ZeroTLR (@zerotlr) 's Twitter Profile
ZeroTLR

@zerotlr

Critical view of interventional devices & techniques, let’s keep patients first. Tweets are on my own personal opinion and not medical advice.

ID: 906550483120218112

calendar_today09-09-2017 16:10:52

4,4K Tweet

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Pier Pasquale Leone (@leoneppmd) 's Twitter Profile Photo

⭐️🇮🇹COPS multicenter randomized trial just out as LBCT #TCT2022 Cutting 🔪 vs. non-compliant (NC) 🎈 in Ca++ lesions At Ca++ site: 🔑 MSA: 8.1 vs. 7.3 mm2 (p =0.035) 🔑 Eccentricity index: 0.84 vs. 0.80 (p =0.013) antonio mangieri Antonio Colombo Damiano Regazzoli Gabriele Gasparini

⭐️🇮🇹COPS multicenter randomized trial just out as LBCT #TCT2022 

Cutting 🔪 vs. non-compliant (NC) 🎈 in Ca++ lesions

At Ca++ site:
🔑 MSA: 8.1 vs. 7.3 mm2 (p =0.035) 
🔑 Eccentricity index: 0.84 vs. 0.80 (p =0.013)

<a href="/AntonioMangieri/">antonio mangieri</a> <a href="/Antocol17/">Antonio Colombo</a> <a href="/DamianoRegazzo1/">Damiano Regazzoli</a> <a href="/GLGasparini/">Gabriele Gasparini</a>
Jaffar Khan (@cathelectrosurg) 's Twitter Profile Photo

Dr. Gilbert Tang TCT Conference NEJM Dr Roxana Mehran George Dangas, MD, MACC, MSCAI David J. Cohen, MD, MSc MIЯVΛƬ #IC Sachin Goel Philippe Pibarot Pablo Lamelas 🇦🇷🇨🇦 TCTMD Kendra J. Grubb M.D. @PK_parasu Sahil Khera Rodrigo Bagur 🇦🇷🇨🇦 Jason Foerst NEGATIVE trial. Therefore subgroups are hypothesis generating at best. Second, no correction made for statistical chance so only point estimates for the many subgroups given in NEJM. Presentations and ads don’t undergo the same rigour, unfortunately, so a p value has snuck in.

Wail AlkashkariFSCAI,FPICSوائل القشقرى🇸🇦🇨🇦🇺🇲 (@alkashkariwail) 's Twitter Profile Photo

80y♂️ severe AS heavily ca EF35%, RBBB, LAD prox-mid 90% calcified lesion. PCI to LAD then #TAVR with #evolute_29. Pre&post🎈. #commisural_alignment #cusp_overlap. shallow implant. No ECG↔️,PG3, NO AI. Easy coronary re-access. MIЯVΛƬ #IC ZeroTLR Rasha Al-Bawardy Abdullah Alsaiedi I عبدالله السعيدي

EuroIntervention (@eurointerventio) 's Twitter Profile Photo

In this multicentre, propensity-matched comparison of the self-expanding ACURATE neo2 and the balloon-expandable SAPIEN 3 Ultra prostheses, the authors found comparably good short-term outcomes but some differences in device success and paravalvular leak. ow.ly/wsyG50LunWt

In this multicentre, propensity-matched comparison of the self-expanding ACURATE neo2 and the balloon-expandable SAPIEN 3 Ultra prostheses, the authors found comparably good short-term outcomes but some differences in device success and paravalvular leak. ow.ly/wsyG50LunWt
Akiva Rosenzveig (@akivarosenzveig) 's Twitter Profile Photo

1/Excited to share our recent CCIjournal publication on the incidence & distribution of missed paravalvular regurgitation (PVR) led by Dr. Syed Zaid Ahmad Abu-Haniyeh & Aaqib Malik MD MPH & huge thanks to @hasan_ahmadMD Joshua Goldberg Dr. Gilbert Tang 🔗onlinelibrary.wiley.com/doi/abs/10.100… A 🧵...

