Jonathan Curio

#TreatTR @azeemlatib @AntonioMangieri @g_lanzillo @PCRonline @Ortega_Paz #EAPCI

Tricuspid regurgitation patients who receive TTVA with the Cardioband see positive cardiac remodeling and functional improvement a year post-procedure, according new a new German real-world study. Read more on #CRTonline. ow.ly/vWuk50XIyPV

#EIJonAir - Analysis of the NOTION-2 trial x.com/i/broadcasts/1…

Mild PVL after #TAVR is NO LONGER acceptable, especially in low/intermediate risk and younger patients. In #JACCINT @JACCJournals the OCEAN-TAVI registry showed long-term higher mortality and TAV failure even with mild PVL. Minimizing PVL when safe should be routine now. 2 seminar studies including one from our @MountSinaiHeart @MountSinaiNYC @IcahnMountSinai by @ParasuramMD et al shows underexpanded balloon-expandable #TAVR risks early failure and ROUTINE DOUBLE-TAP post dilatation improves balloon-expandable TAV expansion! Like #PCI where you routinely pre-dilate a lesion and post dilate the stent to avoid ISR, and pre- and post-dilating in redo-PCI for ISR, optimizing valve frame expansion, minimizing PVL during index #TAVR is now paramount to confer durability, REGARDLESS of the type of TAV: balloon-expandable and self-expanding. Best view to do post-dilatation is at RAO CAU with TAV parallax removed to visualize the SHORT AXIS of the native annulus to evaluate frame geometry. WE MUST ACT NOW! OCEAN-TAVI registry on mild PVL and TAVR long-term outcomes jacc.org/doi/full/10.10… Editorial jacc.org/doi/full/10.10… Routine Double-Tap in SAPIEN 3 Ultra Resilia jacc.org/doi/10.1016/j.… Real-time Fluoroscopic analysis of underexpansion in balloon-expandable TAVR jacc.org/doi/full/10.10… Editorial jacc.org/doi/full/10.10…

Insights into PVL post #TTVR at #PCRLV ⬆️ @PamelaGatto @alcantaramonica @dr_chrisallen @O_Azizy_MD @BenekiEirini @MiChen__ @juliendreyfus1 @jcecharte @DrGarot @cvnurselin @drtsakamoto @a_sorropago @TagliariPaula @m_taramasso @dr_tyxiong

⭐New insights from TRIPLACE featured at #PCRLV: PVL after #TTVR by @AndreaScotti21 et al. 🎯 6.1% w/ >/= mod PVL (predicted by large RA, malpositioning, type IV morphology) 🎯>/= mod translated into ⬆️1y mort ➡️May have key implications for procedural optimization+device design

RV remodelling data post Lux #TTVR from #PCRLV ⬆️ @PamelaGatto @alcantaramonica @dr_chrisallen @O_Azizy_MD @BenekiEirini @MiChen__ @juliendreyfus1 @jcecharte @DrGarot @cvnurselin @drtsakamoto @a_sorropago @TagliariPaula @m_taramasso @dr_tyxiong

Latest Science for #treatTR featured at #PCRLV: RV remodelling after Lux- Valve #TTVR by Kobari et al. 🎯Sufficient+sustained TR reduction at 1y 🎯Translated into pos RV remodelling, espec in pt w/ TAPSE/sPAP > 0.3 ➡️Prognostic implications of RV remodelling need to be studied

Latest data on multivalve disease in #TTVR at #PCRLV⬆️ @PamelaGatto @alcantaramonica @dr_chrisallen @O_Azizy_MD @BenekiEirini @MiChen__ @juliendreyfus1 @jcecharte @DrGarot @cvnurselin @drtsakamoto @a_sorropago @TagliariPaula @m_taramasso @dr_tyxiong

🚀Additional insights from TRISCEND + TRISCEND II #treatTR: Multivalve disease in #TTVR by @JennifervStein et al. ⭐Find the key takes of the study in the @PCRonline #PCRLV e-Poster⤵️

