Rami Kafa

G4 #MitraClip to the rescue. Very functional 93 yo with 4+ MR due to P2 flail with very redundant leaflet tissue. Had to individually grasp with XTw then complete with XTr. End result 1+.

Mineralocorticoid receptor antagonists (MRAs) failed to show a benefit and had virtually no effect on cardiovascular death in patients with kidney failure requiring maintenance hemodialysis. Learn more: bit.ly/47j4zik #HeartFailure #CardioX

#ESCcongress 2025 #abstract Both Rotational atherectomy vs. intravascular lithotripsy are safe and effective techniques for the preparation of severe CCL. No significant differences were found in terms of angiographic and procedural success rates. @TCTMD @TCTConference @news_hart @Ortega_Paz @sjorge4 @sbrugaletta @NievesGonzalo1 @CRT_meeting @GTCardFellows @PCRonline

Welcome to our August 20 special issue of #JACCCaseReports @JACCJournals jacc.org/journal/case-r… Full PDF here: jacc.org/doi/10.1016/S2…. @MinnowWalsh @DeeDeeWangMD @hmkyale @Justine_Turco Coronary, Peripheral and Structural Interventions: Iatrogenic VSDs After TAVRs and Electrophysiologic Implications jacc.org/doi/10.1016/j.… Modified Balloon-Assisted Thrombin Injection via Distal Access for Complex Femoral Pseudoaneurysms jacc.org/doi/10.1016/j.… Retrieval of an Embolized Left Atrial Appendage Occluder From the Aortic Arch Using a Transcatheter Retrieval Device jacc.org/doi/10.1016/j.… Percutaneous Removal of Left Atrial Appendage Occlusion Device With a Dedicated Retrieval System jacc.org/doi/10.1016/j.… Methicillin-Resistant Staphylococcus aureus Infection to a Stent Graft in the Superficial Femoral Artery jacc.org/doi/10.1016/j.… Atypical Presentation of Behçet’s Disease Unmasked by Acute Coronary Syndrome jacc.org/doi/10.1016/j.… Impact of Anabolic-Androgenic Steroids on Coronary Artery Disease: Insights From Optical Coherence Tomography jacc.org/doi/10.1016/j.… Stenting of Significant Aortic Coarctation Near Artery of Adamkiewicz in a Toddler jacc.org/doi/10.1016/j.… Percutaneous Closure of Aortic-Pulmonary Artery Fistula in Cardiogenic Shock: The Modified Tootsie Roll Technique jacc.org/doi/10.1016/j.… Common Iliac Artery Stent Migration Post Intervention: A Case Report and Percutaneous Management Options jacc.org/doi/10.1016/j.… Microaxial Flow Pump for LV Unloading After Aortic Valve Surgery: Overcoming Vascular and Valvular Barriers jacc.org/doi/10.1016/j.… Rotablation Wire Fracture During a Challenging Percutaneous Coronary Intervention jacc.org/doi/10.1016/j.… Hybrid Approach as a Salvage Strategy for Post-Myocardial Infarction Ventricular Septal Defect jacc.org/doi/10.1016/j.… Complex Transcatheter Left Atrial Appendage Closure Under Intracardiac Echocardiography in a Patient With Repaired Tetralogy of Fallot jacc.org/doi/10.1016/j.… Preventing Kinks and Entrapments in Coronary Interventions With Innovative Approaches jacc.org/doi/10.1016/j.… ST-Elevation and Recurrent Ventricular Fibrillation: What’s the Diagnosis? jacc.org/doi/10.1016/j.… First-In-Human BASILICA Before Valve-in-Valve TAVR in a Mechanically Expanded, Legacy Valve jacc.org/doi/10.1016/j.… Transseptal Transcatheter Mitral Valve Replacement With a Novel Bioprosthesis in a Patient With Challenging Anatomy jacc.org/doi/10.1016/j.… Valvular Heart Disease: Combined Rheumatic Mitral and Aortic Stenosis: Hemodynamics and a Tailored Approach to Management jacc.org/doi/10.1016/j.