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Alpesh Shah M.D. Profile
Alpesh Shah M.D.

@AlpeshShahMD

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Director of Coronary Interventions, Interventional Cardiology, Houston Methodist DeBakey Heart & Vascular Center, Associate Professor Houston Methodist Hospital

Houston, TX
Joined December 2017
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@MyJSCAI
MyJSCAI
16 days
📖Women undergoing #intravascular brachytherapy for #ISR had higher rates of target lesion revascularization, #MI & MACE vs men despite similar procedures. Highlights need for sex-specific strategies💡 ➡️ https://t.co/MLE1m4xrTg @KrityaMangesh @KharsaChloe @AlpeshShahMD
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@AlpeshShahMD
Alpesh Shah M.D.
1 month
Houston IC fellowship case competition quarterly series was amazing. Great faculty, physicians and fellows. 100 in attendance. Inspiring IC imaging work from six cardiology programs presented by a fellow, and the winner is hanad Bashir. @HMHCardioFellow @SLittleMD @WilliamZoghbi
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@rjrachwan
Rayan Jo Rachwan
1 month
🩺 Excited to share our study in @IJCardio: The MADISON Score — a simple clinical tool to predict significant left main or 3-vessel disease in NSTE-ACS. It also carries prognostic value for in-hospital outcomes like cardiogenic shock and MACE. 📄 https://t.co/JJABicFLET
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@KrityaMangesh
Mangesh Kritya
2 months
TCT 2025 Day 2: Presented 2 abstracts 👉🏽 Sex-based differences post IV brachytherapy for ISR ❗️High TLR in women 👉🏽 Procedural success rate in CTO PCI in small versus large vessels ❗️Low procedural success rates in small vessels @AlpeshShahMD @KharsaChloe #MedTwitter #TCT2025
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@Shikha_Cardio
Shikha Jha MD, CPPS, CPHQ🫀
2 months
Learning IVUS at the engagement hub with the Master 👏 🙏! @AlpeshShahMD #TCT2025 @TCTConference @TCTMD @crfheart
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@KharsaChloe
Chloe Kharsa
2 months
The obesity paradox in CTO PCI🫀 In 503 CTO PCI cases: Obese patients had: ⚠️Lower procedural success ⚠️Higher radiation exposure ✅Similar long-term outcomes 💡BMI alone should not rule out CTO PCI! 🔗: https://t.co/K5B0SJt3WN @AlpeshShahMD @KrityaMangesh
Tweet card summary image
ajconline.org
This study examined the impact of body mass index (BMI) on procedural and long-term outcomes following percutaneous coronary intervention (PCI) for chronic total occlusion (CTO). While obesity is an...
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@PhilipsIC
Philips Interventional Cardiology
2 months
Join us for this informative lecture where Alpesh Shah, MD will share how he uses coronary IVUS to guide stent implantation and post stent optimization #TCT2025 https://t.co/kHoYj9YofJ
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@AlpeshShahMD
Alpesh Shah M.D.
2 months
Please register and join us at our quarterly Houston fellowship case competition series. This series highlights amazing cases done and presented by our fellows representing all six top fellowship programs. Great opportunity to share and learn.
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@WilliamZoghbi
WilliamZoghbi
3 months
Privileged to work with this amazing ❤️team @HMethodistCV @ACCinTouch @ASE360 @SCMR @Heart_SCCT @escardio @SCAI
@HMHCardioFellow
Houston Methodist Cardiovascular Fellowships
3 months
Strong hearts, stronger team 💪❤️ Picture Day 2025 at HMH Cardiovascular Disease Fellowship! #HeartOfMedicine #HMHCardioFellows
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@judicious99
Joud Abourdan, MD
3 months
Addressing the Non Culprit in STEMI With Dr. Alpesh Shah “Evidence that PCI of non-culprit lesions leads to better outcomes” “predominantly driven by a lower rate of recurrent ischemia and recurrent MI” @AlpeshShahMD @Dallas_PCI #dallaspci2025 @Obadah1Md
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@AlpeshShahMD
Alpesh Shah M.D.
3 months
A must watch for every cardiologist! Extremely nuanced and clinically relevant @WilliamZoghbi
@WilliamZoghbi
WilliamZoghbi
3 months
Today, The start of the Academic year educational activities and our CV Grand Rounds ⁦@HMethodistCV⁩ see you soon! ⁦ @ACCinTouch⁩ ⁦@ASE360⁩ ⁦@SCMR⁩ ⁦@Heart_SCCT⁩ ⁦@escardio
