DEFINITION II presented at the #PCReCourse and published in EHJ. Upfront 2 stents (mostly DK-crush) better than provisional for complex bifurcations. Next stop in the bifurcation saga are EBC-MAIN and BBK-3 to see if the provisional and culotte strategies will raise their heads.

Step by step flowchart of our "minimalist" version of the #NanoCrush bifurcation technique. Some slight differences, much easier than #DKCrush. Arif Khokhar Cristina.M #radialfirstBot Dr Shariq Shamim Simone Biscaglia PCRonline 🫀 #EAPCI

Brilliant tutorial Dr. Purvi Parwani

#ESCCongress #Hotlines #LBCT Days 1&2 Excellent summaries of latebreakers via AHA Research 👉 bit.ly/2QBTAYv 🎯EMPEROR-Reduced 🎯EXPLORER -HCM 🎯EAST-AFNET4 🎯ATPCI 🎯POPULAR TAVI 🎯PARALLAX 🎯DAPA CKD Rahat Warraich PhD Harriette Van Spall, MD MPH 🇨🇦 Saima Karim, FHRS Hany Ragy Nosheen Reza, MD, MS Erin D. Michos, M.D.

#ExplorerHCM #ESCCongress Key points 📝 selection- patients with HCM with LVOT gradient >50mmhf + NYHA class II/III symptoms 📝 30 weeks of Rx 📝 starting Rx 5 mg daily with up titration 📝 background Rx with BB/CCB yes -disopyramide No 📝 baseline #echofirst EF 74%

Rare but Important condition to recognize in TAVR world; ----- Management of Suicidal LV after #TAVR is similar to that of HOCM: ⬆️preload with IVF ⬆️afterload – phenylephrine is the pressor of choice 🚫inotropes and consider treating with neg inotropes such as BB/CCB

Have you heard about “dry tamponade” ? Maybe yes. Have you seen one? I don’t think so… Here's a magical troubleshooting sequence for a rare life threatening complication Handled by a friend in Vietnam called Duc (Nguyen Huy Duc)

The wandering burr nightmare: coronary perforation during rotablation due to wire fracture. View this #cardiotwitter case 💼 shared by Basem Elbarouni & selected by Luis Ortega Paz ! pcronline.com/tiny/url/502988

GAME CHANGER ALERT! #AHA20 AHAMeetings #RIVER Study presened by Dr. Otavio Berwanger: Rivaroxaban in pts with atrial fibrillation + bioprosthetic mitral valve was non inferior to warfarin in primary endpoint of death, major CV events and major bleeding

First insights into the safety and efficacy of totally leadless cardiac resynchronization therapy in Europe: bit.ly/34rg9GJ Andreas Bollmann Gerhard Hindricks EHRAPresident #EHRA_ESC #Europace #Cardiotwitter

Management of refractory angina: an update bit.ly/3hljZql #EHJ EHJ Editor-in-Chief R Ladeiras Lopes #ESCYoung

#DeBakeyCVJournal ❓ What is a hyperdominant/superdominant #LAD? This a rare anomaly in which the #LAD gives rise to the #PDA. Check out this case of extremely hyperdominant LAD which gives rise to the #PDA & #PL ‼️ 👉bit.ly/2Mf4epx #Radialfirst #Cardiotwitter #MedEd

#RadialFirst interesting collateral filling of this RCA CTO, name it!

Evandro Martins F. MD Great demo. I used a half balloon to seal a wire perforation and the case is in press. It’s cheap and easy to do.

Easy and effective way to increase radial rates - often takes 10 min to prep/drape patient and this can be done simultaneously. #RadialFirst William Suh, MD Robert W. Yeh Christopher Pyne Ki Park

New Technique (TILT) for tortuous/uncrossable lesions described by Lorenzo Azzalini et al. in EuroIntervention: 5F Guideliner in 8F Guiding Catheter with a "buddy" balloon outside the guideliner. PCRonline 🫀 SCAI #CardioTwitter Emmanouil Brilakis Optima Education EuroCTOClub eurointervention.pcronline.com/article/the-gu…

A beauty if a summary from ESCCongress!

‘VT’ versus ‘SVT with aberrancy’. The long list of VT "suggestive" ECG features is difficult to recall and apply in real time. How can we simplify things? Here is my ABCDE approach – five simple Qs to ask: 🧵👇