1/Excited to share our recent <a href="/ccijournal/">CCIjournal</a> publication on the incidence &amp; distribution of missed paravalvular regurgitation (PVR) led by Dr. Syed Zaid <a href="/AhmedHaniyehMD/">Ahmad Abu-Haniyeh</a> &amp; <a href="/MalikMD10/">Aaqib Malik MD MPH</a> 
&amp; huge thanks to @hasan_ahmadMD <a href="/GoldbergJBCTMD/">Joshua Goldberg</a> <a href="/GilbertTangMD/">Dr. Gilbert Tang</a>
 
🔗onlinelibrary.wiley.com/doi/abs/10.100…

A 🧵...
Jaffar Khan (@cathelectrosurg) 's Twitter Profile Photo

First-in-human TELLTALE-BASILICA St. Francis Hospital & Heart Center! TELLTALE is the first and only dedicated system for transcatheter electrosurgical leaflet modification. Life is so much easier with dedicated devices - BASILICA took only a few minutes and the patient did great! Details at #crt2023

First-in-human TELLTALE-BASILICA <a href="/StFrancis_LI/">St. Francis Hospital & Heart Center</a>! TELLTALE is the first and only dedicated system for transcatheter electrosurgical leaflet modification. Life is so much easier with dedicated devices - BASILICA took only a few minutes and the patient did great! Details at #crt2023
Ritu Thamman MD (@iamritu) 's Twitter Profile Photo

João Cavalcante #CRT23 Bicuspid Anatomy for TAVR The more calcification raphe leaflet LVOT worse mortality Shorter membranous septal length in BAV High LV-Ao angle >60 deg Concomitant coronary anomalies & coronary heights #Imaging 🔑 to BAV pt selection for TAVR

<a href="/JoaoLCavalcante/">João Cavalcante</a> #CRT23 
Bicuspid Anatomy for TAVR
The more calcification raphe leaflet LVOT worse mortality 
Shorter membranous septal length in BAV
High LV-Ao angle &gt;60 deg 
Concomitant coronary anomalies &amp; coronary heights
#Imaging 🔑 to BAV pt selection for TAVR
Jonathan Schwartz, MD (@jgschwartzmd) 's Twitter Profile Photo

#CRT2023 Jaffar Khan on multivariate prediction model for coronary obstruction in native & ViV #TAVR — ✅ measure cusp ht:coronary ht/sinus ht ✅ measure VTC / VTSTJ (<4mm = ⬆️risk) ✅ measure leaflet calcium volume (>600mm3 = ⬆️risk) ➡️ sig improved sens/spec CRT Meeting

#CRT2023 <a href="/CathElectroSurg/">Jaffar Khan</a> on multivariate prediction model for coronary obstruction in native &amp; ViV #TAVR —

✅ measure cusp ht:coronary ht/sinus ht
✅ measure VTC / VTSTJ (&lt;4mm = ⬆️risk)
✅ measure leaflet calcium volume (&gt;600mm3 = ⬆️risk)

➡️ sig improved sens/spec
<a href="/CRT_meeting/">CRT Meeting</a>
Davide Capodanno (@dfcapodanno) 's Twitter Profile Photo

Current hs-cTn assays are highly valuable for rule-out of AMI. This comes at the price of specificity, unless serial assessments are made. However, serial testing does not differentiate Type 1 from Type 2 AMI and, therefore, robust clinical assessment remains crucial. #CRT2023

Current hs-cTn assays are highly valuable for rule-out of AMI. This comes at the price of specificity, unless serial assessments are made. However, serial testing does not differentiate Type 1 from Type 2 AMI and, therefore, robust clinical assessment remains crucial. #CRT2023
Joshua Goldberg (@goldbergjbctmd) 's Twitter Profile Photo

Hypoattenuated Leaflet Thickening (HALT) Operative view of Sapien 3 implanted 6 months prior with #HALT of right and noncoronary leaflet. #TAVR

Hypoattenuated Leaflet Thickening (HALT)

Operative view of Sapien 3 implanted 6 months prior with #HALT of right and noncoronary leaflet. 
#TAVR
MIЯVΛƬ #IC (@mirvatalasnag) 's Twitter Profile Photo

#CRT2023 PCI vs CABG for LM dz w & w/out DM 25% DM DM pts more likely to have higher Syntax & co-morbidities PEP: all cause ☠️ SEP: CVS & non-CVS ☠️,stroke, peri-procedural & spontaneous MI No difference in PEP btwn revasc strategy ⬆️ spontaneous MI & repeat revasc w PCI

#CRT2023
PCI vs CABG for LM dz w &amp; w/out DM
25% DM

DM pts more likely to have higher Syntax &amp; co-morbidities

PEP: all cause ☠️ 

SEP: CVS &amp; non-CVS ☠️,stroke, peri-procedural &amp; spontaneous MI

No difference in PEP btwn revasc strategy 
⬆️ spontaneous MI &amp; repeat revasc w PCI
Wail AlkashkariFSCAI,FPICSوائل القشقرى🇸🇦🇨🇦🇺🇲 (@alkashkariwail) 's Twitter Profile Photo

85y♂️ NSTEMI, 5y ago had TAVI in embolized TAVI during same procedure. Today, PCI to RCA & angiogram to LM done (LAD non-viable). 5Fr RJC advanced over wire between the valves and aortic wall. Spacious STJ was helpful.