Tobias Koenig

Bicuspid anatomy can pose a significant challenge for TAVI: the combination of a substantial AVC calcium burden and a prominent raphe may define a particularly high risk phenotype. #JACCImaging authors.elsevier.com/a/1mo9j,i2Xs4E…

This state-of-the-art review outlines current evidence on the mechanisms, prevalence, clinical relevance, and management of TAVI thrombosis and highlights ongoing clinical trials investigating this condition. eurointervention.pcronline.com/article/transc…

Much ado about nothing? Cerebral embolic protection devices during TAVI showed no benefit in reducing the risks of all-cause stroke and other neurological outcomes in a meta-analysis of 9 RCTs comprising 11,696 patients onlinelibrary.wiley.com/doi/abs/10.100… @ccijournal

It is feasible to fracture mechanical valve leaflets using commercially available angioplasty balloons. Cracking the carbon ring requires substantially higher pressure. Get the details: jacc.org/doi/10.1016/j.… #JACCINT

Conduction disturbances after transcatheter aortic valve implantation. Read this State-of-the-Art review in #EHJ 👉 ow.ly/1sGy50YnX7C @RoccoMontone @ehj_ed

Routine postdilatation of the latest generation balloon-expandable valve, when clinically and anatomically feasible, appeared safe and improved frame expansion and foreshortening. Larger studies are needed jacc.org/doi/10.1016/j.… #JACCINT #TAVR @GilbertTangMD @ParasuramMD

#BicuspidAorticValve are commonly misdiagnosed going into #TAVR! #Pacemaker rates can be near double! Learn how to improve diagnosis using a morphological approach by #CardiacCT @FrontCVMedicine frontiersin.org/journals/cardi…

JUST OUT! Our official "Double-tap" Sapien 3 Ultra Resilia #TAVR paper is here #JACCINT @JACCJournals, showing double-tap post-dilatation optimizes S3UR expansion on fluoro. This has now become standard practice @MountSinaiHeart and many centers worldwide! Nice editorial by @ronwaksman and Viewpoints by the #Vancouver group! jacc.org/doi/10.1016/j.… jacc.org/doi/10.1016/j.… jacc.org/doi/10.1016/j.… @MountSinaiNYC @IcahnMountSinai @ParasuramMD @DoctorKini @KHERA_MD @LucySafi @sunnygoelmd @AmithoodaMD @georgedangas @DrDavidReich @Dr_BrendanCarr @DLBHATTMD

Welcome to the “skipping rope” technique: an intriguing strategy for burr stall during rotablation, courtesy of Catheterization and Cardiovascular Interventions onlinelibrary.wiley.com/doi/full/10.10… @ccijournal

Day-case PCI: this new consensus provides practical guidance on patient selection, procedural standards and post-discharge care to support safe same-day coronary interventions and wider adoption. eurointervention.pcronline.com/article/day-ca… #PCI #CardioTwitter #InterventionalCardiology @gabor_gt @nicolasamabile @EmanueleBarba13 @BorregaardBritt @piotr_buszmanMD @CuissetDr @MartineGilard @rallamee @KambisMashayek1 @DamianoRegazzo1 @JSillerMatula @sbrugaletta @GGStefanini

Ex-vivo study of 23 to 34 mm Evolut THVs: IFU-guided post-dilation preserved frame geometry and leaflet integrity. Oversized balloons caused waist over-expansion and immediate leaflet tears. jacc.org/doi/10.1016/j.… #JACCINT

JUST OUT #JACCINT @JACCJournals ! Our Redo #TAVR concept and planning simplified. Coronary Risk Zone (CRZ) denotes the zone that you MUST measure the valve to coronary/aorta/STJ distance to assess coronary obstruction risk. The minimal distance is what matter most. Great work by @OleDeBacker @bapat_savrtavr @Miho_Fukui_ @SyedZaid to help move this field forward! jacc.org/doi/10.1016/j.…

Grateful to an amazing team: Taieb, Turyan, Abu Salman, Jubeh, Fink & Wolak 🔗 jacc.org/doi/10.1016/j.… #TAVR #StructuralHeart #FirstInHuman #ATLAS #CardiologyInno

🫀 First-in-human valve-in-valve TAVI in mechanical prostheses Bench-to-bedside study: disc dislodgement & retrieval followed by successful TAVI. Published in European Heart Journal. 👉 academic.oup.com/eurheartj/adva… @escardio @PCRonline @secardiologia @CNIC_CARDIO @sacyl @TCTMD

Can CCTA preclude the need for invasive coronary angiography prior to TAVI? A meta-analysis of clinical outcomes comparing pre-TAVI CCTA to invasive coronary angiography @TorBiering @DhavalKolte @OKhaliqueMD @ANasrollahizade ahajrnls.org/49Rqo9C

In this new State-of-the-art paper, the authors review the evidence and guideline support for intracoronary imaging in contemporary clinical practice, and outline a modern, imaging-driven approach to PCI planning. eurointervention.pcronline.com/article/lesion…

Latest #JACCINT study shows real-time fluoroscopic detection of balloon expandable #TAVR underexpansion predicts hemodynamic valve deterioration ⚠️📉 at 5 years, highlighting the value of intraprocedural imaging to improve outcomes 🔍✨ jacc.org/doi/10.1016/j.…

LBBB Remains Problematic 1 Year Post-TAVI: TVT Registry dlvr.it/TQCgWx

Bicuspid is no longer a niche. In this SOTA, @didier_tchetche et al walk through TAVI in BAV: phenotypes, CT sizing (BAVARD, circle, CASPER), procedural tricks, long-term concerns and the need for TAVI vs SAVR RCTs. Don't miss it 👉eurointervention.pcronline.com/article/transc… #TAVI #cardiotwitter #CardioX #CardioEd @YWillemen @Vinscesario

Welcome to a novel tecnique to borrow an Angio-Seal collagen plug to achieve complete hemostasis when “preclosure” technique has failed, and wire access is no longer maintained, courtesy of Catheterization & Cardiovascular Interventions onlinelibrary.wiley.com/doi/full/10.10… @ccijournal