Joseph Walsh

A discussion with Dr. Frogge and Dr. Summers on the four key cusp overlap techniques! #COT #CardioTwitter

How do you size DCB? IC Treating a 3.0 PDA and 3.5 distal right in this case. Quick conversation with @nyalborgesmd and Dr. Joe Walsh about reasoning behind sizing. #CardioTwitter

Presentation in practice: @amrabbasmd discusses the stigma around 20mm valves, and optimizing valve deployment at @CVISummit! #cardiotwitter #TAVR

A great discussion with @DrJayMohan and @Samsayfo on iliac stent delivery challenges. This was part of a longer masterclass in iliac CTO- IVUS, re-entry, IVL, and stent strategy that can be found in our community! #CardioTwitter #Peripheral

“BiPella turned progressive shock into recovery.” A deep dive into an acute MI shock case, severe right ventricular failure, and how Bipella support stabilized the patient. Link below!

Is oxygenation your main trigger for ECMO, or do other hemodynamic thresholds push you there sooner? Dr. Chris Brown uses this guide for most cases. If yes → VA ECMO + LV vent (typically Impella). If no → Bipella for unloading, easier cath lab workflow, and better patient tolerance Here’s a recent Bipella case he performed.

Interesting case presented by @RajTayalMD at @CVISummit - patient in cardiogenic shock with severe AS. ICE guided atrial septostomy to place on LAVA ECMO. ASD Closure and good final results. Highlights how the use of MCS allows for procedural optimization. #cardiotwitter

"Caging the beast" A quick look at IVUS direct stent technique from Dr. Brown and Dr. Walsh on a late presenting clot. #CardioTwitter #MCS

After walking through a difficult iliac CTO case, @DrJayMohan discussed when you should step back and consider EVAR. You can see a short from his case discussion with @Samsayfo here! #cardiotwitter #peripheral Full discussion in our community now!

A discussion on the BATMAN technique for TMVR with Dr. @g_giustinoMD and Dr. Andrei Pop. This was part of a longer discussion and case presentation from Dr. Giustino's recently published case. Link to the full video below! #CardioTwitter #TAVR

Great WATCHMAN technique: Even with good coaxial alignment, a thick Coumadin ridge can distort post-deployment angio. 👉 Take parallax out of the final shot using fluoro markers. Clean ostial landing, no guesswork. Simple, reliable tool for the kit. #CardioTwitter #LAAC

Tortuous LIMA. Heavy calcium. Prior failed PCI. In this session, @TheNarulaSeries breaks down how he managed a brutally difficult LIMA–LAD lesion using: • ROTA • Shockwave IVL • DCB in the distal LAD • Rapid response to sudden graft thrombus and low ACT Takeaways: device sequencing, escalation strategy, and staying calm when the graft fills with clot. A masterclass in complex coronary problem-solving. Full discussion on MurmurMD and links below: #ComplexPCI #CardioTwitter

“IVL didn’t just help the femoral artery… it completely changed how we think about it.” @NickMouawadMD and @Samsayfo discuss common femoral artery intervention, surgery vs IVL, and dive into how modern tools are reshaping how to evaluate and treat CFA disease. Links below!

“Every TAVR valve you pick today is a lifetime decision—get it wrong, and you pay twice.” Case discussion with Dr. Matt Summers and Dr. Aidan Raney on TAVR Valve Choice, Coronary Access, and the Lifetime Valve Mindset. #TAVR #CardioTwitter Links below⬇️

“Every patient’s anatomy is unique. Finally, our valve planning is too.” How AI and Predictive Modeling Are Changing TAVR Valve Selection. A look into contemporary approaches to valve therapy decisions with Dr. Matthew Summers! #CardioTwitter #TAVR #Innovation Links below⬇️

“Innovation starts with a problem on the table—and ends with a better device in hand.” From Idea to Market: How to build a medical device company for physicians featuring Dr. David Daniels and Dr. Joe Walsh! #CardioTwitter #Innovation Links in thread ⬇️

🔨Toolkit Friday tip by @capnintrvention!⚙️ When nothing else delivers… the Captain Trap comes through. Rapid coaxial Guideliner trapping using a ping-pong guide + low-pressure balloon in the LM. Support maxed, equipment delivered. Steps in thread below 👇

For those of you looking to grow or build a research program this is a must watch - 65 structural trials and 5 FIH this year! open.spotify.com/episode/0FE9cl…

Eat your spinach!!