MD. Cardiologist at the Military Central Hospital. Lover of Interventional and Structural Cardiology and PCI Complex.

México.
2026 EHJ - Intracoronary imaging for left main percutaneous coronary intervention: a clinical consensus statement of the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC and the European Bifurcation Club (EBC) academic.oup.com/eurheartj/a…
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Para que no anden escribiendo ASA - GOLDMANN
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JorgeMD retweeted
IC’s would you do or defer a focal distal Left Main stenosis with an MLA of 8 mmsq but 70% plaque burden ? Let us assume the patient is asymptomatic! @ziadalinyc @NishithChandra @jedicath @DocSavageTJU @TWilsonMD @realarainmd @aymanka
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Proposed Standardized Nomenclature for Coronary Anomalies JACC 2026 jacc.org/doi/10.1016/j.jcmg.…
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Rescue Cutting Balloon Angioplasty for Heavily Calcified Carotid Artery Stenosis: A Case Report and Narrative Review onlinelibrary.wiley.com/doi/… @ccijournal
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JorgeMD retweeted
🔊 Sound ON. Orbital atherectomy during IVUS-guided complex PCI for a heavily calcified coronary lesion. IVUS → assess calcium 💎 Orbital atherectomy → calcium modification 🎈 Lesion preparation 🫀 Stent + IVUS optimisation #ComplexPCI #IVUS #OrbitalAtherectomy
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Bifurcation PCI: can complexity be simplified? 🔗📺pcronline.com/Cases-resource… From diffuse side-branch disease to double bifurcations and long lesions, this collection of challenging cases shared by your peers explores how imaging, tailored techniques and careful decision-making can help navigate complex bifurcation PCI. Moderators: O. Sakhov, S. Watkins, S. Dutta Speakers: L. Danduch, G. Sitafidis, A. Isletme, I. Vosko, A. Lux #interventionalcardiology #EuroPCR #CardioEd
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🏆 Congratulations to the authors of the most-read article in September! Ablation of the Ablator: Accidental Guide Catheter Machining by a 1.75-mm Burr in a 6F Amplatz Guide hubs.ly/Q04yXTM50 @DLBHATTMD #cardioTwitter #cardioX #cardiology #interventionalcardiology
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Has anyone ever seen this happen with angioseal? Plug introducer wasn't pushed all the way into the sheath so the plug deployed inside the angioseal sheath. Wouldn't budge. Bail out= Had to cut the sheath—> wire—> new device and hemostasis. #CardioX #SafeFemoral #LoveMyFellows @RadialFirstBot
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facebook.com/share/r/1DYKgqf… 🌟 Explore Coronary Circulation Anatomy! 🔍 Right Coronary Artery (RCA): 🔍 Left Main Coronary Artery (LMCA): 🎨 Anatomical Illustrations ✨🫀 #Cardiology #CoronaryAnatomy #CardiovascularMedicine #MedicalEducation 📚
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JorgeMD retweeted
🫀 FFR vs iFR: Which Coronary Stenosis Really Matters? Coronary angiography shows anatomy, but FFR and iFR reveal physiology—helping us determine whether a stenosis is truly causing myocardial ischemia. Thread 👇
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Coronary Artery Anatomy in d-TGA—Yacoub Classification🧐 👉Coronary anatomy in d-TGA varies substantially, from the usual Type A (1LCX-2R) pattern to intramural, interarterial, and looping courses around the great arteries.
💡AV-PV orientation in d-TGA #CHD #TEE🎢🪩 📌 The TEE ME AV SAX in d-TGA resembles the TTE PSAX in normal anatomy 📌 The TTE PSAX in d-TGA resembles the TEE ME AV SAX in normal anatomy ⚠️That said, beware that in d-TGA the GAs are in parallel and the LCA comes from sinus 1 ⭕️
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Real-time IVUS-guided wiring using a conventional pull-back IVUS system with a dual-lumen microcatheter was feasible in blunt proximal cap CTO lesions and can be considered whenever a suitable side branch is available onlinelibrary.wiley.com/doi/… @ccijournal
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JorgeMD retweeted
Back to the future - Lessons from past management of atherosclerotic coronary vascular disease that can guide contemporary PCI practice 📺 & 📰pcronline.com/Cases-resource… Reflecting on historical perspectives, this session replay imparts valuable lessons to guide PCI practice today: 🟣 best practices in vessel preparation 🟣the significance of DES 🟣a pathologist’s insight into mechanisms of PCI failure to improve patient outcomes. Physician team: @twj1974 , Patrick W. Serruys, @mc_morice, Bruno Scheller, @Antocol17, @AlokeFinn, Joanna Wykrzykowska #interventionalcardiology #EuroPCR
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1st 👨🏼‍🦰in Philly for Virtue Sirolimus AngioInfusion 🎈RCT for ISR #Restenosis #CardioTwitter @TJUHospital @djkereiakes @duanepinto @djc795 @rwyeh @mmamas1973 @mirvatalasnag @BavariaMd @GingerRT215 @SVRaoMD @DLBHATTMD @Hragy @aymanka @realarainmd 📸 pre/post Cutting 🎈+ DCB
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JorgeMD retweeted
Diffuse calcification: rethink the LAD strategy 🔗pcronline.com/Cases-resource… Normaly, extensive stenting offers good immediate results; however, different forms of treatment may improve long-term efficacy. In this #Euro4C case, @MdScarsini , @FezziSimone and @FlavioRibichini present the case of a 65-year-old man with diabetes, #hypertension and #dyslipidaemia, found to have multivessel CAD with extensive calcification and diffuse LAD disease. The case shows a stent-less approach to a very diffuse and moderately calcified LAD disease. #interventionalcardiology #CardioEx #CardioTwitter @sbrugaletta @deharo_pierre
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Delayed Distal Coronary Perforation After Successful Covered-Stent Sealing of a Proximal Ellis Type III Rupture: A Dual-Site Mechanism onlinelibrary.wiley.com/doi/… @ccijournal
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No se puede perder un segundo y hay que hacer un cateterismo lo antes posible. Tenemos que memorizar este electrocardiograma, junto con las imágenes de antes y después del cateterismo y de la reperfusión. Si retraso: no solo te puedes morir por FV, sino q te quedas sin corazón!
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JorgeMD retweeted
How I untwisted the twisted TIG@R catheter!
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One of the worst complications you can face as an interventional cardiologist. Quickly alert the OR, deep throat, put an 300cm Ironman, exchange for a GC, and put an oversized stent hoping for stabilization: risks include tamponade and/or stroke!
CathLab Nightmare: Female, 70yo, NSTEMI. MidLAD culprit lesion. When I injected the last one at RCA to begin LAD PCI, this happened… @FurquimThyago @nicedoc @Hragy @DFCapodanno @djc795 @gbiondizoccai @CMichaelGibson @DrMarthaGulati @KPujdak @sbrugaletta @adrianocaixeta
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