resist) then stopped. Second injection lighted the distal vessel. Gladius into the LAD Salman Arain #CardioX

A wise man once said, its all about the curve you put on the wire. Diagonal wiring attempt 2 minutes didn’t work. Reshape into a new curve, didn’t have time to think 😀

Filter entrapment with directional atherectomy. Can be daunting! Heavily calcified SFA/Pop, crossed with Mongo and Gaia PV, 6 mm filter in place. Shockwave after IVUS followed by directional atherectomy with the Hawkone LX device. Small puff showed filled filter and could not

Learning from the source Sunil V. Rao and the 2025 very well written ACS guidelines #CVI2025 #CardioX

It was a great pleasure to be a part of CV Innovations #CVI2025, learned a lot as usual and came back with multiple tips and tricks. Here are my top ones that I would apply in my next cases. 1- When freewiring the Rotawire in uncrossable lesions, a nice trick shared by

Finally!!! I always believed contrast-induced nephropathy is just an urban myth

During the last CV Innovations I had the pleasure to speak of DCB in ISR use, With the ESC guidelines giving a class I indication of DES over DCB in ISR, given the solid data showing superiority, I raised the discussion that it is not a one-size-fits-all situation. Of course,