Osama Bisht

How much of your procedural success depends on luck? At #NYV2026, we believe education replaces luck. Master pre-procedural planning, refine your technique, and understand your devices inside out. 📍 NYC | June 24–26 🔗 nyvalvesconference.com @CRFheart

🫀 Atrial Flutter — CCW vs CW: Know the difference Same arrhythmia. Opposite rotation. Different ECG pattern. 🪚 Look for the sawtooth pattern: rapid, regular flutter waves at ~300 bpm with NO flat baseline between them ↕️ CCW (typical): negative sawtooth in II, III, aVF ↕️ CW (atypical): positive sawtooth in II, III, aVF 📖 More about AF and AFL 👉 afguidelines.com/atrial-flutter… #cardiology #medicaleducation #paramedic #MedstudentTwitter #CardioTwitter #FOAMed #MedEd #CardioEd #AFib #EPeeps

Hardly The Left Main, But The Principle Is The Same! 70+ M with CAD + ESRD with bilateral Fontaine IIb claudication on OMT. RLE has severe CFA disease, SFA CTO, and 2 v infra-pop. run-off. Plan → IVUS guided RLE revascularization!

Cut, Shock or Drill? Common Femoral Artery Edition IVUS guided treatment of a calcified nodule in the CFA. Full case in the thread above.👆🏼 @agtruesdell @DocSavageTJU @rajivxgulati @ziadalinyc @nyalborgesmd @richardbogle @swissCTO @SripalBangalore @azeemlatib @jedicath @joe_nolatx @evandrofilhobr @Hragy @aymanka @mmamas1973 @mirvatalasnag @SarahFairley7 @stefan_harb @saraceciliamtz @DrIHHashmi1 @TariqShafiDr @abadkhan2002 @MichaelMegalyMD @DrJayMohan @PurumittalDr @NishithChandra @ihtanboga @AnkurKalraMD @SaidAshrafMD

A backtable illustration of a couple techniques you can use if the #Rotaburr gets stuck, 1-The skipping rope technique. We have known it for a couple years, and it was recently published onlinelibrary.wiley.com/doi/full/10.10… 2-The final resort of cutting the rota driveshaft and advance a guideliner through it to get more leverage to pull. Of course the first thing you do is to pull hard and maybe try to balloon around it, but those can help with tougher situations. #CardioX community, please share your additional tips and comments

What role does wire selection play in procedural control during #TAVI? ⚡ Dr Ole De Backer shares practical insight into wire characteristics, support and handling during a live case focused on younger, low-risk patients at TIO Global 2026. Join global leading experts in discussing how subtle differences in wire feel and stiffness can influence procedural strategy and valve delivery in complex structural heart intervention. 👉ow.ly/Xf4v50Z1eiL #TIOCongress #ComplexPCI #InterventionalCardiology #Cardiology

#cardiology #cardiovascular #cardiotwitter #cardioX

Beyond semaglutide. Beyond tirzepatide. Retatrutide may redefine obesity pharmacotherapy. #Retatrutide #Obesity #GLP1 #TripleAgonist #Lilly #MetabolicHealth Once-weekly injection targeting 3 hormone receptors simultaneously → appetite ↓, insulin ↑, energy expenditure ↑

🚨 GLP-1 RA in HFrEF — the data is striking. n=1,275 vs 1,275 · PSM 1:1 · 1-year follow-up All-cause mortality: 7.1% vs 10.2% → OR 0.68 (p=0.006) ADHF hospitalization: 27.7% vs 32.8% → OR 0.79 (p=0.005) GLP-1 RAs were previously cautioned against in severe HFrEF.

The mean age of physicians who leave clinical practice in the US is now 48.1 years, 9 years younger than observed in a similar cohort in 2008. The biggest causes cited were stress and the hassles of practice. 11% of women decided not to even enter practice. What are your thoughts about this? thepermanentejournal.org/doi/10.7812/TP…

Echo of the Week: The Right Heart Under Siege Secundum ASD (~75% of all ASDs) causes chronic left-to-right shunting and progressive right heart remodeling; large defects carry a 75% mortality by age 50 if untreated. open.substack.com/pub/theechojou…

🔥 #EuroPCR 2026 Major Late-Breaking Trials: Long-term mortality following PCI with DES versus CABG for left main disease An individual participant data meta-analysis of the SYNTAX, PRECOMBAT, NOBLE and EXCEL trials presented by Brian Bergmark showed no significant difference in all-cause mortality between DES PCI and CABG over 10-year follow-up in patients with left main coronary artery disease suitable for revascularisation. Read the press release here: pcronline.com/News/PCR-Press… @NievesGonzalo1 @CuissetDr @nicolasdumonte1 #LeftMain #PCI #CABG #CoronaryArteryDisease #InterventionalCardiology #ClinicalTrials

#EuroPCR 🚨 TAVI Complications No. 2️⃣: The worst complication, the best solution — what you want to learn, but not on your own table 🙈

Welcome to the Bamboo Hook Technique: puncturing a calcified CTO of the DFA with a bent bare metal needle onlinelibrary.wiley.com/doi/full/10.10… @ccijournal

@O_Azizy_MD @BenekiEirini @IlkeCelikkale @MiChen__ @Julio_Farjat @IainGil @hrt01a @gmcioffi @mornei2011 @Hragy @neila_sayah @HelleSoholm @Sticchi_Alex @Kelly_J_Victor @HelenaSBCorreia Very important messages for #TAVI

How to use routine LGE-CMR & fluoroscopy roadmapping to guide targeted #endomyocardial_biopsy in focal inflammatory #cardiomyopathy doi.org/10.1093/ehjci/… #yesCMR

A paradox of modern ICD therapy: An algorithm designed to prevent oversensing may create a transient sensing “blind window” and trigger pacing-induced VF. Proud to share our case in JACC: Clinical Electrophysiology. doi.org/10.1016/j.jace… @drtopaloglu @ACH_epteam @JACCJournals

🔥 #EuroPCR 2026 Major Late-Breaking Trials🔥:  Long-term mortality following PCI with DES versus CABG for left main disease An individual participant data meta-analysis of the SYNTAX, PRECOMBAT, NOBLE and EXCEL trials presented by Brian Bergmark showed no significant difference in all-cause mortality between DES PCI and CABG over 10-year follow-up in patients with left main coronary artery disease suitable for revascularisation. Read the press release here ➡️ pcronline.com/News/PCR-Press… #LeftMain #PCI #CABG #CoronaryArteryDisease #InterventionalCardiology #ClinicalTrials @PCRonline

@O_Azizy_MD @BenekiEirini @IlkeCelikkale @MiChen__ @Julio_Farjat @IainGil @hrt01a @gmcioffi @mornei2011 @Hragy @neila_sayah @HelleSoholm @Sticchi_Alex @Kelly_J_Victor @HelenaSBCorreia Brilliant lecture by Dr. Martin Leon on the challenges of long-term FUP in #TAVI studies. Beautiful session at #EuroPCR 2026 @PCRonline

🇨🇳 RDN in China at #EuroPCR 🩺 Renal denervation is moving from evidence to real-world practice 🚀 Key focus 👥 patient selection 🛠️ procedural optimisation 🧩 complex renal anatomy 📊 benefits beyond office BP ❤️ long-term evidence Right patient. Right workflow. Right future