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New strategy for perfect 90/10 Sapien 3 Ultra #TAVR deployment: ignore the marker! Align the “lucent line” of bottom cells with the annulus. 💥 Eric Kirker

1/3 60s large NSTEMI, new severe LV dysfunction/EF 20%, acute systolic heart failure, severe aorto-iliac PAD, COPD, calcified LAD/LCX disease (and proximal RCA CTO) by diagnostic angiography: referred for PCI (after multidisciplinary Heart Team evaluation)...

Viper Wite Advance with Flex Tip #CSI360 Kevin Croce MD, PhD Babar Basir Akshay Khandelwal MD MBA Ajay Kirtane

Another ECG pattern that must not be missed. Hyperkalemia. #ECGofTheDay

A Disconcerting Case of SCAD. 66 Y/O showed up with chest pain and positive trops after heated game of bridge. Initial ekg underwhelming. Ongoing symptoms she was Cathed. Mid LAD abnormal but timi 3 flow - concern for scad. Pt treated medically.

54 YO 👩🏾 w/Stage IV Lung CA presents with 24-48 hours of shoulder discomfort and left arm paresthesias. ECG with resolving ST segment elevation in II, III, aVF & Q waves. Troponin is 27. Hemodynamically 👍🏾No murmur. Used with permission. 1/2

1/4 80s non-DM, intermediate EF, progressive angina/dyspnea, LM calcified CAD (in left dominant system) by diagnostic angiography...

2/4 Follow-on patient-centered multidisciplinary team (CTS and IC together) discussion with patient/family re: PCI vs. CABG...to include short/medium/long-term risks and benefits...as well as knowns and unknowns (slides thanks to Gregg W. Stone MD)...and debate re: +/- MCS use...

15th EBC European Bifurcation Club kicks-off in 1 weeks time - Dr Peter O'Kane presents in the Award Case session. How would you treat this LMS? No need for an EACTS-style debate as a 1.5mm rota has already been taken! Salvatore Brugaletta marie claude morice @NanjingFirst MIЯVΛƬ #IC Goran Stankovic, MD, PhD

This is the rejection letter for the work that just won the Nobel Prize. Don’t stop believing! I should save all of mine and maybe one day some stranger will think it’s an amazing relic and tweet it...

84 y/o male referred for 2nd opinion with CCS3 angina, s/p 18 previous stents! with double layers 3V dz. reconstructed Left main/lad/lcx bifurcation and now on to a subtotaled RCA...

RCA with severe underexpansion due to calcification of the mid segement with two layers. crossed with fielder XT+micro 14 and switched to iron man for support > made some room with 2.5 and 3.0 NC > off label BTK 4.0 Shockwave Medical with amazing results!

#𝐀𝐂𝐂𝐈𝐂 𝐂𝐎𝐕𝐄𝐑𝐀𝐆𝐄 𝐎𝐅 𝐓𝐂𝐓𝟐𝟎𝟏𝟗 #𝐋𝐁𝐂𝐓 Aditya Bharadwaj TWILIGHT ONYX ONE jedicath աǟզǟʀ.ǟɦʍɛɖ EURO-CTO 3 YEAR SAFETY Mitral ViV: 1-Year Outcomes Poonam Velagapudi IDEAL LM EVOLVE- SHORT DAPT MIЯVΛƬ #IC PARTNER 3-CT Substudy SCOPE I

Can/should Impella 5.0 be safely placed via Perc. axillary route? If so, antegrade perfusion mandatory? Brian Bergmark Amir Kaki, MD Raj Tayal @J_M_McCabe

STAT Things that happen at 1 am! Bottom is old one. What’s happening? STEMI? No STEMI? Take to lab stat or medical Rx? Took to lab stat. Guess the culprit? Follow the thread. #STATEKGs #ACCFIT #RadialFirst #CTO101

We’re absolutely delighted to welcome to this world the youngest member of #Interventional #CardioTwitter - our son, Yousef Al Sharkawi, born 8 lb 2 oz Brigham and Women's Hospital. Both mama and baby are doing great.

Mubarak Musa, so happy for you and your family! Denada Palm @ArjunMajithiaMD AJ Blood, MD, MS Brian Bergmark David Berg Pinak Shah, MD Kevin Croce MD, PhD Ankeet S. Bhatt, MD, MBA

A glimpse to the present and future with an iCOACH session on TAV in TAV with great colleagues TCTME+ Mohammed Chamsi Pasha, FACC, FASE Musa A. Sharkawi Cardiovascular Research Foundation