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When your transseptal LV angiovac thrombectomy does not go as expected… but you are ready with the @ONOCORvascular in the ascending aorta 🙃

🫀 Rethinking Coronary Stenosis Why PCCT Downgrades What EID Often Overcalls In coronary CTA, the problem is not missing stenosis. It’s overestimating it. Calcifications, partial volume effects, and limited resolution with conventional energy-integrating detectors (EID) often make lesions look more severe than they truly are. This is where ultra-high-resolution Photon-Counting CT (PCCT) changes the narrative. 🧠 Why stenosis gets overcalled With EID-CT: ✔️ Calcium blooming exaggerates plaque size ✔️ Limited spatial resolution blurs lumen boundaries ✔️ Partial volume effects “fill in” the lumen ✔️ Noise further reduces edge definition The result? 👉 Moderate lesions become severe. 👉 Borderline cases become invasive referrals. ⚡ What changes with PCCT Ultra-high spatial resolution ✔️ Sharper lumen definition ✔️ Clear separation between calcium and contrast Reduced blooming artifacts ✔️ Calcium appears closer to its true size ✔️ Less artificial lumen narrowing High iodine signal (400 mg I/mL) ✔️ Strong, stable intraluminal enhancement ✔️ Improved contrast-to-noise ratio ✔️ The lumen is clearly delineated, not inferred Spectral capability ✔️ Better discrimination between iodine and calcium ✔️ Additional confidence in plaque assessment 🎯 The clinical impact We don’t just detect stenosis. We measure it more truthfully. Severe → Moderate Moderate → Mild Uncertain → Clear Not because disease disappears — but because artifacts do. From overestimation to accuracy. From blooming to clarity. From unnecessary concern to appropriate management. That’s the power of Photon-Counting CT in coronary CTA. ⚡🫀 #PhotonCountingCT #PCCT #CoronaryCTA #UltraHighResolution #CalciumBlooming #CardiacCT #RadiologyInnovation #yesCCT

Silent plaque ruptures in non-obstructive lesions of non–infarct-related arteries. Read the results of a multimodality, serial intracoronary imaging study in #EHJ 👉 ow.ly/NKGM50YuA7a @RoccoMontone @ehj_ed

New computational pipeline digitizes the RV pressure waveform + stroke volume to generate single-beat estimates of RV–pulmonary arterial coupling. Results correlate with established methods and predict clinical outcomes. jacc.org/doi/10.1016/j.… #JACCHF

Must-read perspective on different strategies for managing ostial stent protrusion in the latest issue of Catheterization and Cardiovascular Interventions onlinelibrary.wiley.com/doi/full/10.10… @ccijournal

✨📊Excited to share our new publication in @AmJCardio Optimal Timing of Complete Revascularization in Patients with STEMI and Multivessel Disease: A Systematic Review and Meta-Analysis ajconline.org/article/S0002-… Key findings: · Immediate and staged CR had similar ischemic and safety outcomes · Neutral MACE persisted across extensive sensitivity analyses · Findings suggest a CR approach incorporating anatomic complexity, physiology, procedural logistics, and patient-specific factors to determine the optimal timing in patients with STEMI and MVD Thank you to my incredible mentors at @YaleCardiology @HenryFordHealth @utmbcardiology including @rthakker92 @samitshahmd @AlQarqazM @Babar_Basir @anouti_khalil @docHJ #CardioTwitter #InterventionalCardiology #STEMI

Restriction versus constriction from the hemodynamic point of view #echofirst @iamritu doi.org/10.1016/j.jsca…

Not every STEMI is atherosclerosis. ‼️Aortic root thrombosis with multivessel coronary embolization is common despite modern LVAD design ⚠️Strict AC control & multidisciplinary management matters 🔗 sciencedirect.com/science/articl… @AlpeshShahMD @mahwash_kassi @JACCJournals #JACCCaseReports

calcium classification pre PCI #CRT2026 #Yessct
MPR:length/arc distribution 🚫 all 360 degree Ca is same What is density? low-density (130-199 HU) assoc w ⬆️MACE ⬆️Dense assoc w stable plaque What’s morphology? microcalcifications➡️punctate➡️fragmented assoc w unstable plaque

Whoaa!! @CRT_meeting Game changer thinking- although it is not new?

All trans-femoral total endovascular aortic arch repair with custom 3-(retrograde) branch device. Previous ascending repair, 7.5cm arch aneurysm. @UABVascular @UABCVI @KyleEudaileyMD

New in @JACCJournals HF: Novel vs Traditional conductance methods for RV P-V loops in Pulmonary Hypertension. The authors used #AI to develop a semiautomated single-beat estimates of RV-PA coupling which correlated with clinical outcomes. shorturl.at/YvqYz

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

🫀 Cardiac CT Insight Mechanical aortic valve demonstrating normal opening and closing angles — smooth leaflet motion, no obstruction, no thrombus. A reassuring study. ✔️ @Heart_SCCT @KFAFHCards @ACCinTouch @escardio

New LAC classification based on #3DEcho #TruVue @Philips as reliable as #Yessct Look at bend angle 📐 low risk morphology acute bend < 90° in proximal or middle part of dominant lobe 🐓wing can be low or high risk Windsock,cactus,cauliflower high risk bit.ly/3LHD9H

Here's the "Academic Phrasebank," a 156-page PDF, to help you become a better academic writing. Download the PDF for free by clicking the link below. Follow Silvi on LinkedIn for more tips and free resources on systematic reviews and academic writing. linkedin.com/feed/update/ur…

La ⚡️estimulación 🫀cardiaca fisiológica sigue siendo un 📍pilar más en la IC, bien sea biventricular o del sistema de conducción. Ahí van 11 mandamientos en 🧭2.5’ a tener en cuenta para el cardiólogo de IC🤝Electrofisiologo @socancar @ICardiacaSEC ‘Marca el paso en IC’

Síndrome de Diógenes científico: 3,000 capturas de ppt, papers y esquemas 🧠📸 “para leer con calma”… Nunca las ves. Pero sigues guardando más. Siempre más. 📂📂

Fantastic Impella course by the @geshNHS Cardiac ITU team and supported by @jjmt_heartrecov and a great model circulation to test built by Jonathan Head of Clinical Engineering.

Despite increasing ECMO use there is little understanding of how #ECLS candidacy is considered. Here, study highlighting that determining VV #ECMO candidacy may be based on gestalt + different interpretations of data NOT to objective guidelines or criteria... Institutional cultures + experience, team dynamics, patient factors might lead to significant inter-clinician differences in judgements of suitability. Collecting data on candidacy decisions pivotal! by bit.ly/rubin-lab on @AnnalsATS 🔓bit.ly/3OtMV46