This report aims to provide a comprehensive overview of prosthetic valve infolding focusing on predisposing factors, clinical presentation, diagnostic findings, treatment and clinical outcomes. 🔗 pubmed.ncbi.nlm.nih.gov/33315300/ #CardioTwitter

58 y.o. female. AV and MV mechanical prostheses. NYHA IV, mitral PVL with severe MR. Third plug embolization: successful retrieval and re-implantation #cardiotwitter #PVL #mitralvalve

This is Louis. He works in the Arrhythmology unit of our Hospital. Two years ago, during the first #COVID19 wave, he was admitted to our ICU. Today he wants to thank all the doctors, nurses and physiotherapists and says "look how beautiful and in good shape I am now".

#FullPhysiology thanks to all participants for the brilliant discussion and sharing of incredible cases

Microvascular thrombosis is frequent in #COVID19 👉 Using OCT, we documented the presence of microthrombi in pts with CT scan negative for thrombosis ❓What implications of the first in-vivo visualisation of lung #MicroCLOTS? A thread 🧵1/12 🔗 frontiersin.org/articles/10.33… #FOAMcc

Prima visualizzazione in vivo di microtrombi polmonari in #COVID19 il video mostra un piccolo trombo ripreso da Marco B Ancona con metodica innovativa Riccardo Puglisi Alberto Zangrillo Roberto Burioni Carlo Stagnaro 🏴󠁧󠁢󠁥󠁮󠁧󠁿🇺🇦 Signor Ernesto Cristina Dragani Gandolfo Dominici Ugo Quinzi #microclots

Happy to share our last publication: Using OCT, we documented the presence of microthrombi in pts with CT scan negative for thrombosis in #COVID19 pts frontiersin.org/articles/10.33…

We used #Impella as a rescue strategy in the rare setting of balloon aortic valvuloplasty complicated by acute aortic regurgitation. Venting the LV helped to achieve hemodynamic stabilization as a bridge to treatment. 🔗 pubmed.ncbi.nlm.nih.gov/34839322/ #CardioTwitter #FOAMcc

Pulmonary Thombosis (not Pulmonary Embolism) (not Pulmonary Thromboembolism) #pulmonarythrombosis #microclots

We helped in reporting incidence, predictors, and clinical impact of device-related complications when implanting 406 #Impella. The most frequent complications were hemolysis (12%), access-site bleeding (9.6%), and limb ischemia (8.3%). 🔗 pubmed.ncbi.nlm.nih.gov/34389852/ #CardioTwitter

Introducing a novel risk prediction model for coronary obstruction during #TAVR, using annular area/perimeter, coronary height, sinus width, and STJ height/width. Sensitivity & specificity >90%! #YesCCT now even more important for TAVR planning. bit.ly/3EVMasQ

A pulsatile vein in a patient with extreme tricuspid regurgitation undergoing #TriClip Captured by Marina Pieri Marco B Ancona San Raffaele Interventional Cardiology Unit #FOAMcc #CardioTwitter

Master in Structural and Interventional Cardiology

“Mind the “commissural drop” when crossing the aortic valve!” 🕵️ See our new article about the guidewire drop into commisural space when a correct aortic valve crossing is performed: doi.org/10.1002/ccd.30…

Watch out! 🕵🏻‍♂️ This is what could happen if you take the wrong wire pathway ❌ (see video below) Read our review of ViV TAVR crossing issues ➡️ sciencedirect.com/science/articl… #CardioTwitter #tavi

Great review from the San Raffaele Heart Valve Center discussing the issues around valve crossing in bioprosthetic valve failure. Must read. I think if struggling too much or unsure, go transeptal! pubmed.ncbi.nlm.nih.gov/38160130/ chief Matteo Montorfano Pedro Villablanca MD, MSc, FACC, FSCAI

Just published consensus statement infarct-VSD ⁦European Society of Cardiology⁩ ⁦EHJ Editor-in-Chief⁩ ⁦Janine Pöss⁩ ⁦ACVCPresident⁩ ⁦EAPCIPresident⁩ ⁦Stephan Achenbach⁩ ⁦Deutsche Gesellschaft für Kardiologie⁩ ⁦AGIK⁩ see: bit.ly/3xncI5E

Ventricular septal defect complicating acute myocardial infarction: diagnosis and management. A Clinical Consensus Statement in #EHJ. Read more 👉 bit.ly/3VWrSsa #ACVC_ESC #EAPCI Rocco Montone EHJ Editor-in-Chief Holger Thiele

As some have identified, this valve was in-folded. We successfully retrieved the valve and put in a new one. I want to expand on this issue a bit. 🧵

Many case reports and case series are out there but check out this paper by Anconi and other in CCI: onlinelibrary.wiley.com/doi/full/10.10…