First 2 Evoque valves ⁦@EdwardsLifesci⁩ at the LUMC! Great results in both cases. Smooth performance (as usual) of the team, very very proud. ⁦⁦⁦@Hartcentrum⁩

RT @MyJSCAI: 🫀Unique TAVR Case: The Treble Clef Arch . TAVR is a go-to treatment for severe #AS —but not without its challenges. @JMonteroM….

RT @g_giustinoMD: Welcome to MATRIX - shockwave lithotripsy of severe calcified MS in pts with no other options using oversized IVL balloon….

RT @rohanpaul_ai: It’s a hefty 206-page research paper, and the findings are concerning. "LLM users consistently underperformed at neural,….

RT @MichaelMegalyMD: A lot of work has been done on the impact of #CTO #PCI on LVEF, which I believe is largely due to reversing ischemia a….

RT @FOAMecmo: LAVA #ECMO, incorporating LA drainage into #ECLS circuit to reduce LV preload, mitigate pulmonary congestion + maintain syste….

@Euro4cSpain @EAPCIPresident @PCRonline @ShockwaveIVL @JuradoRomanAl @shci_sec @ACCinTouch @NVVCConnect.

5) Congrats again to the team, leaded by @oliveri_md and our visiting Spanish colleague Isabel Merino, Martijn van Oort, @dr_ialamri, Brian Bingen, Fatih Arslan, @BimmerClaessen, Aukelien Dimitriu-Leen, Joelle Kefer, Hany Girgis, Tessel Vossengerb, F van der Kley and W Jukema.

4).This study reinforces the safety and reliability of IVL in the most complex anatomical and clinical settings — and how often we can avoid escalation to mechanical support, even when it seems likely.

3) .✅ 91.6% procedural success. 💥 No tMCS required due to IVL-related complications. 🛠 Bail-out use of Impella or VA-ECMO was rare and case-specific. 🧠 Highlights the feasibility of IVL even in hemodynamically vulnerable patients.

2) Despite the extreme complexity of cases — with high Syntax scores, severely reduced LVEF, and diffuse coronary calcification — the need for temporary mechanical circulatory support (tMCS) during IVL-assisted PCI was surprisingly low (2.6%).

1)🚨 New study from the BENELUX-IVL registry: "Intravascular lithotripsy and temporary mechanical circulatory support for the treatment of heavily calcified coronary artery disease".. Key findings👇.

@MyJSCAI @SCAI @ShockwaveIVL @oliveri_md @dr_ialamri @BrianBingen @BimmerClaessen 8 ) @Hartcentrum @ESC @ACCinTouch @SCAI @EAPCIPresident @Euro4cSpain @PCRonline @JuradoRomanAl @realarainmd @shci_sec @NVVCConnect.

@MyJSCAI @SCAI @ShockwaveIVL 7) The BENELUX-IVL Registry continues to generate strong evidence on IVL across diverse clinical scenarios.Kudos to the great @oliveri_md and rest of co-authors. @dr_ialamri, @BrianBingen, @BimmerClaessen.

@MyJSCAI @SCAI @ShockwaveIVL 6) 🔍 Measuring ΔCACom may guide real-time decision-making in IVL procedures and help tailor intraprocedural prep strategies.

@MyJSCAI @SCAI @ShockwaveIVL 5) This is the first study to link real-time compliance modification to procedural success using intravascular imaging. A step toward complince-guided calcium modification — beyond angiography alone.

@MyJSCAI @SCAI @ShockwaveIVL 4) 💡 Why is this important?. ΔCACom could help operators decide when enough lesion preparation has been achieved — potentially avoiding overtreatment and improving outcomes in complex PCI.

@MyJSCAI @SCAI @ShockwaveIVL 3) Our key finding:. ΔCACom is an independent predictor of optimal stent expansion (≥90%), even after adjusting for imaging-derived calcium burden and balloon size/pressure.

@MyJSCAI @SCAI 2) In patients with heavily calcified coronary lesions undergoing PCI with IVL (@ShockwaveIVL), we studied ΔCoronary Artery Compliance (ΔCACom) — a novel marker reflecting real-time vessel compliance changes during lesion preparation.

🚨 New study from the BENELUX-IVL Registry just published in @MyJSCAI @SCAI !.📖 “Coronary Compliance Modification by Intravascular Lithotripsy: A New Predictor of Stent Expansion in Calcified Lesions”. 🧵 Here’s what we found:.