Ahmad Al-Taweel, FACC, FSCAI, RPVI

Huge thanks to the amazing team at @UChicagoMed and the one and only Dr. Sandeep Nathan (@SandeepNathanMD) and the incredible team - Dr. Christopher Fernandez, Dr. Kunjan Udani (@KunjanUdani), Dr. Atman Shah (@ShahAtman), Dr. Jay Khambhati (@JKhambhati), Adaeze Emeka, and Kristen Hanauer, for a great Elevate™ case in the ELEVATE III HR-PCI Pivotal Study! Onward to many more successes together❤️ The Elevate™ pLVAD is 10 Fr, delivered fully sheathed & fully over-the-wire into the LV, provides over 5.4 L/min of mean flow & over 8.4 L/min of peak flow. This year, we celebrate our dedicated medical teams participating in the ELEVATE III HR-PCI Pivotal Study. #MagenaElevate #ElevatePump #SmallestpLVAD #ELEVATEIII #cardiotwitter

Heartbeat visualized. A literal, "non-electronic" readout of the engine keeping you alive. Your heart is literally just doing this all day every day and you don't even notice.

The preventable #death of my dear dad & the disturbing #UnspokenCurriculum shaped me to - better listen to patients - pay attention to details - choose evidence over bravado - err on the side of caution - be truthful about mistakes - forgive #Lessons acpjournals.org/doi/abs/10.732…

I looked at Houston Methodist Hospital's IRS 990 filings and I genuinely don't understand what I'm reading. This "nonprofit hospital" traded $9.3 BILLION in securities in 2021. Their total patient revenue? $2.5 billion. They traded 3.6x more in securities than they earned treating patients. 🧵

@AntoniousAttall Clot in LM, check ACT, suck it out

#ACCFIT would do you see here in this angiogram and what should you do?

Presented at #SVIN25: CREST-2: In high-grade asymptomatic carotid stenosis, addition of stenting to medical therapy led to a lower risk of stroke over a 4-year period. Endarterectomy did not lead to a significant benefit. Full results: nej.md/3LK9kst Editorial: Managing Asymptomatic Carotid Stenosis nej.md/482XjG1 @svinsociety

Technique modification allows transradial access balloon aortic valvuloplasty (BAV) to be performed with a high technical success rate, similar hemodynamic performance, and a significantly lower access and non-access-related complication rate compared to transfemoral BAV. It can be performed ad hoc following diagnostic caths in cath labs with proper backup. jscai.org/article/S2772-… @PedroMDMSc @DeeDeeWangMD @g_giustinoMD @HenryFordHealth @BillONeillMD @LaiLeoDr @RamaEllauzi @SCAI, @kentso987, @MichaelChiangCS , @SCAI @MyJSCAI

FDA approves TELLTALE! Electrosurgical leaflet modification tools approved after outstanding clinical safety and efficacy in pivotal trial. @AdamGreenbaumMD @jamiemccabeMD @OKhaliqueMD @djc795 @CardioBusiness @NIH jacc.org/doi/abs/10.101…

As redo-TAVI highlights constant under expansion of THVs, double TAP is likely to become the default strategy for both BEV and SEV. Better expansion, improved AR and hemodynamics, less pin-wheeling, better durability… Thoughts ? shorturl.at/FQTE6 @EuroInterventio @PCRonline

Endhole catheter ventriculogram

@SVRaoMD LM. Dampened. Inject!

Provocative study from the RENOVATE trialists and Samsung Med Cntr suggesting use of intravascular imaging may eliminate long-term diffs between CABG & PCI. Not definitive absent a powered RCT, but should be enough to mandate IVI in these pts, esp with class I guidelines. Agree?

Remember when they tried to ‘ban’ surgeons caps?! The AORN decided we all needed to wear lunch lady hats. But then studies showed it made no difference. Such a random and wild example nonesense in medicine where doctors get told what to do.

Post CABG Graft Failure Rates At One Year These are the graft failure rates by conduit and treated vessel from a paper shared by @agtruesdell earlier today. The numbers for combos listed in parentheses are small <50 Not likelihood ratios, but still food for thought!🤔

An impacted bullet in the Heart. How to manage it? #cardiotwitter #PGIMER @PCRonline @SCAI @escardio @ccijournal @TCTMD @mirvatalasnag @ACCinTouch @GoranEBC @mmamas1973 Full text at....... onlinelibrary.wiley.com/doi/10.1002/cc…

No impact of post TAVR Gradient on HVD @ 5 Years in our analysis. The change, rather than single level hemodynamics, is what matters. onlinecjc.ca/article/S0828-… @ThomPilgrim @BeaumontCards @AhmadJabri8 @BrianRenard1 @CorewellHealth @IvanHansonMD @TCTMD

@yadersandoval Overly and unnecessarily analytical IMHO

Messages: 1) caution w/ resting gradients in focal lesions, 2) if need to compare FFR-CT: compare to FFR, 3) pullback will demonstrate focality, 4) correlation between FFR-CT & FFR

Abnormal coronary CT angiography with FFR-CT 0.72 followed by invasive coronary angiography with non-hyperemic pressure ratio 0.94: PCI or defer? @MortonKern @BernardBruyne @ColletCarlos @DrAllenJ @ChangeAtHeart @JonathonLeipsic

An Easy Way To Resolve Proximal Cap Ambiguity Using IVUS Ambiguity of the PC adds complexity to any antegrade CTO PCI approach (#AWE, #ADR, #TDADR, #HDR etc). Here is one way to ID the PC using the AVVIGO+ IVUS system Here is a D1 with an ambiguous PC.

Radiation exposure risks in the #CathLab are a top concern for #InterventionalCardiologists. A new TV special, airing on @PBS, shines a light on the dangers. Learn more about the documentary with this @TCTMD article: tctmd.com/news/hot-doc-r…

@MarwanSaadMD @AhmedElkaryoni @MohammedQintar @kalazizimd @mirvatalasnag @AlkashkariWail @PinakShahMD @mnyoung1 @DeVriesJt @EmadHakemiMD @aicardio @djc795 @CathElectroSurg 23 mm resilia took it down to 8 mmHg

@MarwanSaadMD @AhmedElkaryoni @MohammedQintar @kalazizimd @mirvatalasnag @AlkashkariWail @PinakShahMD @mnyoung1 @DeVriesJt @EmadHakemiMD @aicardio @djc795 @CathElectroSurg Almost

New level of challenge unlocked. VTI ratio 0.11. Emergent Sunday TAVR. What is the highest gradients you’ve seen? @AhmedElkaryoni @MohammedQintar @kalazizimd @mirvatalasnag @AlkashkariWail @PinakShahMD @mnyoung1 @DeVriesJt @EmadHakemiMD @aicardio @djc795 @CathElectroSurg