🧵 How I use the Spider FX filter in SVG PCI – step by step 1/ When performing PCI on a venous graft (SVG), always aim for maximal support. In many cases, femoral access remains the best choice. Use strong guiding catheters (for example, AL-type) for backup.💪🏼

👍 “A Contemporary Algorithm to Guide Percutaneous Coronary Intervention in High-Risk Spontaneous Coronary Artery Dissection” 🤜🤛: 🔗 https://t.co/xhRa7eycDz…

#CTO #3Dwiring #TDADR This presentation for #EssentilaCTO. Real time 3Dwiring ; faster.@ErwMulia @ISIC_Official

To shorten a guide catheter: Trim 10–15 cm from the guide’s proximal end. Use a femoral sheath 1 Fr smaller than the guide. Cut a 2 cm sheath piece as adapter, flare both ends and slide adapter over the cut ends of the guide. #CathLabHack #InterventionalCardiology

I have translated into slides the topics and references used by the 2025 Guidelines Task Force on valvular heart disease to justify the recommendation for TAVI in patients aged 70 years or older. Their key argument is a certain degree of pragmatism — they consider age as a

At @OptimaCTO in London, Dr. Bob Foster shared how injuries from lead aprons drove him to found Rampart. Our mission: Total Body, Total Team Protection. Because if you don’t care for yourself, you can’t care for others. The RAMPART System was also featured in live cases —

@simonjwilson1 @GLGasparini

Cuttering technique - useful technique described by Gasparini et al. to resolve a subintimal hematoma with a cutting balloon CB - moving forward n back during deflation

@OptimaCTO #OptimaPCILondon25

@OptimaCTO #CTguidedPCI #CTO #ComplexPCI

Still buzzing from #OptimaLondon2025. Honoured to help organise the live cases — and thrilled to be primary operator for one. CT-guided PCI + DCB-based CTO PCI Huge thanks to @cghanratty for the guidance & @jcspratt for the opportunity! #CTOPCI #DCB #InterventionalCardiology

How can intravascular imaging (IVI) best guide left main stenting? This editorial by J.M. de la Torre Hernandez discusses the evolving MSA cutoff values and their prognostic role, highlighting nuances in interpretation and the need for individualised optimisation strategies.

Aspirin or clopidogrel? In patients on oral anticoagulants is aspirin sufficient beyond the first month after PCI? @HirotWatanabeMD #AHAJournals https://t.co/CGWmzH7sOl

Very cool technique to increase reach of 90-cm guides during #CTO #PCI , especially when radial. Invented by @swissCTO, applied it one week after I saw it on his video! 1-Use scalpel to shave off the top part of the white cover 2-hold the rest of the cover, cut with scissors

@realarainmd @mornei2011 @Laserrman @MauroCarlino3 @KVM83 @mmamas1973 @mirvatalasnag @LAzzaliniMD @cto_chip_japan @evandrofilhobr @MPAOSS @DrBIqbal @OjedaOjeda18 @PCRonline Floating balloon is up before stent balloon, so quite stable position. But nothing is perfect as we know only 2/3 perfect position in OSTIAL pilot series WALPO wire only according to @swissCTO useful as well! Catheterization and Cardiovascular Interventions, 2024; 104:1447–1451

Is the Cx ostium still the Achilles heel of LM bifurcation PCI? Our analysis from the EBC MAIN trial is now published in @CircIntv The Cx ostium was the commonest site requiring revascularization after LM bifurcation PCI, irrespective of whether one or two stents had been

Plaque fissure and calcified nodule: histopathological findings: @ESC_Journals 🥸Very nice and informative. 😱 Please read this thread if interested... 👇👇👇

Here's a video I made breaking down this incredible case of a 25-year-old woman who suddenly collapsed to the ground in cardiac arrest #FOAMed

@realarainmd @nyalborgesmd @tomkaier @evandrofilhobr @LAzzaliniMD @DrBIqbal I am using It. Very nice, unique wire. Text from one of my post and updated book>>> 🆕 „intraplaque”, “true-to-true” wire ➡️Unique #Blunt tip ➡️Very low penetration force / balanced with tip load 3.0 g ➡️Durable and strong preshaped tip, 1 mm 54° ➡️ACT ONE, precise torqueability

Arterial obstruction causing MI, stroke, or organ/limb infarction may result from acute fibrin cap rupture, thrombus extension, or embolism