Rajiv Gulati

Fantastic talk by @SVRaoMD on #ACS guidelines #AHA #ACC @CircAHA @cvinnovations #CVI2025 @HollandTamis @HenrytTimothy @ChangeAtHeart @chadialraies @FarshadForouz @esbrilakis @arnoldseto @timir_paul @Pooh_Velagapudi @rajivxgulati @RhianEDavies1 @calmanoj @HarisPatail

Special issue of @cardiacinterv just out with a sneak peak discussion of the @SCAI #DLC initiative. The full peer reviewed position statement will be out in @MyJSCAI during SCAI SHOCK Tampa! Sept 18-20 Link: citoday.com/articles/2025-… @Babar_Basir @agtruesdell @davebaran…

1. Interesting discus on guides w SH. I am in the no SH camp for any PCI. Yet to hear cogent argument for SH. Also surprised some use it in CTOs but not Ostial lesions and why the rationale should be different. Let’s break this down into coronary pressure, flow and contrast use.

1/ An interesting discussion about the use of JR 4 guides with side holes. Responses vary but I am in the +SH camp - for all guides. While the technical outcomes may be similar - guides without SH are more likely to cause/demonstrate pressure dampening. (Otherwise, why use…

To summmarize the RCT, no difference in slow flow between 140 vs 190. My practice has been 180 for 15-20 seconds with a final low speed for bigger lumen gain. Rarely ever had slow flow.

How does this attending addendum help with patient care ? Probably a better question is why do we force physicians to document addendums like this ?

Simultaneous SCAD + TAKOTSUBO SCAD-subo or tako-SCAD — which came first ?? 👀 60F w/ NSTEMI Echo ➡️ takotsubo Angio ➡️ prob SCAD of ramus note coronary AK + microvasc staining in distribution of #takotsubo (eg AP cranial washout) @rajivxgulati

But I can't imagine a world in which we will need diagnostic angiography to properly diagnose the severity of CAD and distal targets in a few years. We will still need it for invasive physiology and testing for microvascular disease-- at least for the short term future. 2/2

Thank you for all the great feedback following the presentation of our novel fenestration technique at #EuroPCR2025 today! Our approach was: > Simple - anyone can learn > Available - no specialized tools > Fast - less than 5 minutes needed for all 14 operators to complete

Everyone needs the Ringer @teleflex on the shelf! Had a perf case after shockwave and NC Balloon. Nice thing is you can inflate it for a long time even after stenting. You can also move it around to prove you have good seal. Great device!

@MayoClinicCV is proud to announce the next generation of Chief 🫀 @MayoCVFellows: Dr. @dinubalanescu, Dr. @Dobeze_, and Dr. @Mahmoud_Ismayl! We’re excited for them to greet the incoming class and take our program to the next level.

1/ Back in 2018, we showed that cardiac function numbers could be predicted from ECGs using machine learning. 🧠❤️📊 sciencedirect.com/science/articl… Fast forward to 2025—our latest work in @NatureCVR now reports a breakthrough in generating cardiac motion images (like those from tissue…

#SCAD #WIHD25 ✨ evidence lacking on aspirin but most start aspirin and then can stop it in 30 days ✨ recurrent SCAD often occurs in another vessel ✨Cardiac rehab for SCAD ⛔️Avoid high intensity, competitive, endurance; controlled resistance training

Mechanism of SCAD - we propose “Acute Mechano-cardiac Coronary Artery Disruption”. Not so spontaneous? #AMCAD #SCAD @marysia_tweet @DevikaKir @adnanalkhouli @KUEVC_Simari @SVRaoMD @SharonneHayes @mmamas1973 @djc795 @mandeep_mayo @Hragy

Tons of high-value case-based presentations covering CAD arrhythmia HF shock and more. Come join! @benhibbertMDPhD @stanhenkin @aelsab @RowseMD @DrDeese99 @claireraph @rajkumar_chris @MayoCVFellows