Gian Manuel Jmz Rdz

#CardioNugget™ In outlet/supracristal VSDs, the right coronary cusp can lose its supporting septal “shelf” and get pulled/prolapse into the VSD by the Venturi effect from the high-velocity LV→RV jet. Over time: RCC prolapse → poor cusp coaptation → progressive aortic regurgitation. Board pearl: VSD + new AR = think RCC prolapse, especially outlet/supracristal VSD. #CardioNugget #MedEd #VSD #CardioMed #CongenitalHeartDisease Image from: drsvenkatesan.com/2010/10/08/cli…

Not measuring Lp(a) means underestimating inherited risk in many patients. Elevated Lp(a) is linked to higher plaque burden/vulnerability, and should push us to act on total risk: LDL-C/ApoB, BP, lifestyle and other modifiable factors. #MyEAS2026 #EASCongress2026

This analysis presented as SIMULTANEOUS PUBLICATION #EuroPCR from the CLEAR-IE registry evaluated percutaneous mechanical aspiration in patients with left-sided infective endocarditis. In a high-risk cohort, PMA was associated with high procedural success and a favourable rate of procedural complications despite the complexity of disease presentation. Read full paper 🔗eurointervention.pcronline.com/article/outcom… #Endocarditis #StructuralHeart #InterventionalCardio @NahyrLugo @benhibbertMDPhD @PedroMDMSc @SripalBangalore @MohammedQintar @SEH_MD @psorajja @HamidNadira @sahilparikhmd @aelsab

Accordion 🪗 Phenomenon (Concertina Effect)

What are you doing after BCIS-CHIP 3? ❓Impella vs no Impella for high risk PCI ❓Should we be renaming it- High hemodynamic risk PCI? Here’s a case where PCI was not possible w/o support. EF 15% EDP 34. Lost pulsitility even w/ RCA PTCA. DK crush LM not possible without support #Cardiology #CardioX #PCI #Impella @BotPci @RadialFirstBot

🔥 NOW ONLINE 🔥simultaneous presentation #EuroPCR PECTUS-OBS LONG TERM FOLLOW-UP In this study, OCT-identified high-risk non-culprit plaques with negative FFR were associated with a significantly higher risk of long-term adverse cardiovascular events after myocardial infarction. At 5 years, patients with at least one high-risk plaque had increased rates of non-fatal MI and unplanned revascularization despite non-flow limiting physiology. 🔗eurointervention.pcronline.com/article/long-t… @RickVolleberg @NielsRoyen @RGeuns

KUDOS to @CamachoFreire @AntonioGomezM21 and all the team for such an important study. Amazing job that fills the GAP of #OCT threshold to treat or defer #LM treatment. Very happy to collaborate from @Hemodin_LaPaz with our friends of @hujuanramon 👏🏾👏🏾👏🏾👏🏾 @shci_sec @PCRonline

Jean Fajadet @PCRonline @institutpasteur brought to the #EuroPCR #FellowCourse his suggestion after an amazing journey from Fellow to Director! @O_Azizy_MD @BenekiEirini @IlkeCelikkale @MiChen @AlisonDahlmann @Julio_Farjat @stefano_garzon @IainGil @hrt01a @gmcioffi @mornei2011

I wanted to go have a coffee, but I can’t leave my seat! @GoranEBC #EuroPCR and an AMAZING analysis of the CTCA before going live, I will do this when back home! @PCRonline Stepwise provisional strategy decided by looking at the CT images!!

Transcaval TAVR case today with @BinAbdulHak_A. Transcaval remains one of the crown jewels in our field. It’s hard to think of another structural procedure, besides VECTOR, that challenged traditional endovascular dogma to this extent: safely and predictably exiting vessels, delivering large-bore sheaths, and achieving percutaneous closure. Regarding this case: • Traversal:
6 Fr IMA 55 cm, 135 Turnpike, 90 Navi, Astato 20 (50 W electrocautery), 20 mm Gooseneck • Aortic closure:
Agilis small curl, ADO 10/8 If a 55 cm JR is unavailable, using an IMA will usually bias the wire inferiorly. Advancing the Navi to the tip of the catheter helps eliminate that bias. The Check-Flo 30 (shown below) is very helpful for locking the relationship between the Navi and Finecross. That’s useful not only in transcaval cases, but also in procedures such as UNICORN, BASILICA, BATMAN, and LAMPOON. If you don’t have a Check-Flo 30, a 0.035 torquer can be a reasonable compromise. Join us at @TCT_ME_ in Sep 2026. Will have a lot of great #Electrosurgery discussions. @6ayyeboon @AlkashkariWail @mirvatalasnag @amrmohsen213 @MarwanSaadMD @aelsab @MusaSharkawi @djc795 @MohammedQintar @mhammadah @kalazizimd @AdamGreenbaumMD @AlhijjiM @EmoryUniversity @JDDCFratti @acamajmd @crfheart @djc795 @mmamas1973 @TCT_ME_ @crfheart @BakhshiHooman @Almanfi_Cardio @Dr_ibrahimHarbi @scottiejj12

