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 Brilakisshow more

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 nextshow more

How would you solve this? CathLab López Mateos Manuel... Pan Evandro Martins F. MD @AJuradoRoman Lorenzo Azzalini Jorge A. Chavarria V. 🇨🇦 🇪🇸 🇨🇷. MIЯVΛƬ #IC ༄ ｡° Marco Alcantara Shariq Shamim Rodrigo V. Wainstein, MD, PhD DrPatWJyg jedicath աǟզǟʀ.ǟɦʍɛɖ Stefan Harb Mihajlo Kovacic 🫀📕/🔋🕹️ Mamas A. Mamas @Hemodinamica_CR ACI-SEC: Hemodinamica Baha Simsek Osama Bishtshow more

Coronary dissection and perforation due to wire tip (distal... left LAD). Patient in shock->pericardiocentesis and coiling... with rami jubeh PCRonline 🫀 Salvatore Brugaletta Luis Ortega Paz A.Nazmi Calik Guilherme Ribeiro Prof. Hector M. Garcia-Garcia Nicola Ryan Pascal Meier,MD DrPatWJyg Ignacio Cigalini 🇦🇷 Hany Ragy SABOURETCardiologist Mamas A. Mamas David J. Cohen, MD, MSc Gregg W. Stone MD James Torey PA-C EAPCIPresident C. Michael Gibson MD Elliot Smith Ariel Roguin Aaysha Cader Tom Johnsonshow more

Are you under 40 and making waves in #interventionalcardiology?... This is your moment to shine! ✨ Apply for the Linnemeier Award, a career-launching honor for emerging investigators in interventional cardiovascular medicine. Past winners are now global leaders. You could be next!💥 📅 Deadline: July 31 Apply now! #CardioX #CardioTwitter #CardioEd #CardioResearch Dan Burkhoff MD PhD David J. Cohen, MD, MSc George Dangas, MD, MACC, MSCAI Juan F. Granada Marty Leon Dr Roxana Mehran Sahil A. Parikh, MD Jeffrey Popma Tricia Rawh MIЯVΛƬ #IC ༄ ｡° TCT Conference TCTMD jedicath աǟզǟʀ.ǟɦʍɛɖ إبراهيم الحربي Ibrahim Alharbi Hooman Bakhshi Chirag Bavishi MD, MPH Aaysha Cader Angel Caldera Nishith Chandra Julio Farjat Pasos Prof. Hector M. Garcia-Garcia Ahmed Ghoneem, MD MSc Stefan Harb Priya R. Kothapalli, MD, FACC, FSCAI Evandro Martins F. MD Oscar Mendiz Neisser M Srihari S. Naidu, MD Krutarth Pandya Anila & Lakshmi Rao, DO Michael Savage Shariq Shamim Muhammad Shuaib Abid Alessandro Sticchishow more

📢 Breaking news! Late-breaking clinical trials and science at... #TCT2025 have been revealed! Get a front row seat to the latest breakthroughs redefining patient care around the world. 🌎 ✅ Explore the full lineup now: ✅ Secure your spot today! #CardioX #CardioTwitter #CardioEd #CardioResearch Dan Burkhoff MD PhD David J. Cohen, MD, MSc George Dangas, MD, MACC, MSCAI Juan F. Granada Marty Leon Dr Roxana Mehran Sahil A. Parikh, MD Jeffrey Popma Tricia Rawh MIЯVΛƬ #IC ༄ ｡° TCT Conference TCTMD jedicath աǟզǟʀ.ǟɦʍɛɖ إبراهيم الحربي Ibrahim Alharbi Hooman Bakhshi Chirag Bavishi MD, MPH Aaysha Cader Angel Caldera 𝔻𝕣 ℕ𝕚𝕤𝕙𝕚𝕥𝕙 ℂ𝕙𝕒𝕟𝕕𝕣𝕒 Julio Farjat Pasos Prof. Hector M. Garcia-Garcia Ahmed Ghoneem, MD MSc Stefan Harb Priya R. Kothapalli, MD, FACC, FSCAI Evandro Martins F. MD Oscar Mendiz Neisser M Srihari S. Naidu, MD Krutarth Pandya Anila & Lakshmi Rao, DO Michael Savage Dr Shariq Shamim Muhammad Shuaib Abid Alessandro Sticchishow more

