MD | Coronary & Structural Heart Interventions | Head of Interventional Cardiology | Hannover Medical School

Hannover, Germany
Joined November 2011
2026 EHJ - Myocardial Bridging: A Practical Guide for Clinicians academic.oup.com/eurheartj/a…
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Tobias Koenig retweeted
Not sure how it works where you are, but many PCI reports I see end with a somewhat self-absolving statement about "excellent procedural success", based largely on the operator’s visual estimate (i.e., the judgment is in the eye of the beholder). Well, this study shows that when success is defined using standardized criteria and assessed by a core lab, things look quite different and success rates drop substantially. ORIGINAL RESEARCH: eurointervention.pcronline.c… EDITORIAL: eurointervention.pcronline.c…
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Proposed Standardized Nomenclature for Coronary Anomalies JACC 2026 jacc.org/doi/10.1016/j.jcmg.…
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🆕~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
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Tobias Koenig retweeted
Just accepted in JACC: Cardiovascular Interventions: a proposed common language for valve-in-valve TAVR, harmonizing procedural planning across TAV-in-SAV and TAV-in-TAV. 🔗 jacc.org/doi/10.1016/j.jcin.… Thank you @SyedZaidMD, @miho_fukui_, @bapat_savrtavr, @GilbertTangMD and Ole De Backer for this collaboration. 🙏 #TAVR #RedoTAVR #ReTAVI #revalve #ViV
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Tobias Koenig retweeted
1/2 Our updated meta-analysis of intravascular imaging guidance publ in JACC. Since our last synthesis in Lancet 2024, there have been 6 new RCTs with 8,670 additional pts. Total is now 28 RCTs with 24,634 patients with mean FU 22 mos. Should be enough for a definitive answer!
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✨Video of the Week: Impella Entrapment in the Mitral Subvalvular Apparatus in a Patient With Dilated Cardiomyopathy: Snare-Assisted Retrieval ▶️ hubs.ly/Q04xMj4D0 @DLBHATTMD #cardioTwitter #cardioX #cardiology #interventionalcardiology
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Tobias Koenig retweeted
International Day for Interventional Cardiology: the first coronary #angioplasty On 16 September 1977, Andreas Grüntzig & his team made history, and changed the lives of millions of patients forever. Standing on the shoulders of the giants that came before him, this transformative vision led to an entirely new field of medicine. What began nearly five decades ago with coronary angioplasty has grown into the broad field of interventional cardiology, transforming cardiovascular care through research, innovation and technological progress. As the field has evolved, so has the need to learn from experience, share knowledge and shape what comes next. Join us in 2027 at #EuroPCR to mark this landmark moment! 📅pcronline.com/Courses/EuroPC… #medicalhistory #interventionalcardiologist #cathlab #cathlabteam @NievesGonzalo1 @CuissetDr @nicolasdumonte1 @EmanueleBarba13
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Post-dilatation using the balloon-expandable valve delivery balloon with same volume (double-tap) to optimize transcatheter aortic valve expansion, just published in #EHJVSHD ow.ly/EGPH50ZN7B4 @EHJVSHDEiC @PanichellaG @giorgia_benzoni @AMaznyczka
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Tobias Koenig retweeted
In 685 LAD #CTO pts undergoing #IVUS-guided CTO #PCI, myocardial bridges were present in 57.4% & linked to higher 5yr #MACE (16.1% vs 8.9%). Risk was driven by stent extension into the bridge. Sparing the bridge eliminated the difference. jacc.org/doi/10.1016/j.jcin.… #JACCINT
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IVUS-guided analysis of LM crossover PCI demonstrated that suboptimal stent expansion independently predicts adverse 5-year outcomes. Optimising MSA is critical for long-term success. 🔗eurointervention.pcronline.c…
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Tobias Koenig retweeted
New state of the art review paper on the phenomenon of neoatherosclerosis after coronary stenting published. #stent #DES #restenosis #neoatherosclerosis #cardiotwitter @ESC_Journals @escardio
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New online! Intracoronary imaging in percutaneous coronary intervention: why, when, how and which from large, randomized trials dlvr.it/TVHrzV
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New ESC EACVI/CCP consensus in the European Heart Journal: a practical guide to cardiac CT for every cardiologist, from first-line CCTA in suspected coronary disease to calcium scoring for statin decisions. academic.oup.com/eurheartj/a…
🤖 Made with AI
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Tobias Koenig retweeted
Presented at #ESCCongress: Among patients aged 65 to 80 years undergoing #TranscatheterAorticValveImplant for severe aortic valve stenosis, monotherapy with a factor Xa inhibitor non-vitamin K antagonist oral anticoagulant reduced hypoattenuated leaflet thickening on 4-dimensional cardiac computed tomography vs acetylsalicylic acid monotherapy. These findings suggest that anticoagulation may improve prevention of subclinical leaflet thrombosis after transcatheter aortic valve implant in selected patients. ja.ma/4ybi5yB
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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
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NEW 2026 #ESCGuidelines - Fifth Universal Definition of Myocardial Infarction (2026) 👇 ow.ly/yn8J50ZGofb #ESCCongress
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NEW 2026 #ESCGuidelines for the management of heart failure 👇ow.ly/km3250ZGoe9 #ESCCongress
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Tobias Koenig retweeted
Optimized balloon-expandable transcatheter aortic valve implantation (achieving optimal coaxiality, depth, and expansion) improves early procedural safety and long-term THV durability. @lukavitez authors.elsevier.com/sd/arti…
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This is one of my favorite cathlab hacks, thrilled to finally see it published! Stuck with high equipment friction during complex CTO PCI and no Rotaglide in the lab? 💡🫀 Check out our latest paper in @ccijournal : The Propoglide Technique! We describe using a small volume (0.3–0.8 mL) of propofol 1% emulsion as an off-label lipid lubricant to rescue: 1️⃣ Stingray balloon guidewire lumen fatigue (ADR) 2️⃣ Microcatheter inner lumen resistance 3️⃣ Retrograde externalization with non-dedicated wires A practical, low-cost solution to restore lubricity without device exchange. 🔗 doi.org/10.1002/ccd.70831 #CardioTwitter #CTOPCI #InterventionalCardiology #MedTwitter
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