Nightmare in the cath lab 😱
The balloon gets stuck after post-dilation. It gets worse the shaft breaks when you try to pull the system out - you can't retrieve it, you can't snare it.
😨What would you do?
@jeroen_sonck @jcspratt @PCRonline
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Carlos Collet MD PhD
1,375 posts
Carlos Collet MD PhD
@ColletCarlos
Interventional Cardiologist. Physician-Scientist. Director of Cardiovascular Imaging, Physiology and Translational Therapeutics at CRF
New York, NY
Joined June 2013
- 🚨 Game changer in cardiac imaging 🚨 Non-invasive #CCTA is no longer the future — it is the new standard for stent evaluation. Photon Counting CT revealing stent strut details and subtle edge hyperplasia @PCRonline @TCTMD @Heart_SCCT @CoreAalst @ESC_Journals
00:00 - The game just changed in cardiology! 🫀 Coronary CT #CCTA can now assess coronary microvascular dysfunction – a huge leap forward in diagnosing and treating microvascular disease. 🌟 This could reshape how we approach #CMD 🔥Just published @JACCJournals sciencedirect.com/science/articl…
- 🚀 Coronary Physiology Breakthrough!💎 🗝️The LAD has a lower post-PCI FFR compared to the right and circumflex arteries (0.86 vs 0.93) 🔍 But here's the real twist: The link between post-PCI FFR and MACE is 📈 stronger in the non-LAD arteries 🔍Post-PCI FFR is vessel specific
- Acetylcholine testing for coronary spasm in the cath lab: A protocol that should become standard of care for patients with ANOCA. @VijayKunadian @PCRonline @ESC_Journals @JEscaned
- Angina improvement can be predicted before PCI using FFR pullbacks 🔑 @JACCJournals jacc.org/doi/10.1016/j.… This might change the field of coronary artery disease 👇 here is why 1/7
- I'm thrilled to share that we've successfully completed randomization of 1,104 patients with severe coronary artery disease in the #P4 trial, comparing CT-guided PCI vs. IVUS-guided PCI. This marks a major milestone in one of the most ambitious trials in interventional
- 🔥PPG Global has just been published in @CircAHA PPG is a new metric that complements FFR informing about the benefit of PCI in patients with coronary artery disease ahajournals.org/doi/10.1161/CI… @PCRonline @CoreAalst @TCTMD @wfearonmd @ziadalinyc @JEscaned @jcspratt
- We are entering a new era in coronary revascularization—where predicting PCI success becomes central to clinical decision-making. Our latest view on how this shift is reshaping the field sciencedirect.com/science/articl… @CardioAalst @PCRonline @TCTMD
- CT PCI Planning of a Calcified CTO of the RCA in #P4 @ziadalinyc @sbrugaletta @yadersandoval @Bhcintervention @jcspratt @PCRonline @TCTMD @SCAI Incredible reconstructions @CoreAalst
- #CCTA Pre-procedural PCI planning of severely calcified right coronary artery 🔑 Ostial concentric calcification 🍖Ring of calcium in the mid-segment 🌖 Distal eccentric calcifications @EmanueleBarba13 @ziadalinyc @jeroen_sonck @CoreAalst
- Ready to welcome all the participants for the 5th edition of the Coronary CT course dedicated to interventional cardiologists 🗓️9/10 October ✅ Hands on session set up! 👨🏫Stellar faculty 🎬 Live cases from @CardioAalst @BernardBruyne @ESHLOF @yadersandoval @AntonioMariaLe2
- 🔥FFR (before CABG) influences graft patency at 12m ONLY for arterial conduits 🔥Vein graft patency is NOT affected by lesion severity, but they fail more than arterial graft FFR is a valuable tool to guide surgical arterial revasc @jaccjournals jacc.org/doi/10.1016/j.…
- 🚨 A beautiful helical 🧬 calcified pattern in the proximal LAD – the importance of calcium distribution has never been clearer💡 No doubt #CCTA is rising as the go-to method to plan for calcium modification. @jcspratt @PCRonline @ziadalinyc @TCTMD @rotamonster @yadersandoval
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