elisanicolini

@tarang2906 @abadkhan2002 @nadig_cardio @JoySanyal74 @realarainmd @Hragy @DrIHHashmi1 Here, it would have been great Envast stent triever device.

Fight with thrombus!! STEMI case.. Multiple runs of thrombosuction. Deep intubation of guide and suction. Final gratifying result. @abadkhan2002 @nadig_cardio @JoySanyal74 @realarainmd @Hragy @DrIHHashmi1

Very important data from PARTNER-3 presented at #TCT2025 👇 At 7 years, the composite endpoint (death, MI, stroke, or rehospitalization) occurred in 34.6% with TAVR vs 37.2% with surgery (difference -2.6%; 95% CI, -9.0 to 3.7). No differences between the two groups in stroke, myocardial infarction, valve deterioration, endocarditis, and revascularization. Perhaps the most informative figure ⬇️: the vital status sweep analysis. After accounting for patients initially lost to follow-up but later confirmed dead, the apparent late excess mortality with TAVR disappeared, highlighting the critical value of complete follow-up ascertainment. Overall, TAVR remains a very safe and effective option for low-risk patients with aortic stenosis at long-term follow-up. @djc795 @PhilGenereuxMD @mirvatalasnag @PPibarot @tavrkapadia @kaulcsmc @Hragy @sbrugaletta @g_giustinoMD @SVRaoMD @DLBHATTMD @azeemlatib @DrPascalMeier @aakriti_15 @SripalBangalore @nadig_cardio @aymanka @drptca @drpkhazracardi1 @TCTMD @aayshacader @PedroMDMSc @Ortega_Paz @ThomPilgrim @DFCapodanno @PCRonline @HadyLichaaMD

📣Excited to share our new publication in @JACCJournals #JACCAdvances "Beyond Parental Leave: Addressing Infertility, Pregnancy, and Postpartum Complications Among Cardiologists" Thanks to #ACCWIC @gina_lundberg for allowing us platform to discuss these issues at #ACC2024

@abadkhan2002 @mmamas1973 @Hragy @mirvatalasnag @DrIHHashmi1 @akbarul @Obisht @DrAnkushG @cardiodoc1988 Upfront pMCS, preferably impella if available, and intra-H complete revasc.

STEMI with shock ,now pain better but on inotropes.. EF 20% Plan ? 1.Wait for stabilization & ONLY CABG 2.IABP +LAD PCI & staged later 3.IABP + RCA CTO & LAD PCI same sitting #CardioTwitter @mmamas1973 @Hragy @mirvatalasnag @DrIHHashmi1 @akbarul @Obisht @DrAnkushG @cardiodoc1988

@Ortega_Paz @PCRonline @sbrugaletta @mirvatalasnag @jedicath @DFCapodanno Congrats! Very good new!

Any thoughts? #EAPCI @PCRonline @sbrugaletta @mirvatalasnag @jedicath @DFCapodanno

@mmamas1973 @evandrofilhobr @ShrillaB @Hragy @mirvatalasnag @adityadoc1 @VictorDayan1 @pomyers @djc795 @nolanjimradial @jedicath @sbrugaletta @alaide_chief @ShaziaTHussain1 @NishithChandra @GreggWStone @rajivxgulati @aayshacader @twj1974 @DrAsifQasim @SVRaoMD I’d wait 1 month at least and then refer to cabg. How EF is?

Inferior Stemi, pt in 50s , prev PCI to RCA. OCT guided PCI to RCA. How would you manage left sided disease- ostial lad, prox cx, prox im. ? Pci, ? Cabg and when ? @evandrofilhobr @ShrillaB @Hragy @mirvatalasnag @adityadoc1 @VictorDayan1 @pomyers @djc795 @nolanjimradial @jedicath

@HistoryInPics Passion, hope, freedom, success

What 3 words do you see?

@mirvatalasnag @SCAI @PCRonline @sacisforum @Allison_Dupont @SarasVallabhMD @mnyoung1 @FrederickWelt @poojaotherwise @thiele_holger @agtruesdell @SrihariNaiduMD @Babar_Basir @jedicath @saraceciliamtz @alaide_chief @SilbermanManzo @AlkashkariWail @inghaanMD It was at least a stage B with an high risk to precipitate into stage C intraprocedurally. I would have implant an Impella CP.

@SCAI @PCRonline @sacisforum 47F Ant STEMI 🚑Presenting HR 90 & BP 95/60 🫀During LAD PCI: Slow flow treated w IC Rx & HR 120; BP 60/40 ⚕️Inotropes & IABP What stage SCAI SHOCK? When intubate-upgrade IABP? @Allison_Dupont @SarasVallabhMD @mnyoung1 @FrederickWelt @poojaotherwise

@Dr_Bitar @djc795 @TheNarulaSeries @DanyJacob87 @Ravi_Hira_MD @RhianEDavies1 @DavidLBrownMD I’d open native LAD. It seems a short CTO.

