Out in @CircAHA our clinician's corner on Postpartum Monitoring for Hypertensive Disorders of Pregnancy Through Community-Clinical Linkages | Circulation doi.org/10.1161/CIRCULATIONA… by @fmetlock @modeldoc @DrKLindley and me highlighting the importance of community care models in HDP

How are new catheter-based tech and blood return changing pulmonary embolism care? Dr. Chris Beck (@beckcj), Dr. Julie Bulman (@juliecbulman) , and Dr. Jay Giri (@jaygirimd) break down PERT workflows, device selection, and why autologous blood return is changing the way we treat PE. Listen on the BackTable app: na2.hubs.ly/H07Z_ym0 This podcast is supported by Endovascular Engineering (E2).  #VI677 #CV53 #PE #PERT #MedEd @PERTConsortium @HadyLichaaMD

Anyone doing this- prolonged balloon inflation during STEMI “primary PCI assigned 1:1 to POP (stent inflation to ≥14 atm maintained until pressure stability, defined as no pressure drop ≥0.3 atm over 30 seconds) or conventional rapid inflation–deflation stenting” #CardioX

Check out a recent CathMasters by @CardioNerds: Using a simulated case of Impella-supported high-risk PCI in a patient with severe bilateral iliofemoral PAD, the team walks through a step-by-step proctor playbook 👏👇 backtable.com/shows/cathmast…

Sham-controlled, randomized, and double-blind: the COSIRA II trial has the makings to make big waves in the management of refractory angina. @ziadalinyc This podcast is supported by @ShockwaveIVL. #angina #PCI #CAD #coronarysinusreducer #COSIRA #stresstest #CV14

The use of antiplatelet therapies often requires a delicate balance between bleeding and clotting. Drs. Hady Lichaa and Hayder Hashim discuss how the pharmacokinetics of some of the most commonly used antiplatelet drugs, such as Clopidogrel, Prasugrel and Ticagrelor play into their use. Dr. Hashim explains how cases of Acute Coronary Syndrome (ACS), unstable angina and myocardial infarction tend to involve simpler lesions and thus procedures are completed quicker than cases which involve calcium modification. When Dr. Lichaa inquires about GP2b3a (Glycoprotein IIb/IIIa) inhibitors, Dr. Hashim highlights their use when there are large thrombus burdens or if there is no re-flow or slower flow during procedures. GP2b3a (Glycoprotein IIb/IIIa) inhibitors are used with caution due to their bleeding risks and prolonged effect, but P2Y12 inhibitors such as IV Cangrelor, have a faster wash-out period. Watch the full episode here: piped.video/KhK2SI9vZN8?si=G6VA… This campaign is supported by an educational grant from Chiesi. #CV19 #AcuteCoronarySyndrome #ACS #AntiplateletTherapy #DAPT #MyocardialInfarction #STEMI #InterventionalCardiology

@HadyLichaaMD shares his approach to a case of severe chronic iliac vein stenosis with @SDhandMD in a recent backtable cases session 👏 here's a teaser 😘 #medEd #IC #irad @DrJayMohan @EricSecemskyMD @JayMathewsMD @KateKearney4 @AmitGoyalMD

🫀 CardioNugget™: Who is at highest risk for radiation-induced heart disease (RIHD)? • Radiation at age <50 • Pre-existing CV risk factors/CVD • High cumulative dose >30 Gy or fractions >2 Gy/day • Tumor in/adjacent to the heart • Anterior/left-sided chest radiation • Older techniques: lack of shielding/cobalt radiation • Concurrent chemotherapy — especially anthracyclines 💡 RIHD can manifest years later as CAD, HF (often HFpEF), valvular disease, pericardial disease, conduction/autonomic abnormalities, and porcelain aorta. #CardioNugget #CardioOncology #Cardiology #MedEd

What does it take to build a pulmonary embolism response team (PERT) when you are not at a large academic center? Dr. Harris Chengazi (@ChengaziMD) asks Dr. Timothy Fernandes (@DrTimFernandes) and Dr. Robert Lookstein (@roblookstein) how their teams handle PE alerts, first-call responsibility, and escalation to ICU or ECMO, all while working within their available resources. Access the full episode in the BackTable app: backtable.com/shows/vi/podca… This podcast is supported by Penumbra. #VI671 #CV50 #PulmonaryEmbolism #PERT #InterventionalRadiology #CriticalCare @MountSinaiDMIR @ucsdpccm

