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Carlos Collet MD PhD

@ColletCarlos • 3,960 subscribers

Interventional Cardiologist. Physician-Scientist. Director of Cardiovascular Imaging, Physiology and Translational Therapeutics at CRF

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Back to the lab…! 🚺 44yrs, no risk factors, STEMI anterior ⚙️ Pressure going down and pain with every injection #SCAD Left Main 😱 What would you do? jcspratt Ziad Ali Salvatore Brugaletta josep PCRonline 🫀 TCTMD Emmanouil Brilakis Lorenzo Azzalini 🧵see options next

Back to the lab…! 🚺 44yrs, no risk factors, STEMI anterior ⚙️ Pressure going down and pain with every injection #SCAD Left Main 😱 What would you do? jcspratt Ziad Ali Salvatore Brugaletta josep PCRonline 🫀 TCTMD Emmanouil Brilakis Lorenzo Azzalini 🧵see options next

29,315 Aufrufe

Will coronary CT angiography #CCTA ever replace invasive angiography? Omar Khalique Jonathon Leipsic jcspratt Bernard De Bruyne @jeroen_sonck Simone Biscaglia Natalia Pinilla Nicolaj Støttrup Heart_SCCT Ziad Ali

Will coronary CT angiography #CCTA ever replace invasive angiography? Omar Khalique Jonathon Leipsic jcspratt Bernard De Bruyne @jeroen_sonck Simone Biscaglia Natalia Pinilla Nicolaj Støttrup Heart_SCCT Ziad Ali

42,207 Aufrufe

How Photon Counting #CCTA helps in assessing total occlusions? Non-calcified CTO body with a small calcified (nodule?) in the proximal cap PCRonline 🫀 jcspratt Evandro Martins F. MD Stefan Harb Prof. Hector M. Garcia-Garcia Natalia Pinilla CoreAalst Lorenzo Azzalini Emmanouil Brilakis

How Photon Counting #CCTA helps in assessing total occlusions? Non-calcified CTO body with a small calcified (nodule?) in the proximal cap PCRonline 🫀 jcspratt Evandro Martins F. MD Stefan Harb Prof. Hector M. Garcia-Garcia Natalia Pinilla CoreAalst Lorenzo Azzalini Emmanouil Brilakis

10,887 Aufrufe

🚨 A 54-year-old smoker presents with a strong cough followed by chest pain. 🔴 Anterior STEMI: SCAD? 🔭Wire appears in and out of the true lumen. 📊 IVUS to confirm? Tom Johnson 🩸 No flow post-ballooning jcspratt Next steps? Ziad Ali PCRonline 🫀 Yader Sandoval Natalia Pinilla

🚨 A 54-year-old smoker presents with a strong cough followed by chest pain. 🔴 Anterior STEMI: SCAD? 🔭Wire appears in and out of the true lumen. 📊 IVUS to confirm? Tom Johnson 🩸 No flow post-ballooning jcspratt Next steps? Ziad Ali PCRonline 🫀 Yader Sandoval Natalia Pinilla

12,762 Aufrufe

♂️ 65yr - typical angina - previous PCI in the LAD The stent looks good, and FFR in the LAD is 0.89 🧐 Looks like a bridge 🌉 💉 Start dobutamine 20-40-50 μg/kg/min 🤓 RFR down to 0.73 and pain 📌Hemodynamic significant myocardial bridge! William Fearon Javier Escaned Hany Ragy

♂️ 65yr - typical angina - previous PCI in the LAD The stent looks good, and FFR in the LAD is 0.89 🧐 Looks like a bridge 🌉 💉 Start dobutamine 20-40-50 μg/kg/min 🤓 RFR down to 0.73 and pain 📌Hemodynamic significant myocardial bridge! William Fearon Javier Escaned Hany Ragy

