Thrilled to serve as Co-Director of the next @scaielm cohort with @jaygirimd! See you all next week in Miami at @SCAI Fellows, and then Montreal this Spring (structural tract will be sweet, led by @mszerlip) Not a member yet? Time to join! @SrihariNaiduMD @JDawnAbbott1

How will you counsel your patient who is taking a NOAC lifelong- but has a strong preference not to- when they ask you about the choice of LAAC vs. NOAC? On behalf of my co-investigators, I will present late-breaking science #ESCCongress 2026 in Munich to further answer this question. This meta-analysis by @DFCapodanno @LaudaniClaudio and others includes the landscape of #LAAC trials from the past two decades. A similar one was published in #JACC Clin EP this year. Current @ACCinTouch @escardio guidelines encourage NOAC over warfarin, making PROTECT and PREVAIL- using warfarin as a comparator, with a prior device iteration- less relevant. Other, more recent trials included in the meta-analyses focus on higher risk patients with great medical complexity. Contemporary devices and techniques have led to improved safety, with National Cardiovascular Data Registry (NCDR) SURPASS Registry supporting real-world complications lower than 1%. lnkd.in/ggw6kMHT For patients with #AF who are indicated for lifelong #OAC (i.e. higher CHADS2VASC, lower bleeding risk), with today's contemporary devices and medications: what is the relevant data to inform patient-centered #shareddecisionmaking? Join me Monday August 31 at 1:00 pm for what is sure to be a passionate discussion.

When it comes to severe AS, I’ve heard firsthand how a “wait & see” approach can be a mental burden for pts. I'm collaborating with @EdwardsLifesci to highlight the importance of talking to pts about earlier treatment options & helping make the right choice with them.

Excited for our work to be available to teams! @SCAI

📣NEW @SCAI Document: Enhanced #radiationprotection should no longer be optional. This consensus defines the ethical & legal duty across governments, manufacturers, & health care institutions to reduce preventable #occupationalrisk. Read in #JSCAI today: ➡️jscai.org/article/S2772-9303… @RizikMd @nadia_sutton @AlexandraLansky @mirvatalasnag @MCoylewright @AGoldsweig @djkereiakes @RyanMadderMD @Drroxmehran @wjn_md @SVRaoMD @KTamirisaMD @Pooh_Velagapudi @anvoramd @CelinaMYongMD @Herms2James

Sponsored by @EdwardsLifesci | I've had this happen. You see a severe aortic stenosis patient and they're asymptomatic. Next time you see them, they've unexpectedly landed in the hospital. The question is, how common is this? Has this happened in your practice?

Haytham Allaham, MD; Megan Coylewright, MD (@MCoylewright); and Mukta Srivastava, MD (@smuktas), explore how automation and AI have the potential to reshape the TAVR landscape by improving disease detection. citoday.com/articles/2026-ma…

The high level science @MyJSCAI continues to demonstrate best practices among cardiology journals. Don't miss this issue.

#ACC26 This was an incredibly impactful session- while I love geeking out on all the technical details in my field #IC- I recognize that often the most challenging task- and requiring more preparation and skill- are the conversations we have with our patients as we guide them down complex #shareddecisionmaking paths. True experts deliver here on those needed skills. @jae_patton @KadijahPorterMD @SammyElmariahMD @VietHeartPA

This is a critical time for #IC @SCAI and confident in the care and commitment Dr Dawn Abbott has always shared with her interventional community. @scaielm

AI is an important part of our #structuralheart future, but cannot replace what we get back from close collaboration and friendship with colleagues. Great to work with you again @smuktas !

🥊 It’s debate ⏰ time. See top 🫀 cardiology minds go head-to-head on today’s toughest questions at #HeartofCardio 2026 in Miami Beach. 🔗 heartofcardio.com/ Join dream team: @ba_steinberg | @ChiadiNdumele | @MCoylewright | @AJBloodMD | @manesh_patelMD | @HeartDocSadiya | @garshick

In this dual-center cohort of TEE-guided LAAC, the overcompression group was independently associated to a higher rate of LAA occlusion at TEE follow-up. Get the details in #JACCCEP: jacc.org/doi/10.1016/j.jacep…

🚀 The Pulse is live — and women in cardiology are showing up. Hundreds are already using @WomenAs1’s new platform to connect, find opportunities, and stay at the forefront of science. 💫 No surprise that Career Opportunities is leading the way 👀 How are you using The Pulse? 👇 🔗 womenasonepulse.org #ThePulse #WomenInCardiology #WomenInMedicine #Leadership 💜

When all cardiologists are equitably and visibly valued for what they bring to the table, it can impact an entire field. Without it, we fail to attract top talent.

Dangers of a Sedentary Lifestyle on the Heart piped.video/kF_GwL9G-Qo?si=WbQ2… via @YouTube It has been a decade and the information is still solid. 👊🏾 cardiosmart.org/assets/infog… #CardioSmart @ACCinTouch @Intermountain @AAPAorg @APAC_Cardiology @UtahAPA

Cardiac Imaging Pearls in Bicuspid AS From EuroIntervention: eurointervention.pcronline.c… 1️⃣ CT is King for BAV TAVR •Essential for defining raphe, leaflet morphology, calcium burden, annular shape, and ascending aorta size. •Identify heavy/rigid raphe → predicts expansion issues + PVL risk. 2️⃣ Measure More Than the Annulus •BAV = elliptical, asymmetric. •Consider supra-annular sizing or “virtual raphe ring” when annulus doesn’t tell the whole story. 3️⃣ Calcium Mapping Matter •High calcium → higher risk of malexpansion, rupture, stroke. 4️⃣ Delineate the Aorta •BAV often comes with root & ascending aorta dilation. •CT aortography crucial for deciding TAVR vs SAVR when aortopathy present. 5️⃣ Coronary Heights in BAV Are Tricky •Asymmetric cusp fusion can distort coronary takeoff. High/ eccentric take off •Carefully assess coronary height + sinus size. 6️⃣ Echo Complements CT •TTE: Hemodynamics, gradient confirmation, LV function, AR degree. •TEE: Intra-procedural alignment & PVL detection especially in challenging anatomy. 7️⃣ Post-TAVR Imaging is Not Optional •BAV valves may expand asymmetrically → follow-up echo ± CT for durability and PVL assessment. #Echofirst #YesCCT #CVimaging

Intracardiac echo for LAAO is effective vs TEE. Let's make room in the lab for other therapies that require GA! Reminders for mod sedation: LA pressure >12, no snoring or deep breaths, & attention when catheters open to air. Our work here: jacc.org/doi/10.1016/j.jcin.…

Small, intimate meetings have a wonderful vibe of collegiality, laughter, a little gentle teasing, and some of the most impactful education as we get vulnerable to share what we learn in this challenging work. Thank you to all who joined, and espectially @OPCILive @CathElectroSurg Brian Whisenant for hosting!

📢There is one week left to submit late-breaking science for #SCAI2026! Showcase your recent discoveries at one of #InterventionalCardiology's largest events to help improve the field and patient outcomes. Submit late-breaking science by January 21➡️ scai.confex.com/scai/2026/cf… #CardioX #Research