Interventional cardiologist @MayoClinic | Valvular Heart Disease | Structural Interventions & Hemodynamics | Tweets are my own
Minnesota, USA
Joined October 2017
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ICE as sole imaging guidance for TTVR- initial case series highlights feasibility and efficiency advantages sciencedirect.com/science/ar… @DrConorLane
Edge to edge repair in SAM-mediated LVOT obstruction case series by @markjzorman et al. authors.elsevier.com/sd/arti… @MyJSCAI
What are the differential hemodynamic effects of tricuspid TEER vs replacement? ahajournals.org/doi/epub/10.… @JabbarMMS
Transcatheter replacement achieved more complete TR reduction and greater forward stroke volume, with acute increase in RV systolic pressure @JabbarMMS
TEER was associated with greater acute RA pressure reduction and more favorable RV remodeling @JabbarMMS
TRIC-HF presented today at ESC is the first RCT of transcatheter tricuspid repair to show a large reduction of HF hospitalization
Presented at #ESCCongress:
In patients with severe tricuspid regurgitation and heart failure, transcatheter tricuspid-valve repair plus medical therapy was superior to medical therapy alone in reducing hospitalizations for heart failure and deaths. Full TRIC-I-HF trial results: nej.md/4ilZJGr
@escardio
ALT Three graphs showing Kaplan–Meier estimates for prespecified events as adjudicated by the clinical-events committee at 3 years. Panel A shows freedom from death from any cause or hospitalization for heart failure (second coprimary end point), Panel B survival, and Panel C freedom from hospitalization for heart failure.
The HFH curves diverge early which may be explained by trial design- crossover to device arm was allowed after 30 days if a heart failure hospitalization where IV diuretic was administered occurred. This simple difference in trial design may be a key factor.
@djc795 @benhibbertMDPhD @GreggWStone when HFH is used as a criteria to allow crossover early after randomization how does this impact its validity as an endpoint?
Mack Eleid retweeted
When should you recommend tricuspid intervention? Malcolm Bell, MD interviews @EleidMack on strengths/weaknesses of transcatheter repair vs replacement, current evidence, and key knowledge gaps shaping #CathLab decisions for #vhdTR. Listen here: cardiovascularcmemayoclinic.…
Mack Eleid retweeted
Younger patients with aortic stenosis require lifetime planning. Malcolm Bell, MD interviews @EleidMack on indications, advantages, and tradeoffs of #TAVR vs #SAVR and shared decision-making in #cvVHD. Get more here:
cardiovascularcmemayoclinic.…
Mack Eleid retweeted
Secondary TR in pulmonary #hypertension is assoc w/ ⬆️symptoms, ⬆️congestion, & ⬆️mortality, beyond assoc RV dysfunction. Secondary TR could serve as a potential future therapeutic target. jacc.org/doi/10.1016/j.jcmg.…
#JACCIMG #cvVHD #vhdTR @sarano_maurice @EleidMack @MayoClinicCV
Mack Eleid retweeted
A thought provoking study by @AbdullahAlabcha from the @MayoClinicCV dataset on patients with moderate MR.
Natural History and Outcomes of Patients With Moderate and Moderate-Severe Mitral Regurgitation - tinyurl.com/49xpdvae
Congrats to our graduating SHD interventional fellows- proud of you! The future is bright @MayoClinicCV @MayoCVFellows
In MVIV, valve expansion matters! Check out our @CircIntv study by @markjzorman showing THV underexpansion a/w increased all-cause mortality, heart failure readmission, and valve reintervention. ahajournals.org/doi/10.1161/…
Mack Eleid retweeted
Dive deep with us into the intricacies of #CathLab. Case-based learning grants insights and practical strategies for managing complex cases. Register now: mayocl.in/48RhfNw #ACCIV @EleidMack @aelsab
Mack Eleid retweeted
Transcatheter Valve Replacement in Adults with Congenital Heart Disease. Is there limited prothesis longevity in this patient population? @EleidMack @Dr_JHAnderson ahajrnls.org/4nB5mzo
Mack Eleid retweeted
What happens to CIEDS leads after TTVR?
In our #Europace paper:
• 31% had lead changes - mostly R-wave sensing loss,managed conservatively
• 13% showed insulation breach
Understanding valve/lead interactions and when to extract needed.@MayoClinicCV
🔗 doi.org/10.1093/europace/eua…
Read our SCAI position statement on growing role and best practices for intracardiac echo guidance of structural interventions: authors.elsevier.com/sd/arti…
Mack Eleid retweeted
📚Could alcohol septal ablation before #TAVI improve outcomes in patients with #LVOTO + #AorticStenosis? 💡New research letter in #JSCAI alcohol septal ablation reduced LVOT gradients and enabled safer TAVI—but valve selection and planning remain critical
➡️jscai.org/article/S2772-9303…
@GerardoLoRusso @EleidMack @adnanalkhouli @ChetRihal @MayraGuerrero
