RT @MontefioreNYC: Research by @AndreaScotti21 and @azeemlatib establishes The Bronx-Valve Registry—the first study to examine the epidemio…

@tadano98 @realarainmd Thanks for sharing. So HDR appears to have at best a similar success rate compared with primary antegrade wiring?!

RT @zheng_md: First coronary microvascular physiology assessment with Dr. Kanei at @MonteHeart @MontefioreNYC! Exciting step in advancing c…

@MarekRadomski71 Thanks for sharing. Why was main vessel wire lost during DK crush?

RT @MontefioreNYC: Valvular heart disease is a key focus in cardiovascular medicine, but data on racial & ethnic groups is limited. @Andrea…

@TWilsonMD @Laserrman It could be significant, but how would you interpret the iFR right after a CTO PCI? I would think intravascular imaging might be better for diagnosis purposes in this scenario. But waiting to see if patient is symptomatic after treating the CTO is advisable in my opinion.

@TWilsonMD @Laserrman Maybe it does, but iFR > 0.94 is definitely more difficult to achieve in CTO PCI.

@jl35wilsonMD @realarainmd @aspergian1 @evandrofilhobr @Laserrman @TWilsonMD @simonjwilson1 @dr_oss @hwcc0314 @VRejeki28 @jianshanzhiyi1 @MauroCarlino3 @GLGasparini @prof_aaa1 @cghanratty @AEslamiDO @CatalinPToma @BrianLi_MD @Pardhu6627 @abadkhan2002 @kevinjamescroce @prajith3668 @dautov_MD @jbspadoni @MdM_Ochiai @BakhshiHooman @tadano98 The forward IVL is coming, it is called Javelin for peripheral and it will be developed for coronaries as well.

@jl35wilsonMD @agtruesdell 2/less operators* sorry maybe I should pay to be able to do longer posts 😅

@jl35wilsonMD @agtruesdell 3/ this comes at the expense of having a lot of STEMIs requiring lytics in lower population density areas. So a complex question to which I don’t have the answer. Ideally we would have high volume operators covering the whole territory but this is not realistic

@jl35wilsonMD @agtruesdell 1/That is a whole different question. My comment was just answering your question. As for what the minimum should be, it is a tough question, 100 would already be better than 50/yr. But the question is complex and with a higher minimum volume per operator you would need/have

@jl35wilsonMD @agtruesdell PCI volume is a major predictor of outcomes, especially in CHIP cases. About half of US operators perform < 50 PCI/yr and I don’t think they should tackle this type of case. Huge respect to operators recognizing their limits and transferring to high volume centers/operators

@MichaelMegalyMD Strong work!

@DrBIqbal @MichaelMegalyMD @KAlaswadMD @KambisMashayek1 @RinfretStephane @wjn_md @grantham_aaron @esbrilakis Interesting. So you would justify using an epicardial collateral so possibly keep this 1.5mm RV marginal open, which already fills retrograde from another collateral? It’s a juicy one, but personally I could not justify using it to preserve a branch that I would not intervene on

@MichaelMegalyMD @KAlaswadMD @KambisMashayek1 @RinfretStephane @wjn_md @grantham_aaron @esbrilakis ADR for me. It’s definitely an interventional collateral, but still epicardial. It’s a good one to do though. What did you do?

@evandrofilhobr Outstanding, love to see that. Always a pleasure to see your magic on display on this platform.

@realarainmd @Laserrman @DaitaroK Please provide me with more knowledge, I am hungry for it. I have learned that exiting a vessel with a MC is never benign. Please share your experience and hopefully some clips of MC perforation that did not lead to blood extravasation.

@realarainmd @Laserrman @DaitaroK 2/2 which I would discourage. When you advance a wire 2 or 40 mm in the pericardium, it does not make a difference, but at least it allows you to determine if it is in or out of the vessel. In HDR you only allow 2-4 mm of wire, which makes it very difficult to determine.