Georgi Fram, MD, FACC FASE

Early experience of on-demand ICE usage in TTVR with Evoque. Our first 100-commercial patient experience now published in #EHJ #EHJVSHD On-demand ICE needed more in patients with CIED with no difference in outcomes. Procedure length improved over time. academic.oup.com/ehjvshd/advanc…

Optimizing intraprocedural imaging in transcatheter tricuspid valve replacement (#TTVR). Early commercial experience reports real-world use of 3D-intracardiac echocardiography (ICE) to support complex cases and evolving procedural efficiency. #EHJVSHD ow.ly/QnpL50YmPEi @EHJVSHDEiC @PanichellaG @Giorgia_Benzoni @GKFram @jameschilee

🔦#EHJVSHD Spotlight Early experience by Fram et al with 3D-intracardiac echo (ICE) in transcatheter tricuspid valve replacement (#TTVR) shows feasibility in complex cases (29%) and a clear learning curve Should we move from “on-demand” to up-front ICE? doi.org/10.1093/ehjvsh…

@jameschilee @PedroMDMSc @engelpedro @SachinParikhMD @LaiLeoDr

Early experience of on-demand ICE usage in TTVR with Evoque. Our first 100-commercial patient experience now published in #EHJ #EHJVSHD On-demand ICE needed more in patients with CIED with no difference in outcomes. Procedure length improved over time. academic.oup.com/ehjvshd/advanc…

Nice two cases before @miamivalves . IVL BABASILICA and IVL UNICORN assisted LAVA. Second, valve in MAC with anchored Pascal facilitated with BATMAN. @jameschilee @engelpedro @GKFram @g_giustinoMD @crfheart @MohammedQintar @kentso987 @LaiLeoDr @AhmadJabri8 @MichaelChiangCS

Great Evoque Live case demonstration from @HenryFordHealth SHD to @HeartStructural 2026. @ArturoGiacaman @jameschilee @engelpedro @TberioFrisoli @brianoneill @GKFram . Was an Honor to host us .

Just published: Beyond Limits in Alternative Access: The Success of Right Subclavian Transcatheter Mitral Valve Replacement sciencedirect.com/science/articl… @Brianponeill @PedroMDMSc @engelpedro @GKFram @AhmadJabri8

Transjugular approach for Evoque Transcatheter Tricuspid Valve Replacement. A feasible alternative to transfemoral approach in unsuitable anatomy @fangjonathanx @PedroMDMSc @TiberioFrisoli @g_giustinoMD @LaiLeoDr @jameschilee @engelpedro #AHAJournals ahajrnls.org/41PKf4k

henryford.com/hcp/med-ed/res… @jameschilee @PedroMDMSc @engelpedro @TiberioFrisoli @BillONeillMD @SachinParikhMD @LaiLeoDr @fangjonathanx @g_giustinoMD

🚨 Now accepting applications to @HenryFordHealth SHD Imaging fellowship for ‘26-27 Learn from leaders in the field of SHD! Expertise in interventional echocardiography, cardiac CT, and all things multi-modality imaging! Visas accepted SHDImagingCVFellow@hfhs.org for more info

Just published: Left-Atrial Angiogram With Transthoracic Echocardiogram-Guided Mitral Transcatheter Edge-to-Edge Repair: A Patient With Tracheostomy and Severe Venous Tortuosity sciencedirect.com/science/articl… @PedroMDMSc @GKFram

No Panic in Hemodynamics: A “Single-Access” Axillary Impella-Assisted Balloon Aortic Valvuloplasty in Cardiogenic Shock @PedroMDMSc @GKFram @BillONeillMD sciencedirect.com/science/articl…

@LaiLeoDr @PedroMDMSc @BillONeillMD Leo the Legend

Just published: The WOLVERINE Technique: Wire Landmark-Guided Orientation Controlled Leaflet-Resection to Prevent Left-Ventricular Outflow-Tract Obstruction Using Endoscopic-Scissors in TMVR Procedures sciencedirect.com/science/articl… Master Pedro @PedroMDMSc @GKFram @BillONeillMD

Just published: Retrograde Balloon-Induced Anterior Mitral Leaflet Laceration: The ROBIN Technique sciencedirect.com/science/articl… @PedroMDMSc @AhmadJabri8 @GKFram @g_giustinoMD @engelpedro @TiberioFrisoli

#SCCT2025 with the @HenryFordHealth crew! @jameschilee @Mustafa_AM_DO @gautamrmd

Just published: Barlow’s Transcatheter Edge-to-Edge Repair in Mitral Annular Calcification: Intracardiac Echocardiography-Guided | JACC: Case Reports jacc.org/doi/10.1016/j.… @PedroMDMSc @GKFram @engelpedro @TiberioFrisoli BrianO’Neill @HenryFordHealth

Just published in JACC:Case Report Limited-Access Zero-Contrast BASILICA Transcatheter Aortic Valve Repla... sciencedirect.com/science/articl…

Structural Heart Imaging fellowship ✅.. great year with the best two co-fellows, experts in the field of structural interventions @LaiLeoDr and Dr Alrayes! @jameschilee @PedroMDMSc @engelpedro @TiberioFrisoli @HenryFordHealth

Use of lithotripsy (IVL) in severe calcified homograft for optimizing ... sciencedirect.com/science/articl… @PedroMDMSc