… Transcatheter Treatment of Patient With Mitral Valve Endocarditis and Severe Aortic Stenosis and Insufficiency jacc.org/doi/10.1016/j.… Salvaging Percutaneously a Suboptimal TAVR Deployment With Repositioning in the Thoracic Aorta: A Novel Snare-Mediated Approach to Prosthesis Malposition jacc.org/doi/10.1016/j.… Prevention of Bilateral Coronary Obstruction During Valve-In-Valve TAVR With a Self-Expanding Valve: The BABICORN Procedure jacc.org/doi/10.1016/j.… Transcatheter Edge-to-Edge Repair for Mitral Regurgitation in Complex Post-Surgical Anatomy jacc.org/doi/10.1016/j.… Effective Ultraslow Low-Dose Thrombolysis for Aortic Bioprosthetic Valve Thrombosis jacc.org/doi/10.1016/j.… Cardio-Oncology: Anterior Mediastinal Mass and Pericardial Effusion With Right Ventricular Outflow Tract Obstruction Secondary to Dual Compression jacc.org/doi/10.1016/j.… Isolated Native Pulmonary Valve Endocarditis jacc.org/doi/10.1016/j.… Fulminant Myocarditis Secondary to Cardiac T-Cell Lymphoma jacc.org/doi/10.1016/j.… Coronary Artery Supply to a Cardiac Mass jacc.org/doi/10.1016/j.… Fulminant Myocarditis Presenting With Refractory Ventricular Fibrillation During BRAF/MEK Inhibitor Therapy jacc.org/doi/10.1016/j.… Heart Failure and Cardiomyopathies: Secondary Cardiomyopathy due to Selenium Deficiency: Multidimensional Cardiac Evaluation and Treatment jacc.org/doi/10.1016/j.… Iron Overload Cardiomyopathy in Myelodysplastic Syndrome: A Fatal Outcome After 20 Years of Chronic Transfusions jacc.org/doi/10.1016/j.… Nonischemic Cardiomyopathy in Adult-Onset PPA2-Deficient Mitochondrial Disease jacc.org/doi/10.1016/j.… Cytomegalovirus Encephalitis in a Heart Transplant Recipient Presenting With Behavioral Changes and Functional Neurological Deficits jacc.org/doi/10.1016/j.… Ischemic Heart Disease: An Atypical Left Ventricular Pseudoaneurysm Managed Conservatively jacc.org/doi/10.1016/j.… Stent Fracture and Perforation During Percutaneous Coronary Intervention for In-Stent Restenosis jacc.org/doi/10.1016/j.… Arrhythmogenic Isolated Right Coronary Vasospasm jacc.org/doi/10.1016/j.… Anesthetic Management in Combined Off-Pump CABG and EC-IC Bypass for CAD and Moyamoya Disease jacc.org/doi/10.1016/j.… Imaging: Extensive Myocardial Calcifications Associated With Recent-Onset Renal Failure and Primary Hyperparathyroidism jacc.org/doi/10.1016/j.… Eosinophilic Myocarditis Associated With Chronic Eosinophilic Leukemia jacc.org/doi/10.1016/j.… Balloon-Assisted Traction Removal of a Fractured Catheter in the Distal Tibial Artery jacc.org/doi/10.1016/j.… Congenital Heart Disease: Large Patent Ductus Arteriosus in an Adult With Severe Pulmonary Hypertension and Polycythemia: PDA With Severe Pulmonary Hypertension jacc.org/doi/10.1016/j.… Vieussens' Arterial Ring and Exercise-Induced Polymorphic VT: Approach to Diagnosis and Management jacc.org/doi/10.1016/j.… Gerbode-ish Defect: A Congenital Left Ventricular–to–Right Atrium Shunt jacc.org/doi/10.1016/j.… Health Promotion and Preventive Cardiology: Multimodal Therapy Achieves Secondary Prevention LDL-C Targets in LDL-Receptor Null Homozygous Familial Hypercholesterolemia jacc.org/doi/10.1016/j.… Rhythm Disorders and Electrophysiology: Undiagnosed Brugada Syndrome Presenting as Ventricular Fibrillation Cardiac Arrest jacc.org/doi/10.1016/j.… @NAkhterMD @aroniskn @MiChen__ @FontanDoc @juliendreyfus1 @sarano_maurice @Miho_Fukui_ @Nishaki1 @ACHDocTMoe @AdityaParikhMD @AmitPawaleMD @M_Pompeu_Sa_MD @jsaef1 @JTSaxon @Kentso987 @m_taramasso @SyedZaidMD

