🆕~Just Published~🆕 SAFE-SEAL: A Bail-Out Technique for Percutaneous Femoral Closure After Failed Hybrid Closure Read it now in Early View 👉 hubs.ly/Q04yFR_M0 @DLBHATTMD #cardioTwitter #cardioX #cardiology #interventionalcardiology

PFO closure (in the appropriate patients) is one of the best interventions Data is telling everything..

Aortic stenosis: don’t grade severity from AVA alone. Echo assessment of AS should be integrative. For severe AS, the classic concordant parameters are: 🔵 Vmax ≥4.0 m/s ⚪ Mean gradient ≥40 mmHg 🔴 AVA ≤1.0 cm² ⚫ Indexed AVA ≤0.6 cm²/m² can support severe AS, particularly in patients with small body size. ( But what if the numbers disagree) That is where the real echocardiographic reasoning begins. 1️⃣ First, check for measurement error, especially LVOT diameter, LVOT VTI and Doppler alignment. 2️⃣ Then assess flow status: Low flow: SVi ≤35 mL/m² A patient with AVA ≤1.0 cm² and mean gradient <40 mmHg may have low-flow, low-gradient AS, with interpretation depending on LVEF and the clinical context. In selected discordant cases, CT assessment of aortic valve calcification can provide important additional evidence of stenosis severity. The 2025 ESC/EACTS guidelines emphasize multimodality assessment when severity remains uncertain. #Echocardiography #Cardiology #AorticStenosis #ASE

🚨 Now accepting applications for the CHIP/CTO Fellowship at Henry Ford Hospital! 🚨 Advanced training in complex high-risk PCI and chronic total occlusion interventions with a leading interventional cardiology team. 📅 Deadline: October 1st Link 👇🏻

Post-dilatation using the balloon-expandable valve delivery balloon with same volume (double-tap) to optimise transcatheter aortic valve expansion ow.ly/UpkS50ZGQuJ #ESCCongress #EHJVSHD @EHJVSHDEiC @MarcoMetra

Prasugrel versus Ticagrelor in Acute Coronary Syndromes: @NEJM #ESCCongress2026 #ESCCongress 🥸 So many good trials - and STAREE is coming - SWITCH-SWEDEHEART 😱 Effient vs Brilinta in ACS - take a look 👇👇👇👇

Presented at #ESCCongress: Among patients with ST-segment elevation myocardial infarction and multivessel disease, physiology-guided angiography led to a lower risk of major cardiovascular events than conventional angiography-guided treatment. Full AIR-STEMI trial results: nej.md/456gAFu @escardio

You just managed to memorise the definition of MI? Hard luck! Here is a new one! #ESCCongress

We've not understood why SGLT2 drugs (like empagliflozin, Jardiance) have marked protective heart benefit. Today @ScienceMagazine a mechanism unraveled for improving cardiac metabolism and fuel efficiency science.org/doi/10.1126/scie…

Must-read tutorial on rotational atherectomy through guide extension catheters, courtesy of the Journal of Inverventional Cardiology onlinelibrary.wiley.com/doi/…

NEW 2026 #ESCGuidelines - Fifth Universal Definition of Myocardial Infarction (2026) 👇 ow.ly/yn8J50ZGofb #ESCCongress

The call for nominations for the next class of Assistant Editors for @CircIntv is now open! Several of our previous Assist Editors have gone to become Editors at other major journals. More information about the program here: ahajournals.org/esc

Our TAV-in-TAV paper with TVT Registry data just out on @JACCJournals. @vinesteves @ACUkaigweMD @HarringtonHVI @GilbertTangMD @OhnoTuri @JustinMDunn @SMPatelMD @shishem @DanSimonMD @bapat_savrtavr @UHhospitals jacc.org/doi/epdf/10.1016/j.…

How to approach calcified coronary lesions in contemporary PCI? This State-of-the-Art review exploreD the role of intravascular imaging and available plaque modification strategies, offering a practical algorithm to guide treatment and optimise PCI results. eurointervention.pcronline.c…

VanSCAD 2026! Register now! @docsaw

✨Video of the Week: Adaptive Use of a Large-Bore Sheath to Access the Right Ventricular Outflow Tract in a Pediatric Patient ▶️ hubs.ly/Q04pNnsH0 @DLBHATTMD #cardioTwitter #cardioX #cardiology #interventionalcardiology

Among patients with multivessel coronary artery disease who were in stable condition 1 year after stenting, an additional year of DAPT led to a lower risk of ischemic events than aspirin alone, without increased bleeding. Full DAPT-MVD trial results: nej.md/4wLDIox Editorial: Balancing the Scales — Extended DAPT in Coronary Artery Disease nej.md/4gAVqpZ

In my view, the result is perfectly logical: in a population at high ischemic risk and low bleeding risk, prolonged DAPT works. The real question is: works compared with what? Today we have several de-escalation strategies and alternative approaches that reduce ischemic risk without the same bleeding burden. The DAPT-MVD trial reinforces a key concept: patient selection is what ultimately determines the net clinical benefit of antiplatelet therapy. nejm.org/doi/full/10.1056/NE…

Protruding aorto-ostial stents can preclude safe TAVR. The RASE technique, integrating reverse hairpin re-entry, intentional fracture & snare extraction, offers a out-of-the-box controlled solution. Honored to contribute to this work in @JACCJournals Case Reports with @RaghavG_MD et al. doi.org/10.1016/j.jaccas.202…

Redo TAVR success isn’t just about choosing the right valve it’s about choosing the right implantation depth Frame height combinations require different strategies to optimise haemodynamics, preserve coronary access and reduce coronary obstruction risk #cardioed @TAVRBot