Andreas Kalogeropoulos

🚨Breaking News: New ESC Guidelines on CCS. Intracoronary Imaging now Class IA for LM, true bifurcation and long lesions! Either OCT or IVUS. @PCRonline @escardio @NielsRHolm @twj1974 @nicolasamabile @FBiccire @ziadalinyc @hect2701 @sbrugaletta @HolgerNef

My main takeaway from RHEIA: The first ever RCT only including women sets the scene for TAVI being the default strategy in female<75 with severe AS🔥🔥! Better access, short hospital stay, faster recovery + excellent clinical and echo outcomes.

🚨 Final Reminder! Submit by August 25 for #PCRLV to boost your career, expand your network, and get feedback from your peers. Prizes for Best Scientific Abstract, Best Clinical Case, and Best Innovation await. Course Directors @dottormaisano, @nicolo_piazza, Bernard Prendergast, Simon Redwood, @didier_tchetche and Nina Wunderlich are waiting to receive your best work. Act now and make an impact! 🔗 pcronline.com/Courses/PCR-Lo…

📢Calling #RedoTAVI Operators! 📢 Submit your #RedoTAVI cases to the upcoming #PCRLV Conference! This is an excellent opportunity to share your experiences of unusual scenarios with the Heart Team community. 🔍 Why Submit? TAVI in TAVI 🔹is part of Lifetime Planning & Management 🔹lacks prospective clinical data & validation 🔹is complex & variable, different from TAVI in SAVR 🔹procedural outcomes may be unexpected Contribute to this fascinating field! 📅 Submission Deadline: 25 August 2024 📍 Conference Date: 24-26 November 2024, London, UK 🔗 pcronline.com/Courses/PCR-Lo… #TAVI #ReTAVI #RedoTAVI #RedoTAVR @G_Tarantini01 @saia_francesco @drnvanmieghem @modine_thomas @heartsurgeryuk @ZenonHuczek @aisnptk @PCRonline @EAPCIPresident

Follow-on from this case, we intervened on the LAD too. Rotablation for >5mins? There was an end in sight... #GSTTCTO @DrMattRyan @MaciejMarcinia4 @AKaloger33 @AntonisPavlidi3

@tomkaier @DrMattRyan @MaciejMarcinia4 @AntonisPavlidi3 Amazing!!!! In these conditions, you go all in…transfemoral 8Fr 45 - 65 cm super-arrow flex sheath-GE 8Fr, 200000 rpm, 1.25 burr curries the risk of entrapment.

Convalescent STEMI, surgical turn-down, aberrant Cx intervention - useful to have some #CTOPCI tricks up the sleeve! #GSTTCTO @DrMattRyan @MaciejMarcinia4 @AKaloger33 @AntonisPavlidi3

4/4 Pearls of wisdom by Mark Goodwin

3/4 Lessons from the past by Jeffrey Moses

2/4 Ten pieces of advice by Martin Leon

Advice to the next generation at #CompCourse2023 — ‘what l wish I had done sooner, better, different’ 1/4 Mike Wyman — ‘Chill’

@tomkaier @Laserrman @MaciejMarcinia4 @AntonisPavlidi3 Success rates are 100%. No need for data analysis😂

@Laserrman @MaciejMarcinia4 @AKaloger33 @AntonisPavlidi3 We always use GCE to block antegrade flow and try to strike a balance between SI track length and healthy-ish re-entry zone. Luckily we can use Stingray and Recross interchangeably so there are always options. Success rates are high for our ADRs but will have to check database

#CTOPCI of a short RCA CTO - tapered cap, relatively short occlusion & tempting to assume it would wire antegradely. Final Stick & Swap with MG14 #GSTTCTO @MaciejMarcinia4 @AKaloger33 @AntonisPavlidi3

Editors' Insights: The dented bladder #sign: An early marker of #retroperitoneal #hemorrhage. bit.ly/3KkAZND #KardiologiaPolska #PolishHeartJournal #cardiotwitter #HeartNews @andreas_triant @IIKONOMIDIS @AKaloger33

#CTOPCI - NSTEMI from failing vein graft - stabilised with PCI to VG-RCA, then returned for elective PCI to native RCA - facilitated ADR #gsttcto @DrHaseebRahman1 @AKaloger33 @AntonisPavlidi3

Transmural Systems Electrosurgical Guidewire System (TELLTALE) Used in First Procedure in United States in IDE Pivotal Study prnewswire.com/news-releases/…

@SmithElliotjs @SanjogKalra @mbmcentegart @A_B_Hall @ajaykirtane @KambisMashayek1 Looking forward to the new kid on the block “the ablatinator” or maybe “the amazablator” #ctoplus2023 @AntonisPavlidi3 @tomkaier

Is the CHIP toolbox complete @SanjogKalra? Ablatinator, the ultimate tool to crack calcium? 6F 1mm profile 3mm excursion RX over 014 wire. Nodular & concentric. Want to hear more? Join us for debate #echovidaex #ctoplus2023 @mbmcentegart @A_B_Hall @ajaykirtane @KambisMashayek1

@CerrahpasaC @tomkaier @AntonisPavlidi3 You can also try a few more grenadoplasties with extra small balloons - it has worked in the past. Laser if it is available is another option. In addition, in this type of situation I am not sure what you still consider as a “safe” thing to do.

@tomkaier @AntonisPavlidi3 @AKaloger33 Since deep entubation with AL2 didn’t work, not sure guide extension would provide further support and due to proximal disease it is risky. Considered rota but my concerns were wiring with rotawire and the safety of atherectomy in this particular case.

What to do next? Started with JR and changed to AL-2 MC did not cross the lesion even over the Gaia third Tried Ryujine and anchor.

@SmithElliotjs @amircardio @BartsIntervGrp @oliverguttmann We are trying very hard on both ways…

@amircardio @AKaloger33 @BartsIntervGrp @oliverguttmann Proud moment. We need to understand the challenges of angina with open arteries. But don’t forget we still have a lot of blocked ones need sorting too 😉

Happy to meet Dr Andreas , both previously Bart’s fellows, today during INOCA seminar at Greece @AKaloger33 @BartsIntervGrp @SmithElliotjs @oliverguttmann