🔥The 9th Round of Easy Loan, Earn $40 Reward is in progress❗️ ⏰ Promotion Period: January 15th - Feburary 15th, 2025 👉 Register now and check more details at gate.io/campaigns/358

STRUCTURAL CASE OF THE WEEK: Hx of Ross Procedure with Severe AI (Prohibitive Risk Surgery). TAVR in Ross (Annulus area ~600mm2) with 29mm Sapien (+2cc at low atm) Great results, anomalous LCX wired for protection (no issue after deployment). #TAVR #CardioTwitter Ryan K. Kaple MD

📖Following #TAVR, hybrid closure (pre-close technique + collagen-plug VCD after sheath removal) had lower major or minor vascular complications compared to suture-mediated VCD alone (5.44% vs 1.31%, P< 0.001) #VascularClosureDevice 🔎 ➡️doi.org/10.1016/j.jsca… @craigbasman

STRUCTURAL CASE OF THE WEEK Post-MI VSD 1 month out, stable, Qp/Qs 2.0 14mm VSD occluder not released (but no flow around on TEE/angio). Release it or try new device??? #cardio Ryan K. Kaple MD Sung-Han Yoon #structuralheart #tavr TAVR Bot

STRUCTURAL CASE OF THE WEEK: 'Unmasking' of mild PVL after Mitral ViV of failed EPIC valve. S/p AVP II plug with great result... Ryan K. Kaple MD Sung-Han Yoon #CardioTwitter #TAVR

STRUCTURAL CASE OF THE WEEK; 35 M with TOF s/p repair at 13 months, b/l PA stents, severe PI s/p PVR (25mm Mitroflow) with symptomatic/severe bioprosthetic PR/PS. Safest/best lifetime management option? Redo surgery TPVR (23mm vs 26mm with BVF) #tavr #achd

August Clinical Image: Snare Technique to Facilitate ‘Tall-in-Short’ Redo-TAVR ▶️ okt.to/FZPOHM Craig Basman, MD, FACC, FSCAI Dr. Deepak L. Bhatt #cardioTwitter #cardioX #cardiology #interventionalcardiology #TAVR

🆕 "We attempted to retract the entire unit together, but the edge of the MitraClip prevented removal from the LA." How would you handle? Read the author's solution: okt.to/meaGfS Craig Basman, MD, FACC, FSCAI Dr. Deepak L. Bhatt #cardioTwitter #cardioX #cardiology #interventionalcardiology

39 y/o with CP/hx IVDU/IE with prior MVR/TVR (31mm CE, PPM postop) with ADHF and severe MS/TS. (no longer requiring PPM) Best lifetime management strategy (young/IVDU)? Lead extraction w/ TMTVR (+iASD closure) Perry Wengrofsky, MD 🇮🇱 🎗️ Ryan K. Kaple MD Sung-Han Yoon #tavr #CardioTwitter

Mitraclip in patient with prior 35mm ASO TSP planning with CT Baylis superior/post to device-> Septostomy (7mm)-> Clip for success! This will be a more frequent hurdle for SHD... any other strategies? #mitraclip #ASD Sung-Han Yoon Perry Wengrofsky, MD 🇮🇱 🎗️ Ryan K. Kaple MD

Great technique to bail-out lost wire position in the LV during balloon-expandable TAVR using a 4-8 mm EN-snare through the delivery system. Nice! Ryan K. Kaple MD Craig Basman, MD, FACC, FSCAI A Microsnare Technique for Transcatheter Heart Valve Recrossing After Inadvertent Wire Withdrawal From Left

Structural Heart Disease Case of the Week: 72 y/o with complicated mitral PVL/pseudo (not a candidate for PARADIGM trial) 12mm AVP for closure Ryan Kaplan Sung-Han Yoon Perry Wengrofsky, MD 🇮🇱 🎗️ Hackensack Meridian #tavr #structuralheart #CardioTwitter #Cardiology

Structural case of the week; Challenging due to lack of height above the TV annulus. Excellent result from the whole team... and patient is feeling great! Ryan K. Kaple MD Perry Wengrofsky, MD 🇮🇱 🎗️ Hackensack Meridian Abbott #triclip #tavr #CardioTwitter

Structural Case of the Week; R. subclavian approach (PAD) for percutaneous mechanical aspiration of infected aortic graft Patient did great, no neurologic issues and cultures cleared! Ryan K. Kaple MD Perry Wengrofsky, MD 🇮🇱 🎗️ AngioVac Hackensack Meridian #tavr #CardioTwitter #angiovac #Cardiology

Structural Case of the week; We were referred a Watchman with Peri-device leak and recent CVA. Treated with ADO2 (Amplatz) plug and patient is doing great at 1 month f/u. Hackensack Meridian , Ryan K. Kaple MD, Sung-Han Yoon , Perry Wengrofsky, MD 🇮🇱 🎗️ , Abbott #tavr #Cardiology #watchman #LAAO

Our report of IVUS guided stenting of HeartMate 3 extrinsic outflow graft obstruction (EOGO) in JACC Journals Interventions. How often are you seeing these cases? Are you screening all HM3 patients with CTAs? How are you treating these patients? authors.elsevier.com/a/1kJtd6uPJvuW…

Structural case of the week; 89 y/o F with Afib on Eliquis, AS s/p TAVR (26mm Evolut 8 months ago) with bioprosthetic stenosis due to leaflet thrombosis (despite Eliquis compliance) Thoughts?? Ryan K. Kaple MD Perry Wengrofsky, MD 🇮🇱 🎗️ #tavr #cardiotwitter #structuralheart TAVR Bot

WATCH NOW ▶️ Transcatheter Closure of a Complex Paravalvular Leak Associated With a Large Ventricular Pseudoaneurysm okt.to/9K2a6X Craig Basman, MD, FACC, FSCAI Dr. Deepak L. Bhatt #cardioTwitter #cardioX #cardiology #interventionalcardiology

Grateful to join Ken Rosato to talk about heart-health during the Super Bowl! Cardiovascular events increase by 15-20%, so patients must recognize the warning signs, and Interventional Cardiology teams should be prepared! Hackensack Meridian #CardioTwitter #SuperBowl2025