You Are Invited! 🚀 I am excited to invite everyone to join the @UTHeartVascular Heart & Vascular faculty and fellows at #TCT2026 in San Diego! Nov 1–3 🌴 We’ll be diving into CTOs, calcium management, MCS, shock, structural interventions, and more! 😀 Come find us, say hi, and let’s learn together! #TCT2026 @UTHealthHouston

Takes One to Know One! Excellent hack from @jbspadoni to distinguish wire-induced spasm from dissection or geographic miss. 👌🏼😀 The real wonder is not that it works, but why? 👉🏼 The caravel has a hollow core and braided shaft, matching the coronary shape once the wire is removed. 👉🏼 Wire shafts, however, are stiff despite being thinner—thus more likely to induce spasm, even with a soft tip.

Learning to Take the Path Less Traveled Three of the best cases at @ctoessentials 2026 involved epicardial collateral crossing by the best in the business: @DrBIqba, @RinfretStephane, and Alex Nap. I applied those lessons as soon as I returned to Houston! Here is the case. 😀

Compartimos un caro del Dr @mornei2011 #CardioX #hemodinamia #LATAMBif #bifurcacioncoronaria #cardiology

Contentos una vez finalizado el OMG XI. 8 casos en vivo, fáciles, difíciles, imposibles,pero con importantes learning points. El éxito gracias a los asistentes. @OjedaOjeda18 @JuradoRomanAl @shci_sec @ignamatsant @Hemodin_LaPaz @pepp183 @AntonioGomezM21 @PCRonline @NievesGonzalo1

I did my first retrograde CTO PCI in 2009 with my close friend @RumoJose Since then I have performed hundreds of CTO cases, usually challenging and rewarding, but sometimes frustrating too… But I still enjoy facing every CTO and sharing tips and tricks with my team 🙂

Compartimos nuestra publicación en @PCVDJournal 👍. La experiencia utilizando la tomografía coronaria como estrategia de estudio inicial en SCA de bajo e intermedio riesgo!

An incredible number of trials published simultaneously in the NEJM: I honestly can’t quite wrap my head around what is happening. Congratulations to everyone involved. It was difficult to choose only five trials, but these are the ones I selected for the interventional cardiology highlights. #ESCCongress

6/6 The take-home for complex PCI: Protection is not immunity. Mechanical support may preserve perfusion and reduce the need for rescue pharmacology, but it does not eliminate the myocardial consequences of ischemia. LOPP should not simply be interpreted as “device failure”—it may be a marker of severe ischemic intolerance and ventricular stunning. And perhaps the most important question is not: “How many rounds can we safely fight?” …but: “When are additional rounds no longer worth fighting?”

🧵 New @JACCJournals study from #CHIP-BCIS3 provides an important physiologic look at #Impella-supported high-risk #PCI—and challenges how we think about “protected PCI.” The key message: hemodynamic support ≠ myocardial protection. 1/6

Congratulations to @Bernard_TW_Wong et al for this excellent practical paper on active SB protection in provisional stenting with case examples, IVI images and illustrative descriptions. Thanks for including me. Lets simplify our learning to improve outcomes for patients

Grateful for the invitation to participate in @sbhci discussing about #ComplexPCI #ELCA #LM_PCI and the “final therapy” (#DEB #DES #BVS and #Bioadaptor). Also a great pleasure to meet good friends from #LATAM Looking forward to seeing you soon again. @Philips @bostonsci

Tough conversations, program building, career planning, and of course clinical pearls on complication management at #CompCourse2026 @crfheart

MANEJO DE FALLA CARDÍACA CON FE PRESERVADA Consenso expertos ACC 2026 🔴Diagnóstico 🔴Patologías imitadoras 🔴Tratamiento médico óptimo 🔴Tratamiento de comorbilidades Vía @JACCJournals #HFpEF jacc.org/doi/10.1016/j.jacc.…

🏝️Solution to the case pt.2:👨‍⚕️Multivessel Coronary Disease in daily practice. Neisser Morales, Interventional Cardiology Department. Hospital Adolfo Lopez Mateos ISSSTE. Ciudad de México🇲🇽 🎬Edited by: @RumoJose, @foroic & @pipecardio.

Here is an older paper with some nice IVUS images. You are obviously very experienced at interpreting IVUS runs. This is a nice atlas for our colleagues who may be ‘re’-discovering the joys of IVUS! 😀🙏🏼

Or, is this a vein as suggested by @nyalborgesmd? IME, veins run across from one side of the circumference to the other. This space appears and lingers in the same position (6 to 8 o’ clock) before disappearing. Also, it has tapered edges (like a dissection), and it obscures the EEL. I think this may be deep injury to the adventitia from severe spasm. Not sure. But the pt. had bonafide STE and made some enzymes. I would wager the endothelium is abnormal in this segment - and in fact appears to be denuded in places.

Hevy calcification at the right coronary artery (RCA) ostium #RotaTripsy @realarainmd @mmamas1973 @mirvatalasnag @DrNataliaP @evandrofilhobr @LAzzaliniMD @Hragy @jedicath @foroepic @JuradoRomanAl @OjedaOjeda18 @Obisht @pipecardio @Rumo00 @TCTMD @Laserrman @brown_rye @AriotiManfredi @rickytiago

Solution to the case pt.1:👨‍⚕️Multivessel Coronary Disease in daily practice. Neisser Morales, Interventional Cardiology Department. Hospital Adolfo Lopez Mateos ISSSTE. Ciudad de México🇲🇽 🎬Edited by: @RumoJose, @foroic & @pipecardio.

Leave Nothing Behind? The Real Story on Drug‑Eluting Balloons podbean.com/eas/pb-hyaxr-1b1… DEB hype or real game changing in the coronaries-learn about AGENT and SELUTION -De novo