#STEMI. Occluded artery. But opening the artery is only half the battle. High #thrombus burden can trigger distal embolization, microvascular obstruction and #noreflow. Know the thrombus. Protect the #microcirculation. Escalate selectively. @CCIjournal: onlinelibrary.wiley.com/doi/…

⚡VF in the cath lab⚡️Our new editorial in @JACCJournals Case Reports makes the case for coronary #vasospasm as a hidden driver of refractory VF, even when a real, functionally significant #stenosis is staring back at you on the angiogram. Excellent case by Nishido, Honda et al.

#Fit doesn’t always mean heart-ready. HYROX, marathons and endurance events are growing rapidly. #Training matters, but so does understanding your individual cardiovascular #risk. cnalifestyle.channelnewsasia… Bottom line: Train #SMART. Know your #HEART. Know your #LIMITS.

Our group published an updated #review of jailed techniques in @AsiaInterv, an enhanced method of treating bifurcation lesions with a #provisional approach. It really helps to simplify procedures, minimizing the risk of side branch #compromise during main vessel #stenting. ☺️

Glad to be involved. Thank you @cordis and @CN_publishing! ☺️ cardiovascularnews.com/from-…

🚀 Can we rethink #OCT in #PCI without contrast? Our latest @CRMjournal paper focuses on saline-based OCT as a contrast-sparing alternative, and, importantly, how to make it work in real-world practice. sciencedirect.com/science/ar…

Fluoroscopic IVUS X-mark IT (#FIX-IT) technique (lnkd.in/gMVX_jQc), offers a simple, reproducible solution by using #IVUS to identify the true anatomical #ostium and translate this landmark precisely onto #fluoroscopy. Another way to land ostial stent. ☺️

What a pleasure and an honor to be involved as faculty and on the global advisory board for #DEBS 2026 in Rome! Congrats to the organizers for such a successful event! #DCB #stentlessPCI

Coronary slow flow/no reflow are significant complications of #PCI, and remains an under-recognized challenge. It’s not just an angiographic finding, it impacts #outcomes. Early #recognition, #prevention, and targeted #therapy matter. onlinelibrary.wiley.com/doi/…

Grateful for the opportunity to travel to #London for a 2 day @cordis #DEB workshop with the amazing @twj1974 and Abhishek Kumar. Lots of learning and sharing of experiences. Visited the Cath lab at St Thomas’s too! ☺️🤩🙏

Grateful for the opportunity to be involved, with an amazing chair and some superb co-panelist! https://nitter.cf/t.co/FPoq3M1AFC #DCBangioplasty #drugcoatedballoons #PCR

Acute LIMA/LAD occlusion? Case today. Elderly patient, prior CABG for failed LAD/LCx stents. Presented with anterolateral STEMI. LVEF 20%, in borderline cardiogenic shock. Angiogram showed CTO of LAD, patent SVG/RPDA graft, but no forward contrast runoff in LIMA. What next??

The #DynamX bioadaptor has shown promising long term outcomes, as presented at #EuroPCR 2025 recently. Here’s a case of a young male with severe mid LAD disease I treated with this device. #POT-kiss-POT used to preserve the LAD/diag carina. #CardioTwitter #Elixir

Had the honor of co-chairing the S’pore Cardiac Society PCI Chapter meeting last night. Superb presentations, finishing off with an imaging quiz hosted by our resident quizmaster. Big thank you to Biosensors SG for hosting, and all the attendees for an educational and fun night.

#CHIPpci of #ISR and #calcified coronaries can be difficult to treat. #Imaging, advanced tools and avoiding excessive stenting can help. Elderly male, UAP, prior CABG. #LiquID assisted #Rotablation followed by NCBs and #DCB. Reasonable results angiographically and on #IVUS. 💪☺️

#MCS for high-risk PCI, a definite game changer. Case I led this week, supported by teams from ICL, CICU and IR: Octagenarian with ACS and low EF. #Impella assisted #Rotatripsy PCI to RCA. Successful procedure, patient now well and attending cardiac rehab. 🙏 #CardioTwitter #TTSH