I prefer complete division of the proximal aortic neck... for proximal anastomosis when performing aortic work. This was a large AAA with occluded iliacs in a 💁‍♀️Other anatomical criteria included severe neck angulation, small distal aorta and calcified small EIA. #AortaEd for womenshow more

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 Alishow more

🌍 Experience the energy of #TCT2025 from anywhere —... for FREE! The TCT World Connect Livestream brings you front-row access to select high-impact sessions led by world-renowned experts. Don’t miss this global gateway to groundbreaking science and bold ideas! 👉 Learn more: #CardioX #CardioTwitter #CardioEd #CardioResearch Dan Burkhoff MD PhD David J. Cohen, MD, MSc Carlos Collet MD PhD George Dangas, MD, MACC, MSCAI Juan F. Granada Marty Leon Dr Roxana Mehran Sahil A. Parikh, MD Jeffrey Popma Tricia Rawh MIЯVΛƬ #IC ༄ ｡° TCT Conference TCTMD jedicath աǟզǟʀ.ǟɦʍɛɖ Karim Al-Azizi, MD إبراهيم الحربي Ibrahim Alharbi Hooman Bakhshi Chirag Bavishi MD, MPH Aaysha Cader Angel Caldera 𝔻𝕣 ℕ𝕚𝕤𝕙𝕚𝕥𝕙 ℂ𝕙𝕒𝕟𝕕𝕣𝕒 Carlos Espiche MD MEd Julio Farjat Pasos Prof. Hector M. Garcia-Garcia Ahmed Ghoneem, MD MSc Stefan Harb Sabeeda Kadavath Priya R. Kothapalli, MD, FACC, FSCAI Evandro Martins F. MD Giorgio A. Medranda MD, FACC, FAHA, FSCAI Oscar Mendiz Neisser M Srihari S. Naidu, MD Krutarth Pandya Anila & Lakshmi Rao, DO Michael Savage Dr Shariq Shamim Muhammad Shuaib Abid Alessandro Sticchi Pooja Swamy, MD, FACC, FSCAI Anuradha Tunuguntla MD FACC FSCAI Ishita Vasudev, MD Lina Ya’Qoub MD Edoardo Zancanaro MDshow more

🔬 Why Perfect Visualization of Stents and Calcified Plaques... Requires the Highest Spatial, Temporal and Contrast Resolution: The Case for Ultra-High-Resolution with Photon Counting CT Image: a close look at a RCA stent with very mild intimal hyperplasia. Seeing is everything in coronary imaging. Yet when it comes to stents and heavily calcified plaques, even the best conventional CT systems hit their physical limits — blooming, partial volume effects, and metal artifacts blur what truly matters. That’s where Ultra-High-Resolution Photon Counting CT (PCCT) changes the game. 🧠 Why it matters: Conventional CT often overestimates stenosis in calcified vessels and hides in-stent lumen due to blooming and noise. This leads to diagnostic uncertainty, unnecessary invasive testing, and poor evaluation of stent patency or neo-atherosclerosis. ⚡ What PCCT adds: Ultra-high spatial resolution (0.1 mm voxels) sharply delineates stent struts, plaque borders, and residual lumen. True spectral resolution minimizes blooming and metal artifacts, enhancing visualization even in highly calcified segments. Improved contrast-to-noise enables clear lumen assessment at lower doses. Quantitative, energy-resolved data provide material differentiation between calcium, metal, and contrast — something previously unthinkable in CT. In short, accurate visualization of stents and calcified plaques demands Photon Counting CT — not just for sharper images, but for better diagnostic confidence and patient management. The era of artifact-free coronary imaging has begun — and it’s photon-counting powered. ⚡❤️ #PCCT #CardiacImaging #CoronaryCT #StentImaging #CalciumScore #PhotonCountingCT #PrecisionImaging #CardiovascularImaging #RadiologyInnovation #yesCCTshow more