Add. insights into latest #treatTR evidence ⬆️@PCRonline @PamelaGatto @alcantaramonica @dr_chrisallen @O_Azizy_MD @BenekiEirini @MiChen__ @juliendreyfus1 @jcecharte @DrGarot @cvnurselin @drtsakamoto @a_sorropago @TagliariPaula @m_taramasso @dr_tyxiong

🚀New insights into TRISCEND/TRISCEND II #treatTR: #TTVR in pt w/ CIED lead by @JennifervStein et al. 🎯130 of 337 patients w/CIED lead in place; showed similar proc safety 🎯7.7% w/lead related event 🎯Events could be managed well by lead repositioning or leadless pacer implant

Latest science on #treatTR at #PCRLV @PCRonline @PamelaGatto @alcantaramonica @dr_chrisallen @O_Azizy_MD @BenekiEirini @MiChen__ @CurioJonathan @juliendreyfus1 @jcecharte @DrGarot @cvnurselin @drtsakamoto @a_sorropago @TagliariPaula @m_taramasso @dr_tyxiong

🚀Latest #treatTR Science at #PCRLV: Tri-Repair Score predicts 1y mort/HF Hosp/TR⤵️by Weber et al. 🎯8 items (RV funct, TV dimension+config.,labs) 🎯AUC mort 0.64, HF hosp >0.66, TR⤵️>0.67 ➡️Compared to establ. TRI-SCORE bit worse predictive 4 mort, but better 4 HF hosp & TR⤵️

Latest science on #treatTR at #PCRLV⬆️ @PamelaGatto @alcantaramonica @dr_chrisallen @O_Azizy_MD @BenekiEirini @MiChen__ @juliendreyfus1 @jcecharte @DrGarot @cvnurselin @drtsakamoto @a_sorropago @TagliariPaula @m_taramasso @dr_tyxiong

Latest Science for #treatTR featured at #PCRLV @PCRonline: RV remodelling after EVOQUE #TTVR by Hungerford et al. 🎯Some immediate decline in RV function 🎯No immediate change in RV volumes, but volume release at f/u ➡️RV-FW strain may inform on those w/ RV funct recovery?

Summary Slide of the #TR Trials Presented Today at #PCRLV during the #Top Late-Breaking and #Hotline Sessions ⤵️ @PCRonline @PamelaGatto @alcantaramonica @dr_chrisallen @O_Azizy_MD @BenekiEirini @MiChen__ @CurioJonathan @juliendreyfus1 @jcecharte @DrGarot @cvnurselin @Omar_A_Oliva @drtsakamoto @a_sorropago @m_taramasso @dr_tyxiong @JoaoLCavalcante @bapat_savrtavr @GilbertTangMD @drmaisano @nicolasdumonte1 @nicolo_piazza @didier_tchetche

Evidence card on novel device for targeted CIED lead placement to mitigate TR⬆️ @BenekiEirini @MiChen__ @juliendreyfus1 @jcecharte @DrGarot @cvnurselin @drtsakamoto @a_sorropago @TagliariPaula @m_taramasso @dr_tyxiong

🚀#PCRLV Tricuspid Hotline Session: Novel device for targeted commissural placement of pacing leads mitigating TR by Vini Bapat et al. 🎯Find the key takes of the study in the @PCRonline Evidence Card ⤵️ @PCRonline @PamelaGatto @alcantaramonica @dr_chrisallen @O_Azizy_MD

Evidence Card on predictors of HF hosp after TTVR ⬆️ @MiChen__ @juliendreyfus1 @jcecharte @DrGarot @cvnurselin @drtsakamoto @a_sorropago @TagliariPaula @m_taramasso @dr_tyxiong

🚀#PCRLV Tricuspid Hotline Session: Predictors of HF hospitalisation post TTVR - TRISCEND + TRISCEND II analysis by Sannino et al. 🎯Find the key takes of the study in the @PCRonline Evidence Card ⤵️ @PamelaGatto @alcantaramonica @dr_chrisallen @O_Azizy_MD @BenekiEirini