Javier Escaned

@VPanoulas @JuradoRomanAl On the same sarcastic pitch, “this will make your life easier” as an interventional cardiologist.

My take from RCTs from ACC and TCT. For any case no matter how complex coronary anatomy is and no matter how bad the haemodynamics and LV are, all you need is: radial, guide, wire, semi balloon, maybe NC or OPN if you want to go crazy and that’s it . Done. No IVUS needed.We sure?

A must-read discussion on the statistical analysis of Selution De Novo by @ihtanboga . Lots of learning about analysis and narrative construction in the context of clinical trials. @DFCapodanno @PCRonline

Wire-free angiography-derived physiology represents an important step toward more efficient coronary assessment. As the field evolves, ongoing research is strengthening the evidence in improving imaging standards and technical capabilities to support broader adoption. Learn more in the full SCAI expert opinion➡️ jscai.org/article/S2772-… #CardioX @ESHLOF @DoosupShin @mirvatalasnag @SripalBangalore @ColletCarlos @JEscaned @NievesGonzalo1 @DrAllenJ @DrAmirKaki @MortonKern @yadersandoval @d_sukul @wfearonmd @myjscai

This editorial highlights Marin et al.’s study showing how PCI reshapes coronary flow dynamics in humans, reinforcing key concepts of coronary autoregulation and the physiological basis of FFR. #CoronaryPhysiology #PCI #FFR #InterventionalCardiology @JEscaned @Guusdewaard Original paper : eurointervention.pcronline.com/article/change…

I am not particularly surprised that the SELUTION DeNovo paper has not yet been published if this is the interpretation being promoted by the authors. The noninferiority margin was 2.44%. In the intention-to-treat analysis, the upper bound of the risk difference for TLF was 2.38%, therefore technically meeting the criterion for noninferiority. However, in a noninferiority trial the per-protocol analysis carries greater weight, and in that analysis the upper bound of the risk difference is 2.63%, meaning that noninferiority is not achieved. To be precise, in noninferiority trials both intention-to-treat and per-protocol analyses are required, and concordant results are generally expected; when they diverge, the evidence for noninferiority is considered weak. The authors now state that “the results of the per-protocol analysis did not confirm noninferiority, but they are similar to the intention-to-treat analysis in both direction and magnitude.” Well, where I come from we would say: “If my grandfather had wheels, he would have been a cart.”

Prognostic stratification of patients with nonobstructive coronary artery disease managed according to invasive coronary function testing #REC #Aheadofprint @EvaRumiz @ainhoape1 @luiscfcf @SoniaCardona95 @ErnestoValero84 @JEscaned @yulnunezvill ow.ly/wZ1n50XO3pA

#CoronaryPhysiology #AngiographyDerivedPhysiology #GUIDELINESandRECOMMENDATIONS 🆕 E X P E R T O P I N I O N A N G I O G R A P H Y- -Derived P H Y S I O L O G Y: 👇 jscai.org/article/S2772-… 👋@ESHLOF @wfearonmd

1/ A wire-free strategy to assess myocardial ischemia in the Cath lab. Will this be a feasible alternative to comprehensive invasive testing in patients with chronic coronary syndrome? @MarLombard1 @JEscaned @NievesGonzalo1 @AFdezOrtiz24 @AdrianJeronimoB ...

@SmithElliotjs discussing algorithmatisation in interventional cardiology at #RENEWPCI often based on expert bias, can be difficult to apply, increasingly complex. Working to frameworks may be a better approach- maintain cognitive flexibility

Two days of great learning and rethinking how PCI should be done at #Renew_PCI in Madrid. Thank you @JEscaned and @jerd10 for a wonderful meeting.

@mmamas1973 discussing PCI complexity at #RENEW_PCI face to face sessions in Madrid - outstanding discussions

Advanced Coronary Imaging Fellowship @McMasterU Apply if you want to develop PCI skills guided by #CCTA #IVUS #OCT @IcCanadian @SCAI @SOLACI3 @IC_SIAC @OPCILive @PCRonline @ESHLOF @mmamas1973 @mirvatalasnag @ziadalinyc @ColletCarlos @NievesGonzalo @JEscaned

@ncurzen @mmamas1973 A great point Nick - we are now learning about the largest vascular compartment of the coronary circulation. But hopefully we’ll not fall into the nearly maniac obsession on cutoffs that dominates the pressure indices culture! (“should CFR be 2.0, 2.2 or 2.5?”)😓

@mmamas1973 @JEscaned Of course the current definitions of normality regarding micro vascular parameters in particular are not particularly well validated. Cut offs are likely to be flawed… eg one persons CFR/IMR may be normal but that value could be pathological in someone else?

@JEscaned discussed the role of microvascular function and his AID-Angio study, only a very small proportion of pts undergoing cardiac cath have normal macro/ microvascular function Our interview last year tctmd.com/videos/beyond-…

Just published Thanks and congratulations to all the co-authors @JEscaned @ziadalinyc @divaka_perera @AntonioMariaLe2 @sbrugaletta @PCRonline @crfheart @CircAHA @BernardBruyne @fredericbouisse @DamienCollison

🗞️Our review on post-PCI angina published in @EHJ. @JEscaned @NievesGonzalo1 @MarLombard1 @AdrianJeronimoB @tommasoggori @Drroxmehran academic.oup.com/eurheartj/adva…

Registration for RENEW PCI is open! Applications for educational grants are welcome from experienced and less experienced interventional. #register-for-renew-pci-2025" target="_blank" rel="nofollow noopener">medsolve.eu/resources#regi… Looking forward to learning together at the on-line and face-to-face sessions in Madrid! @shci @dcvalliance @BCIS_uk

‘Doctor duo’ - Father *102* yrs !! (🙏🏼) and son *70* yrs exercising together,😇!! What a blessing 😊 On this WORLD HEART DAY, pledge to stay fit and healthy and decrease your chances of heart attack. If we can do it,so can you !‘ DONT MISS A BEAT’ FIT RAHO INDIA ….🇮🇳

Join us for RENEW PCI 2025! Stay tuned! @Dr_AshokSeth @NievesGonzalo1 @goranEBC @divaka_perera @RobertoGarbo1 #Richard_Shlofmitz @mmamas1973 @MilasinD18 @FlavioRibichini @fhellig @SmithElliotjs @KVM83 @McInerneyAngela, @AlejandroTrav @AdrianJeronimoB @NardiFi @MarLombard1 @Jerd10

✅The work invested in the on-line module and over the following weeks will make the most effective use of our time in the RENEW PCI in-person meeting in Madrid/Spain. ✅This will be focused on interactive, live- and recorded case studies as well as practical hands-on activities.

🔄Introducing RENEW PCI 2025. ✅RENEW is an acronym whose first letter, R, stands for Rethink. ✅We believe that rethinking our PCI practice is key to identifying entrenched behaviours, considering areas for improvement, and paving the way for Personalised Interventional Care.