I would say that the KISS trial @JACCJournals not only proved that you do not need to do routine SB intervention (commonly kissing), rather I would say the most significant change is proving the concept of POT-side-POT (done in 57% of SB interventions and seems to be more favorable than kissing). I have been recently doing POT-side-POT instead of kissing when I need SBI and that study proved it can be better! Congrats to the authors and @sbrugaletta for an insightful editorial! jacc.org/doi/10.1016/j.… #cardioX

Whoa!!! Here! The Swiss cheese layered airline model to prevent complications.. a chapter that should be read by everyone who works in a Cath Lab! @PCRonline , open for free just on the eve of #EuroPCR my read on the flight from Cairo.

Just published on @ESC_Journals Intracoronary imaging for left main percutaneous coronary intervention: a clinical consensus statement of the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC and the European Bifurcation Club (EBC) academic.oup.com/eurheartj/arti…

PCI and Stenting for Treatment of Myocardial Muscle Bridges | JIC “PCI & stent for symptomatic muscle bridges performed with physiological and intracoronary imaging assessment and guidance may be an acceptable management modality for symptomatic MB pts” hmpgloballearningnetwork.com/site/jic/brief…

@Fungi_Cosas Un gustazo, mucho éxito

@drgianma Gracias, Gian 😊🍄

Yo soy maestra de hongos 🍄‍🟫🍄 pero... Este año llegué a bachillerato (CCH UNAM) y todo es DIFERENTE ¡Que gran reto! El lunes es mi última clase con ellos 🥹 y saben que fue lo que logré: ✅ No usaron su teléfono en ningún momento. ✅ Moverlos, cambiarles de lugar. ✅ Trabajar en equipo, de todo, con todos. ✅ A leer con atención y a comprender ✅ Sorprenderse ✅ Volver a imaginar ✅ Reírnos mucho ✅ No usar IA, solo sus ideas propias ✅ Ser pacientes, sin prisa ✅ Generar un espacio seguro ✅ Confianza para contar sus preocupaciones Y que aprendieran un poquito de hongos POR SUPUESTO 😌🍄

📈 According to new data, performing coronary CT angiography prior to chronic total occlusion percutaneous coronary intervention procedures resulted in better outcomes. 🫀 Read the article to learn three concrete ways CCTA can help operators ➡️ cardiovascularbusiness.com/topics/clinica… #InterventionalCardiology #PCI #CTO

In the GLUCO-TAVI trial, 100 patients undergoing TAVI were randomized (1:1) to peri-procedural glucocorticoids (IV methylprednisolone + 5-day oral prednisone) vs standard care to evaluate whether inflammation modulation could reduce post-TAVI conduction disturbances requiring pacemaker implantation. At 1 month, permanent pacemaker implantation occurred in 8% of patients receiving glucocorticoids vs 16% in the control group (RR 0.50, 95% CI 0.16–1.55; p=0.23), showing a numerically lower event rate, although the study was not powered to demonstrate statistical significance. At 1 year, no significant differences were observed in PPI (RR 0.67; p=0.41) or new LBBB (RR 1.12; p=0.66). Peri-procedural glucocorticoid therapy was feasible and appeared safe, with no signal for excess complications, mortality, or adverse events. These hypothesis-generating findings suggest that a short course of glucocorticoids represents a potential strategy to reduce post-TAVI conduction disturbances. Evaluation in larger, adequately powered randomized trials is warranted before any conclusions regarding clinical applicability can be drawn. ARTICLE: eurointervention.pcronline.com/article/glucoc… EDITORIAL: eurointervention.pcronline.com/article/inflam…

Coronary slow flow is not diagnostic of microvascular dysfunction in patients with angina and unobstructed coronary arteries. Coronary physiology interrogation has debunked one of the fallacies of the last decades.

What is this Yin and Yang☯️ like appearance on IVUS? A middle-aged male presented with unstabe angina. He had a tight stenosis in mid RCA. The IVUS pullback after doing pre dilatation revealed this image which appeared like a Yin and Yang symbol. What do you think it is? Test your knowledge ▶️pcronline.com/Cases-resource… Image submitted by P. Manoria 🇮🇳 and selected for #EuroPCR 2⃣0⃣2⃣6⃣