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@KrityaMangesh
Mangesh Kritya
3 months
🔴New Publication🔴 🫀Does CKD affect brachytherapy outcomes in ISR? ☢️ 227 pts (54 CKD) 1-yr MACE: 63% (CKD) vs 33% 🎯 TLR: 31.5% vs 18% 🩸 Bleeding: CKD only (5.6%) ♂️ Within CKD: male sex ↓ TLR (HR 0.15) Full text link below👇 @AlpeshShahMD @AndrewFarach @HMethodistCV
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@AlpeshShahMD
Alpesh Shah M.D.
3 months
Dialysis remains an Achilles heel in CAD PCI world. Outcomes remain challenging whether a patient is young or old. Great work by @Taha_Hatab1
@Taha_Hatab1
Taha Hatab
3 months
Happy to share our new paper out now in @AmJCardio In young adults (<50 y) on dialysis undergoing PCI, we found: 🔴 Higher bleeding events 🩸 🏥 Longer hospital stays ⚠️ Higher 1-year MACE ☠️ https://t.co/cTfpEKp2CG
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@AlpeshShahMD
Alpesh Shah M.D.
3 months
Congratulations @KharsaChloe . No need to worry about overlap margins or double dwell in brachytherapy IVBT for treatment of coronary ISR during PCI. Excellent paper from houston Methodist registry. @HMethodistCV @AndrewFarach
@KharsaChloe
Chloe Kharsa
3 months
Overlap? Short margins? No problem. 📊 In 222 ISR cases treated with ICBT, 🔄 Overlap vs. non-overlap 📏 Margin <10 vs. ≥10 mm 🟰 No difference in 1-yr TLR, MACE, mortality. 👉🏻 Supports flexible, anatomy-driven planning. 📄 https://t.co/WCxU34PrY7 @AlpeshShahMD
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@DeBakeyCVedu
DeBakey CV Education - World Class CV Training
3 months
IVUS reduces mortality & major CV events by assessing plaque morphology, vessel sizing & stent placement. IVUS Imaging-Guided Percutaneous Coronary Intervention: Evidence & Implications - @safinmc Neal Kleiman @alpeshshahMD #DeBakeyCVJournal https://t.co/cgkEdTBkUw @NadeenFaza
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@AlpeshShahMD
Alpesh Shah M.D.
3 months
This #SEE IVUS technique is a game changer for precise, fast and detailed method to optimize IVUS guided PCI using eagle eye Philips IVUS. Everyone will feel more empowered to perform IVUS consistently.
@DeBakeyCVedu
DeBakey CV Education - World Class CV Training
3 months
IVUS is valuable in managing complex scenarios & procedures requiring minimal contrast, improving procedural success & patient outcomes IVUS Imaging-Guided PCI: Evidence & Implications - @safinmc Neal Kleiman @alpeshshahMD #DeBakeyCVJournal https://t.co/cgkEdTBkUw @NadeenFaza
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@AlpeshShahMD
Alpesh Shah M.D.
3 months
Amazing job @KharsaChloe . Accurate and granular data from @HMethodistCV a single center experience over 5 years. Thank you to the entire team of post docs, fellows and Co authors in putting together a Herculean effort.
@KharsaChloe
Chloe Kharsa
3 months
Just out🚨 Our Houston Methodist CTO PCI Registry (507 pts, 2018-2023) shows CTO PCI is safe, effective and improving over time. ☑️ 81% success ☑️ 0.4% in-hospital mortality ☑️ 91% 2y OS @AlpeshShahMD 🔗 https://t.co/sxf1NkoyRV
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@AlpeshShahMD
Alpesh Shah M.D.
3 months
Congratulations to authors. A must read!
@DeBakeyCVedu
DeBakey CV Education - World Class CV Training
4 months
Despite increasing adoption of tMCS devices in AMI-CS, high in-hospital mortality rates show the need for optimized patient selection & timing of support initiation tMCS for AMI-CS - S Erdem, DA Patel, KA Zeid @Joe_Aoun_ #DeBakeyCVJournal https://t.co/qQkdKAg5Mj @NadeenFaza
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@AlpeshShahMD
Alpesh Shah M.D.
3 months
Excited to host Houston intravascular imaging course focusing on precision PCI techniques and IVUS integration for optimizing outcomes. Available for all levels of learners committed to PCI excellence
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@DFCapodanno
Davide Capodanno
3 months
Yet another trial in STEMI with multivessel disease: in OPTION-STEMI, immediate complete revascularization was not shown to be non-inferior to staged complete revascularization during the index admission, looking at death, non-fatal MI, or unplanned revascularization at 1 year.
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