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

is this a CTO of RCA? PCICaseBot PCRonline 🫀... @APSIC Gruentzig's Ghost MIЯVΛƬ #IC ༄ ｡° Mamas A. Mamas Dimitri Zappi, M.D. jedicath աǟզǟʀ.ǟɦʍɛɖ A.Nazmi Calik Lorenzo Azzalini Salvatore Brugaletta Erik Rafflenbeul Matthias Götberg Sunil V. Rao Rich_cathRT(CI)☢️ A. Fauzi Yahya Jeffrey Wilson, MD DrPatWJyg Wail AlkashkariFSCAI,FPICSوائل القشقرى🇸🇦🇨🇦🇺🇲 @AJuradoRoman ForoEpic CathLab López Mateosshow more

Not my case, but at our hospital! Inferior ST... elevation + hypotension! Did not make it! PCICaseBot RadialFirstBot SBHCI Evandro Martins F. MD MIЯVΛƬ #IC ༄ ｡° Fábio Carvalho Bruno Robalinho Mamas A. Mamas DrPatWJyg Dr. Krzysztof Pujdak drpkhazra : DIRECTOR CathLab J. Airton Arruda OTAVIO RIZZI COELHO FILHO, MD PhD MPHshow more

Finally, first TAVR case with Cerebral Protection with SENTINEL... device!!!! BostonSci Cardiology Jorge A. Chavarria V. 🇨🇦 🇪🇸 🇨🇷. Mauro Echavarria Pinto José Alfredo Merino Rajme Julieta Morales P. Marco Alcantara Dr. Gilbert Tang Mayra Guerrero, MD Julio Farjat Pasos Pablo Lamelas 🇦🇷🇨🇦 Oscar Mendiz Evandro Martins F. MD Ignacio J. Amat Carla Agatielloshow more

58 y male with NSTEMI, EF 45%. Recurring Angina... after 12 hr of tirofiban infusion If this your case, what will be your approach ? PCRonline 🫀 mandeep singh Mamas A. Mamas Joy Sanyal,MD, DM, Latchumanadhas K Shariq Shamim AshishShah Osama Bisht ALKINDY Abdulrhmanshow 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

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

What to do when this happens ? 1. Stop... & reschedule 2. Its benign ,Wait/watch & Reattempt 3. Shift TEE & next TSP only TEE guided Dr Imran Hanif Hashmi Hany Ragy Wail AlkashkariFSCAI,FPICSوائل القشقرى🇸🇦🇨🇦🇺🇲 Ankur Phatarpekar Ankush Gupta MIЯVΛƬ #IC ༄ ｡° jedicath աǟզǟʀ.ǟɦʍɛɖ Mamas A. Mamas Ayman Magd Osama Bisht Valva Mitralis #CardioTwittershow more

Wonder what people did prior to era of reverse... wiring!! This is after brief attempt at DLC and antegrade wiring. Have a low threshold for reverse wiring. Faster. #VUEmusings. Shariq Shamim Jack Hall Salman Arain Evandro Martins F. MD Tsutomu Fujita MD William Suh, MD Jeffrey Wilson, MD Sunil V. Raoshow 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

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

What’s your #PCI strategy 4 this LAD-S1 #bifurcation? Vote... on RP⤵️ #Cardiotwitter Mamas A. Mamas Sandeep Nathan, MD, MSc Gregg W. Stone MD David J. Cohen, MD, MSc Sunil V. Rao MIЯVΛƬ #IC ༄ ｡° Binita Shah Azeem Latib Sripal Bangalore Suzanne J. Baron MD MSc Aaysha Cader mandeep singh Hany Ragy Andrew Sharp David L. Fischmanshow 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 Nishith Chandra @EspicheCarlos 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 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

To all the excellent cardiologist friends & Cardiothoracic surgeon... friends , help me understand some Angios , so further decision making helps for future cases also .. Q1. Is this RCA / PDA Graftable ? If yes , where is the graft placed and how much benefit will that graft provide ? Q2. If such diseased vessel is found in a TVD patients( quite common ) how to go about it ? HYBRID approach with stents to RCA and Grafts to Left side or something else ? Opinions plz #cardiotwitter #MedTwitter Ayman Magd MIЯVΛƬ #IC ༄ ｡° Hany Ragy SREEVATSA NADIG DM FSCAI FESC C. Michael Gibson MD Somalaram Venkatesh Ankur Phatarpekar Ankush Gupta Ankur Kalra Ankur Gupta MD PhD Osama Bisht Dr Imran Hanif Hashmi Khalid Minhas, MD FACC Mamas A. Mamas Dr G Rajesh (Gopalan Nair Rajesh). R jedicath աǟզǟʀ.ǟɦʍɛɖshow more

Lad plasty done 1 year back Now doe class... 3 What should be the approach? David J. Cohen, MD, MSc Shariq Shamim Evandro Martins F. MD ROTAMONSTER Dr Sarita Rao SREEVATSA NADIG DM FSCAI FESC KetanMV@cardiology Abad khan,MD/DMshow 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

20y/M , Massive Unprovoked PE , systemic thrombolysis done... after 48 hours of symptom onset . Unfortunately PA pressures still remain high at 55mmHg on echo and large thrombus burden in RIGHT Common Iliac upto popliteals.. Catheter embolectomy performed for PE and clots are removed Interestingly enough there is Peripheral PS in Right segmental PA .. Not affordable for Penumbra for DVT .. What next for him ? IVC filter or counsel him for penumbra or CAT 8 and then just DOAC's are enough ? Dr . $@ndeep K@m@t Somalaram Venkatesh Rajesh VIJAYVERGIYA Dr G Rajesh (Gopalan Nair Rajesh). SREEVATSA NADIG DM FSCAI FESC Salman Arain Salman Allana, MD FACC FSCAI MIЯVΛƬ #IC ༄ ｡° PCRonline 🫀 Mamas A. Mamas Dr Imran Hanif Hashmi Hany Ragy Amitabh Yaduvanshi MD, DM, FACC, FSCAI Masahiko Ochiai MD, FACC Prasannasimha🇮🇳 Dr Deepak Davidson Dr. Gilbert Tang CTO＆CHIP JAPAN Mohaned Egred Mihajlo Kovacic 🫀📕/🔋🕹️ Gopala Krishna Koduru Syed Ali Naqvi Dr. Krzysztof Pujdak Ankur Phatarpekar Ankush Gupta Ankur Gupta MD PhD Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI #cardiotwitter #Cardio_Xshow more

Post CABG 3 yrs, angina on effort. How can... this be explained? Need to open the lesion in RCA? ⁦Shariq Shamim⁩ ⁦Mamas A. Mamas⁩ ⁦Abad khan,MD/DM⁩show more

Seeing this for the very first time. Has anyone... seen this before? Echo is normal (still images in thread) Dr Deepak Krishnamurthy Sreekanth Shetty SREEVATSA NADIG DM FSCAI FESC Dr P Kamath Dr G Rajesh (Gopalan Nair Rajesh). ❤ ka DOC Shariq Shamim Abad khan,MD/DM Mamas A. Mamas #Cardiotwittershow more