How to check for bleeding after #Impella single-access PCI: pull out 14F sheath, advance 4F sheath, push Perclose knots 🪢 onto 4F sheath, do angiogram👇. I learnt it from @duanepinto. Quite useful when you can’t do final angiogram from radial (tall pts, tortuosity, etc).

Transcatheter Aortic Valve Replacement With Balloon- Versus Self-Expandable Bioprostheses for the Treatment of Bicuspid Aortic Valve Stenosis: @CircAHA 🥸 More annular rupture with balloon expandable and more paraleaks with self-expanding 👇👇👇

📌 Editor’s Choice from this week's issue of #JAMA: ➡️ West Nile Virus / A Review ➡️ Intra-arterial Tenecteplase for Acute Stroke ➡️ Platelet Transfusion; and more. ja.ma/4eRp9GH

Hey @Grok, is Trump lying when he says the U.S. is the only country in the world that uses mail-in ballots in elections? Short answer

The ACC is seeking comments on the ACC/AHA/HRS Advanced Training Statement on Clinical Cardiac #cvEP, which updates the 2015 training requirements for CCEP specialists. Comments due Monday, Aug. 25. Access the document & public comment response form ➡️ bit.ly/4fExKys

@sama I honestly like it much better than GPT4 already. Still thank you for giving users more options.

Most users should like GPT-5 better soon; the change is rolling out over the next day. The real solution here remains letting users customize ChatGPT's style much more. We are working that!

@SVRaoMD @djc795 @jaygirimd @saraceciliamtz

Sigh… @djc795 @jaygirimd

@SVRaoMD @djc795 @jaygirimd

Extremely tortuous RCA. After a few short runs w/ RotaPro 1.5 the burr disconnected from the driveshaft. Luckily wire was not damaged and kept the burr from embolizing distally. Not sure why it happened. Any thoughts on the potential mechanism for this complication? @rotamonster

@united pay first class get last class service

Using Compression Stockings to Prevent Recurrence of Vasovagal Syncope: A Randomized Sham-Controlled Trial Treating syncope with thigh-high lower limb compression using ECS did not reduce the cumulative incidence of VVS recurrence, and did not change VVS-free survival jacc.org/doi/10.1016/j.…

Strong work! So far, the data doesn’t suggest benefit of routine use. Perhaps a subset of patients may benefit, this needs to be defined.

In frail, elderly #AFib patients previously on a vitamin K antagonist, switching to standard-dose direct-acting oral anticoagulant reduced stroke, fatal/intracranial bleeding, and death, despite more GI bleeding. jacc.org/doi/10.1016/j.… #JACC #DOAC

Hey @Google this ad is showing up on your feed in the Google app on iOS. Pretty sure this is not okay. @Bungie @BungieHelp @DestinyTheGame

This is SHOCKING. Would never have expected early-mobilization in the ICU to be harmful. @WesElyMD @toddrice_ICU @vanderbilt thoughts/rebuttal/criticisms? nejm.org/doi/full/10.10…

We are recruiting 2 candidates for IC fellowship at @hopkinsheart for positions starting 7/2024. Includes experience in coronary and structural interventions. See request for applications below. Please share.