Nice work @drbkhia @Bernard_TW_Wong -
Jailed DCB simplifies bifurcation PCI which is always good!
Tom Ford retweeted
Bifurcation #PCI continues to evolve toward hybrid strategies 🫀
Combining provisional stenting with #DCB technology may offer a balanced approach for complex non-left main lesions.
🔗 brnw.ch/21x2vtO
@APSIC6 @EuroInterventio @PCRonline #InterventionalCardiology
Tom Ford retweeted
Welcome to the “skipping rope technique” for managing burr entrapment during rotational atherectomy, based on sequential counterclockwise rotational force is applied to the drive shaft, generating alternative torque dynamics onlinelibrary.wiley.com/doi/… @ccijournal
Stuck burr? The “skipping rope” technique is worth a quick try 🪢
We created an ex vivo model demonstrating the mechanics here:
youtu.be/x7HxbMFBJ-E
🔑 Key point:
Place the forceps over the interlocking hands, rather than the drive shaft rope itself.
🔄 The skipping rope motion appears counter-clockwise when viewed from the patient’s feet towards the head.
In our case, a combination of both techniques was helpful and reduced trauma to vessel. @Parko_85 @BrettCookman @cghanratty
Thanks for sharing @MichaelMegalyMD
A backtable illustration of a couple techniques you can use if the #Rotaburr gets stuck,
1-The skipping rope technique.
We have known it for a couple years, and it was recently published
onlinelibrary.wiley.com/doi/…
2-The final resort of cutting the rota driveshaft and advance a guideliner through it to get more leverage to pull.
Of course the first thing you do is to pull hard and maybe try to balloon around it, but those can help with tougher situations.
#CardioX community, please share your additional tips and comments
The Lus! Nice case
Lusoria comes from the Latin verb ludere → “to play,” so lusoria roughly translates to:
“playful”…
We must remember that rather than the usual expletives when this variant is found!
Great role model and all round legend! Well done @JustinRose99
"Keep believing boys."
@JustinRose99 with wise words for all the 45-year-old dads out there 💪
Tom Ford retweeted
Medicine keeps reminding us how temporary our “truths” are.
Today’s NEJM data: in high-grade carotid stenosis without recent symptoms, stenting lowered 4-year stroke/death vs intensive medical therapy while endarterectomy didn’t show a significant benefit.
Guidelines, dogmas, and routines… all provisional.
We’re always just catching up with the evidence.
Among patients with high-grade stenosis without recent symptoms, the addition of stenting led to a lower risk of a composite of perioperative stroke or death or ipsilateral stroke within 4 years than intensive medical management alone. Carotid endarterectomy did not lead to a significant benefit nejm.org/doi/full/10.1056/NE…
🌅 Live & work near the beach!
Our Central Coast Local Health District Cardiac Research Unit is hiring a Lead Cardiac Research Nurse / Unit Manager.
Join a supportive team, work with engaged patients and contribute to meaningful cardiac research.
🕒 Applications close Wednesday → jobs.health.nsw.gov.au/inter…
Tom Ford retweeted
PROCTOR RCT in prior-CABG: when both strategies were feasible, SVG PCI had lower 1-yr MACE than native-vessel PCI (18.7% vs 34.3%) with less target-territory MI and revasc; similar mortality. Findings challenge “native-first” guidance, long-term data awaited. #TCT2025
Tom Ford retweeted
The 10-year outcome of Noble trial may be the most impactful data presented at #TCT2025
PCI=CABG for isolated left main disease regardless of Syntax score
Which isolated LM patients (suitable for PCI) will you refer to CABG?
#TCT2025 @TCTConference @crfheart 10 year results of Noble Trial
🧨PCI vs. CABG: similar all-cause mortality
🧨No difference at 0-5 and 5-10 years
🧨In ACS: PCI associated with lower mortality
🧨SYNTAX score: no association with mortality
Tom Ford retweeted
Interventional cardiology fellowship university hospital Hairmyres 2026. @chapdoc1@TomJFord@AriotiManfredi@AntonioMariaLe2@wearehairmyres
NHS Scotland | Jobs | Information | Apply for Clinical Fellow in Cardiology apply.jobs.scot.nhs.uk/Job/J…
Wow!!!
91M Stuck 1.25mm burr mRCA retrieved with…
GEC ❌
2nd access
➡️ NC ❌
➡️ IVL ❌
➡️ Second rota (!) 1.5mm ❌
➡️ OAS ✅
Audience in shock! Well done Dr Nakao and colleagues 🇯🇵😅 @esbrilakis @DrPeterOKane @DrPrimeroNg @mmamas1973 #TCT2025
Tom Ford retweeted
I'm really proud to see this manuscript in JIC. This was a labour of love and pain for me. A Contemporary Algorithm for PCI in high risk scad. Please share
hmpgloballearningnetwork.com…
Tom Ford retweeted
Overtly clear doctor substitution. This is unacceptable considering surgical trainees are struggling to get the training and the numbers of procedures needed to progress to higher level of training.. SHOs/ SpRs limited to ward jobs and discharge summaries @TheBMA @RCSnews
Tom Ford retweeted
Well this is a new one for me at the end of 4yrs of Interventional Fellowships!!! “STEMI in the pacing Lab!!!”
What is going on….??? #EPeeps #Radialfirst #cardiotwitter #Faomed #Cardiology