10,683 Aufrufe

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Nightmare in the cath lab 😱 The balloon gets stuck after post-dilation. It gets worse the shaft breaks when you try to pull the system out - you can't retrieve it, you can't snare it. 😨What would you do? @jeroen_sonck jcspratt PCRonline 🫀
0:45
ColletCarlos's profile picture

Nightmare in the cath lab 😱 The balloon gets stuck after post-dilation. It gets worse the shaft breaks when you try to pull the system out - you can't retrieve it, you can't snare it. 😨What would you do? @jeroen_sonck jcspratt PCRonline 🫀

Carlos Collet MD PhD

202,066 Aufrufe • vor 2 Jahren

Very soon, we will be assessing PCI results with non-invasive imaging. This case shows a left main crossover PCI to the LAD, where our main question was the result at the ostium of the circumflex. #CCTA will rapidly become an important tool not only for planning PCI, but also for evaluating its final result. Cardiovascular Research Foundation PCRonline 🫀 SCAI Heartflow American College of Cardiology JACC Journals European Society of Cardiology Journals
0:37
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Very soon, we will be assessing PCI results with non-invasive imaging. This case shows a left main crossover PCI to the LAD, where our main question was the result at the ostium of the circumflex. #CCTA will rapidly become an important tool not only for planning PCI, but also for evaluating its final result. Cardiovascular Research Foundation PCRonline 🫀 SCAI Heartflow American College of Cardiology JACC Journals European Society of Cardiology Journals

Carlos Collet MD PhD

21,505 Aufrufe • vor 2 Monaten

FAME 2 long-term just published in Nature Medicine Stable CAD with FFR ≤0.80: FFR-guided PCI + MT vs MT alone ↓ death/MI/urgent revasc (33.6% vs 41.3%, win ratio 1.25, NNT~17)—mainly ↓ urgent revasc (10.1% vs 25.2%). At 10+ yrs Physiology still matters -> My digital avatar explains it all 🎥🤖 👇 Cardiovascular Research Foundation TCTMD PCRonline 🫀 Abbott Heartflow JACC Journals #FFR #PCI #StableCAD
1:32
ColletCarlos's profile picture

FAME 2 long-term just published in Nature Medicine Stable CAD with FFR ≤0.80: FFR-guided PCI + MT vs MT alone ↓ death/MI/urgent revasc (33.6% vs 41.3%, win ratio 1.25, NNT~17)—mainly ↓ urgent revasc (10.1% vs 25.2%). At 10+ yrs Physiology still matters -> My digital avatar explains it all 🎥🤖 👇 Cardiovascular Research Foundation TCTMD PCRonline 🫀 Abbott Heartflow JACC Journals #FFR #PCI #StableCAD

Carlos Collet MD PhD

28,492 Aufrufe • vor 4 Monaten

🚨 Game changer in cardiac imaging 🚨 Non-invasive #CCTA is no longer the future — it is the new standard for stent evaluation. Photon Counting CT revealing stent strut details and subtle edge hyperplasia PCRonline 🫀 TCTMD Heart_SCCT CoreAalst European Society of Cardiology Journals
0:24
ColletCarlos's profile picture

🚨 Game changer in cardiac imaging 🚨 Non-invasive #CCTA is no longer the future — it is the new standard for stent evaluation. Photon Counting CT revealing stent strut details and subtle edge hyperplasia PCRonline 🫀 TCTMD Heart_SCCT CoreAalst European Society of Cardiology Journals

Carlos Collet MD PhD

49,593 Aufrufe • vor 10 Monaten

The SCAPIS study published in JAMA ~25,000 🇸🇪 participants, ~8 years follow-up. Adding coronary CT angiography #CCTA plaque information improved event prediction beyond clinical risk and calcium score. This is the first study showing the added value of CCTA on top of the calcium score for risk prediction. 🎯 What to look for: lipidic soft (non-calcified) plaque. 👀 Practical takeaway: Consider a CT angiography for risk stratification on top of the calcium score. Link: 🎥 Posting my avatar summarizing the study.
1:09
ColletCarlos's profile picture

The SCAPIS study published in JAMA ~25,000 🇸🇪 participants, ~8 years follow-up. Adding coronary CT angiography #CCTA plaque information improved event prediction beyond clinical risk and calcium score. This is the first study showing the added value of CCTA on top of the calcium score for risk prediction. 🎯 What to look for: lipidic soft (non-calcified) plaque. 👀 Practical takeaway: Consider a CT angiography for risk stratification on top of the calcium score. Link: 🎥 Posting my avatar summarizing the study.

