Archives. 72 F ESRD severe cardiomyopathy, full thickness apical infarct. Distal LM bifurcation. Impella CSI DK crush.

65 M. Slight drop in EF with new WMA. Known apical scar. Completely asymptomatic with moderate exertion. How would you approach? Tom Wilson Jeffrey Wilson, MD Matt McDiarmid DO MPH FACC Suhail Allaqaband Aurora Cardiovascular Disease Fellowship

Negative contrast on post watchman angiogram. Initially thought to be related to flow dynamics inside the device. 45 day TEE shows peridevice leak. How often do you see negative contrast on angio? Mohamad Alkhouli Suhail Allaqaband Renu Abdul Moiz Hafiz

63 M. Heart failure LVEF 20%. Viable myocardium on MRI. Minimal EF improvement on 3 mo GDMT. Symptoms resolved with GDMT. PCI of LAD and LCX. Now near normal LVEF. With all the recent trials this is very encouraging. Tom Wilson Jeffrey Wilson, MD Mamas A. Mamas Gregg W. Stone MD

85 yo F. Chest pain. hs trop 1000. Apical akinesis. Now CP free. CKD stage IV cr 2.4. IVUS shows Medina 0,0,1. Concentric ostial LCX calcium. How would you manage? Jeffrey Wilson, MD Tom Wilson Christian McNeely

Archives. 63F. Ostial unprotected LM with RCA CTO. Normal EF. Poor surgical candidate. Poor candidate for MCS.

Archive. 70 yo F. P3 flail. NYHA class IV. Poor surgical candidate. Mitraclip NTW A3-P3. Significant Symptomatic improvement. #CardioTwitter

62 yo weight lifter. NSTEMI. EF 40%. Uncontrolled HTN. Cr 2. Focal lesions. Anomalous left origin from right sinus with intramural course. PCI or CABG? Tom Wilson Jeffrey Wilson, MD Dan Johnsrud Suhail Allaqaband #CardioTwitter

4 months post CABG. All vein graft long proximal stenosis almost like spasm. Not responding to nitro. Have not seen this before. Anyone out there has an explanation. Not my pt didn't do Ivus. Jeffrey Wilson, MD Tom Wilson mandeep singh Dr Shariq Shamim MIЯVΛƬ #IC ༄ ｡°

TAVI and FFR-guided PCI vs. SAVR and CABG in aortic stenosis with complex or multivessel coronary artery disease 🔗pcronline.com/PCR-Publicatio… Read this new #EAPCI/PCR Journal Club review by Nicola Ryan #TAVI #TAVR #CABG #HeartTeam #JournalClub #interventionalcardiology