Rocío Parrilla

🧑‍🚀LAAO, Houston we have a problem! Rocío Parrilla @rociomd8 - Sección de Cardiología Intervencionista Hospital Universitario de Jaen. 🎬Edited by: @RumoJose , @foroic & @pipecardio.

How many would like to learn how to close vascular access with a combined suture-/plug-based strategy using one ProStyle and one Angio-Seal in #TAVI? here a very useful problem-solving step-by-step tutorial. a patient-centered learning for free and accessible to everyone. @PCRonline @escardio @akiko704 @kiadeb87 @TCTMD @crfheart @secardiologia @shci_sec pcronline.com/Cases-resource…

📌 Habemos nuevas Guías 📖 de Valvulopatías 🇪🇺 en #ESCCongress 📝¿Qué hay de nuevo? ✏️Hilazo 🧵 de los principales cambios desde mi pt de vista 👇👇👇 ✅Y por supuesto enorme 👏 a @RosselloXavier y la gran Esther Pérez-David (mi adjunta 😊) por la contribución 🇪🇸

🎯INSUFICIENCIA MITRAL SECUNDARIA 📝Fundamental ir integrando la clasificación ATRIAL vs VENTRICULAR

🚨 Breaking News from #ESCCongress: The 2025 ESC/EACTS Guidelines on Valvular Heart Disease are out! Key updates: 🫀 Heart Teams & advanced imaging central to diagnosis & treatment 🫀 #TAVI extended to ≥70y anatomically suitable tricuspid AS pts, regardless of surgical risk 🫀 New Class IIa: early intervention in asymptomatic severe high-gradient AS 🫀 New Class I: early surgical repair for asymptomatic severe primary MR 🫀 TEER upgraded:  ✔ Class IIa for high-risk primary MR  ✔ Class I for HF + severe secondary MR with LVEF <50% 🫀 Stronger role for tricuspid surgery & emerging TTVI for high-risk pts 🫀 Updated antithrombotic & valve dysfunction recommendations 🫀 New sections: cancer + VHD, acute HF, multiple/mixed VHD, and sex-specific management 📖 Full text in @ESC_Journals: 👉 🔗academic.oup.com/eurheartj/adva… #VHD #CardioX #ESC2025 #EACTS

Implantation of the first Aveir dual-chamber leadless pacemaker in Andalucia. Thanks to @ManoloMolina8 for his invaluable assistance. @HospitalJaen @JTLLERGO @AbbottCardio

Creación del grupo de trabajo de Hemodinámica de la Sociedad Andaluza de Cardiología @SACardiologia . @DrVictorBecerra @pepp183 @MPAOSS @JTLLERGO @AntonioGomezM21 @MAROSFO @alejandripc2 @OjedaOjeda18

🔥 First-in-human report: Treatment t of a coronary bifurcation core perforation with dual covered stents! Take-home 🥽 Prepare in the wet lab 🫀 Complex PCI techniques can be needed in ACS patients 🚨 Stepwise bifurcation treatment was key! sciencedirect.com/science/articl…

ROLLER COASTR-EPIC22: Rotational atherectomy, lithotripsy, or laser for calcified coronary stenosis 🔗pcronline.com/PCR-Publicatio… Read this #EAPCI/PCR Journal Club review ✍️of the first randomised trial comparing RA, IVL, and ELCA for calcified coronary lesions, by @aayshacader and @ANazmiCalik. #calcifiedlesions #CHIP #interventionalcardiology #JournalClub

🔴Antithrombotic Therapy in High Bleeding Risk, Part I: Percutaneous Cardiac Interventions ⤵️State-Of-The-Art #2024Review @JACCJournals 🔹jacc.org/doi/10.1016/j.… #Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded

En el #DíaMundialdelCorazón recordamos que los programas Código Infarto salvan vidas @shci_sec ✅17 redes Código IAM, 83 centros ➡️87,5% ICPp ⏱PCM a reperfusión 107 min 👥Trabajo en equipo @enferhemo @AgudosSEC @secardiologia #SanidadPública sciencedirect.com/science/articl…

📌#Antithrombotic ­ther­a­py in 👥 with AF & acute or chron­ic coro­nary syn­dromes Key algorithm📝 #Afib #CCS #DOAC

📌Por último, cobra mucha importancia el INOCA (la angina con coronarias "normales") 📝 Cuidado, el orden importa. Primero detectamos isquemia, después tratamos, si persisten síntomas estudiamos la micro 📝Se mojan en protocolo (@egutiMD crack) 📝 Se mojan en tratamiento 🆕

🙋‍♂️ ¿Cirugía (CABG 🔪) o ICP (🎈 🗑 )? Pues depende de 3 factores 📝 Complejidad anatómica. A mayor complejidad, +🔪 📝 Diabetes: +🔪 📝 Riesgo QX. Aspecto a mi juicio fundamental dado que mayormente tratamos pacientes Esta figura de guías de GPC revascularización, la biblia 👇

📌¿Y por qué es importante la probabilidad pre-test? 🙋‍♂️Pues porque determina qué prueba diagnóstica y pronóstica tienes que hacer Paso 3: CONFIRMACIÓN ✅ <5%: Nada más. Descartamos ✅ 5-85%: Give me something more ✅ >85%: Cateterismo Buenísima y clarificadora figura 👇👇👇

After years… we have finally been able to summarize all the tricks we endorsed or developed… Indeed, we STRONGLY BELIEVE that the benefit of transcatheter procedures like #PCI #Impella #ECMO #TAVR often depends on how we deal with the arterial access!!! Thank you to the TEAM!

This state-of-the-art review provides a description of the device-related thrombotic risk associated with transcatheter structural heart interventions and of the current evidence-based guidelines regarding antithrombotic treatments. Gaps in evidence for each of the studied transcatheter interventions and the main ongoing trials are also summarised. eurointervention.pcronline.com/article/antith…

@Monicaferqu @JesusPeM17 @CorazonHuvr Un auténtico crack!!! 👏🏻👏🏻👏🏻

Hoy despedimos a @JesusPeM17 . Mucha suerte en tu nueva etapa en Torrevieja. Te echaremos de menos. Trabajador incansable y gran persona. @CorazonHuvr

Another year enjoying and learning at the best congress in the world❤️. Thank you very much, team! Waiting for the next one!!! 💫 #euroPCR2024

How big can you oversize a coronary stent ? Here is an updated table presented during the latest french Oct imaging meeting which includes the most recent devices and could help for LM or bifurcation PCIs planning