

Great talk by @SmithElliotjs about “Differential Resistance Wiring” #CTO2025
Elliot Smith
506 posts

@SmithElliotjs
Interventional Cardiologist | CTO PCI Specialist | DraW Technique | Live Case Operator | Educator & Proctor |@NHSBartsHealth @RoyalFreeNHS


Great talk by @SmithElliotjs about “Differential Resistance Wiring” #CTO2025

When we applied strict RCT inclusion criteria from ARREST, PRAGUE, and INCEPTION to a real-world ECPR cohort published in Resuscitation Plus, something striking emerged: survival wasn’t confined to those who “fit the rules.” Some patients who would have been excluded by trial criteria survived — even with meaningful neurological recovery. RCT frameworks guide us, but at the bedside, rigid thresholds may cost lives. Clinical judgment still matters. #ECPR #OHCA #CriticalCare sciencedirect.com/science/articl… @PCRonline @Sbrugaletta @Ortega_Paz @Anazmicalik @guilbom @hect2701 @NicolaRyanI1 @DrPascalMeier @W_jyg @ICigalini @Hragy @SABOURETCardio @mmamas1973 @djc795 @GreggWStone @toreyj01 @EAPCIPresident @CMichaelGibson @SmithElliotjs @ArielRoguin @aayshacader @twj1974 #europcr @dangiloncardio @deharo_pierre @DanieleGiacoppo @MilasinD18 @Taiebphil @plateletdoc @realarainmd


COSIRA II MILESTONE ALERT: 🚨 Kudos to Prof. Anthony Mathur, Dr. Amit Bhan, Dr. Krishnaraj Rathod, Dr. Dan Jones, and the entire team at St Bartholomew's Hospital, as well as proctor Dr. @K_DeSilva, for their participation in the COSIRA-II study, joining the growing number of #COSIRAII enrolling sites and completing their 1st randomized patient for the COSIRA II trial in the UK! A special mention as well to the Barts Interventional Group (B.I.G.) for their continued commitment and collaboration. To learn more about the COSIRA-II trial and the participating sites visit: shockwavemedical.com/en-eu//clinica… ISI bit.ly/3iEq7fC Caution: Investigational Device. Limited by U.S. and Canadian law to investigational use.









How to successfully approach CTO interventions: a step-by-step approach 📺🎧 pcronline.com/Cases-resource… What’s the plan when antegrade isn’t enough? Follow the roadmap in this discussion between @SmithElliotjs, @DrThomasHovasse and Roberto Garbo about the comprehensive approach to CTO interventions, as they provide structured guidance on navigating these complex interventions in a safe and effective way. And if you're on the go, the full interview is also available as a podcast 🎧! #EuroPCR #interventionalcardiology

Proud to be part of the #APEX team running the Interventional Cardiology Workshop at Asiri Central Hospital on Saturday 2nd August, during the 2025 Sri Lanka College of Cardiology academic sessions in Colombo. @DrPeterOKane @twj1974 @JehangirDin @SmithElliotjs @VP_Med













Elliot Smith and Stephane Carlier showing a great interactive CTO case during IVUS workshop precourse of Boston Scientific during #MLCTO. Amazing teaching experience 🚀🚀🚀 @MLCTOAcademy 10th MLCTO Edition @BSCCardiology














What is #CASE? #CASE 👉🏼 Contrast Assisted Subintimal Entry - the #contrast1st equivalent of BASE. Why is it important? #CASE is a quick and easy way to access the EP space and use the lessons taught by @RinfretStephane (art of knuckling) and @SmithElliotjs (DRaW) to maximize chances of success! 😍 🔑 There are only two outcomes to a contrast microinjection - either the contrast is IP (#HDR) or EP (#CASE) As @Kandzari showed from the Ringer trial, there are several possible causes of perforation during #CTOPCI - contrast microinjection is not one of them!