Carlos Collet MD PhD

20,079 Aufrufe • vor 4 Monaten

🚨 A 54-year-old smoker presents with a strong cough followed by chest pain. 🔴 Anterior STEMI: SCAD? 🔭Wire appears in and out of the true lumen. 📊 IVUS to confirm? Tom Johnson 🩸 No flow post-ballooning jcspratt Next steps? Ziad Ali PCRonline 🫀 Yader Sandoval Natalia Pinilla
0:07
ColletCarlos's profile picture

🚨 A 54-year-old smoker presents with a strong cough followed by chest pain. 🔴 Anterior STEMI: SCAD? 🔭Wire appears in and out of the true lumen. 📊 IVUS to confirm? Tom Johnson 🩸 No flow post-ballooning jcspratt Next steps? Ziad Ali PCRonline 🫀 Yader Sandoval Natalia Pinilla

Carlos Collet MD PhD

12,762 Aufrufe • vor 1 Jahr

🚨 A beautiful helical 🧬 calcified pattern in the proximal LAD – the importance of calcium distribution has never been clearer💡 No doubt #CCTA is rising as the go-to method to plan for calcium modification. jcspratt PCRonline 🫀 Ziad Ali TCTMD ROTAMONSTER Yader Sandoval
0:37
ColletCarlos's profile picture

🚨 A beautiful helical 🧬 calcified pattern in the proximal LAD – the importance of calcium distribution has never been clearer💡 No doubt #CCTA is rising as the go-to method to plan for calcium modification. jcspratt PCRonline 🫀 Ziad Ali TCTMD ROTAMONSTER Yader Sandoval

Carlos Collet MD PhD

10,436 Aufrufe • vor 1 Jahr

♂️ 65yr - typical angina - previous PCI in the LAD The stent looks good, and FFR in the LAD is 0.89 🧐 Looks like a bridge 🌉 💉 Start dobutamine 20-40-50 μg/kg/min 🤓 RFR down to 0.73 and pain 📌Hemodynamic significant myocardial bridge! William Fearon Javier Escaned Hany Ragy
0:15
ColletCarlos's profile picture

♂️ 65yr - typical angina - previous PCI in the LAD The stent looks good, and FFR in the LAD is 0.89 🧐 Looks like a bridge 🌉 💉 Start dobutamine 20-40-50 μg/kg/min 🤓 RFR down to 0.73 and pain 📌Hemodynamic significant myocardial bridge! William Fearon Javier Escaned Hany Ragy

Carlos Collet MD PhD

10,683 Aufrufe • vor 2 Jahren

🔥A new generation of angio 3DStent enhancement is coming! This technology will help to optimize stent expansion and #leavenounderexpansionbehind Join us for the launch of 3DStent at #euroPCR2023 PCRonline 🫀 Salvatore Brugaletta Dejan Milasinovic Nieves Gonzalo Ziad Ali GE HealthCare
0:36
ColletCarlos's profile picture

🔥A new generation of angio 3DStent enhancement is coming! This technology will help to optimize stent expansion and #leavenounderexpansionbehind Join us for the launch of 3DStent at #euroPCR2023 PCRonline 🫀 Salvatore Brugaletta Dejan Milasinovic Nieves Gonzalo Ziad Ali GE HealthCare

Carlos Collet MD PhD

10,945 Aufrufe • vor 3 Jahren

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