Tomorrow's the 49th anniversary of Andreas Gruentzig doing the 1st coronary angioplasty. Watch this extended version of the story, told by those who were there: Adolph Bachmann (1st patient) Bernhard Meier (his doctor) & Maria Schlumpf (Gruentzig's assistant). Next year's the 50th: surprises coming! #AngioHistory

🫀 CardioNugget™ — Low-Attenuation Plaque (LAP) on CCTA LAP burden >4% = high-risk threshold for future MI. In SCOT-HEART: LAP = typically <30 HU LAP burden = LAP volume / vessel volume × 100 >4% LAP burden → ~5× higher risk of future fatal/nonfatal MI (HR 4.65) This predicted MI independent of CAC score, stenosis severity, and clinical risk factors. (PubMed Central (PMC)) Board pearl: Low attenuation = lipid-rich/necrotic plaque → >4% burden = ↑ future MI risk. So the 4% refers to the percentage of the coronary vessel volume occupied by low-attenuation plaque, not 4% stenosis and not a calcium score. #CardioNugget #Cardiology #CCTA #CardiacCT #CoronaryCTA #Atherosclerosis #CoronaryArteryDisease #CAD #Plaque #LowAttenuationPlaque #PreventiveCardiology #CardiacImaging #MedEd #CardioTwitter #CardioX

Today, we also celebrate one year of BackTable Cardiology: a platform built to champion you, the community driving innovation, growth, and meaningful impact in patient care. Thank you for being part of the conversation, sharing your expertise, and growing with us along the way. One year down, many more to come. 🫀 #interventionalcardiology

QnA is now in session for this case! click on the link to the case in the app and ask your question under comments ✋🤙 backtable.com/shows/vi/cases…

🫀 CardioNugget: Chiari Network Chiari Network = a benign embryologic remnant in the right atrium • Net-like, highly mobile structure near the IVC–RA junction • Seen in ~2–3% of adults • Best visualized on TEE (can be missed or misread on TTE) • Key pitfall: can mimic RA thrombus, vegetation, or flail tricuspid leaflet • Often associated with PFO/ASD → may facilitate paradoxical embolism • Can entrap catheters, pacer leads, or guidewires during procedures • Usually no treatment unless procedural complications or embolic concern #CardioNuggets.

What’s the best way to pair Y90 and immunotherapy for liver cancer? Dr. Beau Toskich (@BeauToskichMD), Dr. Lingling Du, and Dr. Tyler Sandow (@bayouteazy) discuss real-world timing, how to handle side effects, and why patient needs and institutional workflow often guide the sequencing choice. Access the full episode in the BackTable app: backtable.com/shows/vi/podca… This podcast is supported by an educational grant from Sirtex and Boston Scientific. #VI659 #HCC #Y90 #HCCCreatorWeekend #Immunotherapy @MayoClinicFL_IR @OchsnerHealth @AaronFrittsMD @beckcj

@_backtable cases - Iliac reconstruction by @EricSecemskyMD WATCH 👀 how to treat bilateral common iliac disease, using some key tips with IVUS and IVL. Lots of good wisdom dropped on this one, thanks @EricSecemskyMD Episode: backtable.com/shows/vi/cases… @AaronFrittsMD @beckcj @bahetimd @JMichaelBarraza @kmadass @AmputationSuck @JayMathewsMD @_backtablecards

#CardioNugget: 🔹 RAO Caudal vs RAO Cranial in Coronary Angiography: -RAO Caudal → Best for LM bifurcation into LAD & LCx. Poor for distal LAD/LM. -RAO Cranial → Best for mid & distal LAD + septals/diagonals. Poor for LM bifurcation. 👉 Caudal = LM bifurcation clarity 👉 Cranial = distal LAD & branches clarity The circles indicate the areas that are not well seen in each view. Images from : thoracickey.com/angiographic… #CardioNuggets #CathPearls #MedEd

#CardioNugget: Anomalous coronary artery: CT findings linked to sudden cardiac death. • Course between the aorta and pulmonary artery • Course within the aortic wall • Slit-like coronary opening • Sharp takeoff angle from the aorta • Narrowing of the first segment of the artery Most concerning: left coronary artery arising from the right aortic sinus. #CardioNuggets #Cardiology #Imaging #MedEd #EPeeps