Ryan K. Kaple MD

Our report of IVUS guided stenting of HeartMate 3 extrinsic outflow graft obstruction (EOGO) in @JACCJournals Interventions. How often are you seeing these cases? Are you screening all HM3 patients with CTAs? How are you treating these patients? authors.elsevier.com/a/1kJtd6uPJvuW…

@Minaiskanders well done!

71 yo M transferred to our center with severe acute AI due to early degeneration of 27 mm Trifecta. TEE with torn right cusp leaflet with severe AR. Patient with rapid clinical deterioration and cardiogenic shock. Emergent midnight TAVR ( 26 +2 S3). The cardiac index 1.4 ->3.0✅

@sciqst @g_giustinoMD @CraigBasman This is rare - my first experience of losing a wire in >1000 sapien valves. But we took a team approach to solving the problem and found this creative solution. Glad we could share and hope it is helpful to the #TAVR community.

That sounds like a fascinating insight into a complex procedure! I'm interested to know about the challenges and risks associated with this technique, particularly in ensuring the safety and efficacy of TAVR procedures. How often is such a bail-out approach necessary in your experience? For those seeking in-depth reviews on similar biomedical techniques, check out [sciqst.com](sciqst.com), a platform that generates comprehensive reviews for any biomedical question. #Medicine #TAVR

Great technique to bail-out lost wire position in the LV during balloon-expandable TAVR using a 4-8 mm EN-snare through the delivery system. Nice! @ryankaple @CraigBasman A Microsnare Technique for Transcatheter Heart Valve Recrossing After Inadvertent Wire Withdrawal From Left Ventricle | JACC: Cardiovascular Interventions jacc.org/doi/10.1016/j.…

@Nishaki1 @JACCJournals Congratulations!

Thrilled to share my editor's page on @JACCJournals! I've combined my love for innovation & clinical medicine to highlight how sharing clinobservations can spark new ideas. Includes personal anecdotes! Share unique cases JACC Case Reports! #ZebraCases #InnovationInMedicine

@DrRajeshG1 🍌

Fellows, You are aware of “bullet shaped LV” of constriction isn’t it. Well, a banana shaped ventricles from apical 4 chamber view is constrictive pericarditis unless proved otherwise. This is the 3rd case of constriction, Cath & CT proved with this particular shape I have found.

Join us for our Advances in Cardiovascular Symposium on Wednesday, Sept 25, from 5:00 - 8:00 pm. Registration is free (in person or virtual). We will review ablation for AFib, updates in CTO interventions, and percutaneous tricsupid valve interventions lnkd.in/eQqV7mDU

🆕 "We attempted to retract the entire unit together, but the edge of the MitraClip prevented removal from the LA." How would you handle? Read the author's solution: okt.to/meaGfS @CraigBasman @DLBHATTMD #cardioTwitter #cardioX #cardiology #interventionalcardiology

With 93% growth in our #MitraClip volume '22 --> '23, HUMC is now the highest volume center in NJ. Thank you to our patients, HUMC cardiology and CT surgery, and @HMHNewJersey @AbbottNews @CraigBasman @johnkforrest #goateers hmhmaestro.org/en/topics/lead…

A long-waited PREVENT trial is now presented at LBCT-V #ACC2024 🇰🇷From the inception of trial to completion of trial took a decade. ✅1,606 pts with intracoronary imaging-detected “Vulnerable Plaque” randomized 1:1 to (1) Preventive PCI vs (2) OMT alone. ✅Prevent PCI significantly reduce primary composite endpoint (CV death, TV-MI, TVR, hospitalization for UA) at 2 yr. The effect of Preventive PCI was sustained up to 7 years. ✅First RCT shows that Preventive PCI is effective for non-flow limiting vulnerable atherosclerosis coronary plaque. ✅We believe that PREVENT would be one of the seminal investigations in the history of PCI. @dukwoo_park @GreggWStone @JungMinAhn5 @DFCapodanno @djc795 @TheLancet Further details: doi.org/10.1016/S0140-…

My conclusion is: TAVI (whoppingly) superior to SAVR at 1 year in this trial where the heart team decided on type of transcatheter heart valve for their patient. @djc795 @vonBardelebenRS @MattiAdam_MD @PhilippLurz

Optimizing GDMT for patients with heart failure using digital health remote management system. jacc.org/doi/10.1016/j.…

Structural Case of the Week; 35 y/o M with rheumatic MS (Mean MV gradient 15) for PMBV. Intracardiac echo guidance with 9Fr Philips 3D ICE. MVA 0.9 -> 2.2. MV gradient 15mmHg-> 3mmHg @HMHNewJersey @Philips @ryankaple #Structuralheart #TAVR #Mitral

@JACCJournals @hmkyale Well deserved! A great team indeed!

Incoming #JACC Editor-in-Chief Dr. @hmkyale has announced the members of his new Editorial Board, each of whom will be responsible for helping to position the journal as the leading beacon for advancing global CV health, effective July 1. Learn more: bit.ly/3xh2Tpi

I remember my own #MitraClip 101 #teer course when I was a very green operator, and now to be leading a 101 course…it’s an honor, truly. Thankful to @AbbottCardio, my mentors @GilbertTangMD @johnkforrest @psorajja, and teams @HMHNewJersey @YaleCardiology

Sarnoff’s 2023-24 Fellows representing at AHA❤️

Just to keep everyone in the loop @yourheartdoc1 @GilbertTangMD @johnkforrest @jamiemccabeMD

Day two! Best of the best teaching the next generation of #teer operators and future #goateers @PaulMahoneyMD @VinodThourani @AbbottCardio @HMHNewJersey @hahn_rt @HamidNadira @Vratika_Agarwal

The 2nd annual #mitraclip fellows course is about to start. My favorite meeting of the year! In the presence of the #goateers @AbbottCardio @HMHNewJersey @jamiemccabeMD #teer @HamidNadira @GilbertTangMD @psorajja @PaulMahoneyMD @VinodThourani @PradeepYadavMD

@Minaiskanders Outstanding results! You must have had a good teacher;)

Two nonagenarian pts with severe MR secondary to flail mitral leaflet, treated with XTW clip with marked reduction in MR and discharge the next day. #Mitraclip Day #TEER