After countless talks on provisional stenting, my task @... #EuroPCR2025 is "How to perform optimal DK-Crush" LIVE in-vitro PCI Visible Heart® Laboratories by Rhian E. Davies DO MS Emmanouil Brilakis Join Nieves Gonzalo Maciej Lesiak Tom Johnson FRANCESCO BURZOTTA Gabor G Toth in the Main Arena on May 22, 16:30h PCRonline 🫀show more

How to handle this? DCB available, FYI. Salman Arain... Shariq Shamim Jeffrey Wilson, MD Aurora Cardiovascular Disease Fellowship Dan Johnsrud Evandro Martins F. MD Richard Sohn MD Dr Why Bilal Iqbal Aliyor GANIEV, MD Neisser M Syed Ali Naqvishow more

Can you imagine this RCA was completely occluded? We... recently treated a young patient with a chronic total occlusion (CTO) of the RCA. Given the poor antegrade options and well-developed collaterals, we opted for a retrograde approach. After successful crossing, lesion preparation was followed by a "leave-nothing-behind" strategy using four drug-coated balloons (DCBs)—no stents implanted. The image you can see below is a follow up performed 3 months after the CTO PCI. Why this approach? Preserves native vessel function and vasomotion Avoids permanent implants and associated long-term risks Reduces need for prolonged DAPT Makes future interventions easier, especially valuable in younger patients. AGIK PCRonline 🫀 SCAI #cardiotwitter Shariq Shamim Erik Rafflenbeul Mamas A. Mamas Dr Alo, DO, FACC C. Michael Gibson MD Gregg W. Stone MD Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Dmitry Sulimov Evandro Martins F. MDshow more

18/F Came for ENT evaluation for difficulty in breathing... and voice change .. Whats happening here and What's the ONE likely cardiac diagnosis ? #CardioTwitter Dr G Rajesh (Gopalan Nair Rajesh). Somalaram Venkatesh Hany Ragy Nishith Chandra SREEVATSA NADIG DM FSCAI FESC Dr. Purvi Parwani PCRonline 🫀 Mamas A. Mamas Dr Imran Hanif Hashmi European Society of Cardiology Aaysha Cader Dr. Mukharjee Madivada Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Shariq Shamim Amitabh Yaduvanshi MD, DM, FACC, FSCAI Dr. Krzysztof Pujdak Khalid Minhas, MD FACC Evandro Martins F. MD C. Michael Gibson MD Swati Garekar jedicath աǟզǟʀ.ǟɦʍɛɖ John Mandrola, MD JACC Journals Matters of the Heart 🫀 Valva Mitralis Ankur Phatarpekar Ankush Guptashow more

HD IVUS of subintimal hematoma Saroj Neupane Babar Basir... Evandro Martins F. MD UIC Cardio Fellowsshow more

Enjoy this pure #ENDO approach to a heavily calcified... occluded #CFA treated with #IVL and #DCB Stephen M. Bracewell Don Garbett Saher Sabri Jay Mathews MD, MS, FACC, FSCAI Sabeen Dhand 👊🏾👍🏾BT Fisher Sr., MD bring the hate Greg Hayesshow more

Diffuse Diabetic Distal Disease in a symptomatic person. How... would you treat it Mamas A. Mamas Abad khan,MD/DM Stefan Harb Sarah Fairley Michael Savageshow more

Micromelo undatus, common name the miniature melo, is an... uncommon species of small sea snail with a thinly calcified shell covered with undulating brown lines [read more: [uw.animals:show more

Sometimes IVUS guided direct stent still leads to distal... embolus. Went after it with a little pokey pokey with my wire and broke it up in the apex. Anyone else ever do this? #CardioX RadialFirstBot PCICaseBot Babar Basir Sandeep M Patel, M.D. Eric Secemsky MD MSc Amir Kaki, MD Antonious Attallah, MD, FACC, FSCAI David J. Cohen, MD, MSc Rajiv Gulati Dr G Rajesh (Gopalan Nair Rajesh). Jeffrey Wilson, MD Michael Megaly MIЯVΛƬ #IC ༄ ｡° Erik Rafflenbeul Evandro Martins F. MDshow more