71 F with h/o of CABG (LIMA-LAD shown) has had CCS III angina on 3 antianginals following bypass, undergoes PET stress with large anterior perfusion defect. What would be your treatment strategy? @djc795 @TheNarulaSeries @DanyJacob87 @Ravi_Hira_MD @RhianEDavies1 @DavidLBrownMD

@giuseppe_ando @mmamas1973 @mirvatalasnag @LAzzaliniMD @GoranEBC @BURZOTTA_F @ItaloPorto2 @gbiondizoccai @DrAmirKaki @PCRonline @SABOURETCardio @EmanueleBarba13 Cutting and DEB

ACS. IVUS confirmed 0,0,1 LAD/D1 bifurcation. How would approach? 2 or 1 DES or DEB? #radialfirst #cardiotwitter #PCIcase @mmamas1973 @mirvatalasnag @LAzzaliniMD @GoranEBC @BURZOTTA_F @ItaloPorto2 @gbiondizoccai @DrAmirKaki @PCRonline @SABOURETCardio @EmanueleBarba13

@necipermis2 @CerrahpasaC Ivus-guided pci with minimum dose of contrast will not change kidney function and could be a better option than cabg especially if venous graft was used instead of arterial graft.

@CerrahpasaC The patient is very young, percutaneus revascularization will likely result in kidney damage. CABG seems like a good solution

ACS patient CABG vs PCI? Features that effect outcomes but not included in the gidelines which you should keep in mind while deciding CRF, creatinin 2.6 mg/dl, no routine dialysis Previous non-disabling ischemic stroke 52 years old LVEF 45 and moderate mitral regurgitation

Very sad and unbelievable news today for our community. Great gentleman, elegant, kind, nice, excellent interventional Cardiologist and scientist. Ciao Michele RIP @sicigise @EAPCIPresident @PCRonline

@saia_francesco @sicigise @EAPCIPresident @PCRonline @PighiMichele So saddened by the immeasurable loss. My deepest condolences to the family and all friends! 😢

@GreggWStone Please send me a copy… thanks! nicolinielisa82@gmail.com

Our perspective on the vulnerable plaque and vulnerable patient just published in Nature Reviews Cardiology. Please DM me a request with your email address and I would be pleased to send you a journal-approved copy.

@IntervnCardio @jedicath @evandrofilhobr @mathur_a @mmamas1973 @mohitbhagwati @vkataria @abadkhan2002 IVU-guided PCI

How should we approach this LAD lesion? @jedicath @evandrofilhobr @mathur_a @mmamas1973 @mohitbhagwati @vkataria @abadkhan2002

#proglide and #manta allow safely seal #TAVR access entry site so effectively that surgical access looks today unacceptable in the majority of pts. Yet, vascular complications continue to occur so that improvement in anatomy-based device selection is deserved. #TAVI

@PhilippLauten @zentral_klinik Excellent data! How many vasc complications?

TAVI - statistics from HeartCenter @zentral_klinik 2021: 451 #TAVR cases: 0,8 % 30d mortality, 0,4 % stroke, 94% transfemoral access; 5% trans-axillary access: using 45% Edwards S3 , 44% Medtronic Evolut Platform, 11% Boston Acurate valves. Mean STS-Prom 3.9 %, mean age 80 years.

@alaide_chief @EmanueleBarba13 @EAPCIPresident @robebyrne Congratulations Alaide!! Well deserved!

#EAPCI board 2022-2024 elections were announced at general assembly Under the guidance of President @EmanueleBarba13 @EAPCIPresident ☀️president Elect Alaide Chieffo @alaide_chief ☀️secretary Robert Byrne @robebyrne ☀️treasurer Louise Buchanan Thanks to all of you!!

@mirvatalasnag @vonBardelebenRS @lamelaspablo @SachinGoelMD @PhilippLurz @azeemlatib @hahn_rt @GreggWStone @igeorge1975 @tomcnguyen @RodrigoBagur @djc795 @purviparwani @iamritu @saraceciliamtz @chadialraies @dr_ofi @Hragy @KardiologieHH @EricSecemskyMD @mnyoung1 @fjsawaya @MichaelMegalyMD @cardioPCImom @AntoniousAttall Something that improves cardiac output

Fellow Twitterati: which procedure did this patient undergo ❓ Creatinine improved within days❗️ @vonBardelebenRS @lamelaspablo @SachinGoelMD @PhilippLurz @azeemlatib @hahn_rt @GreggWStone @igeorge1975 @tomcnguyen @RodrigoBagur @djc795 @purviparwani @iamritu @saraceciliamtz

@mandeep_mayo It could be BAV complicated by significant regurgitation

Can you guess the procedure and its outcome?