MD, FESC | SHD | CHIP | Research https://xitter.cf/t.co/PqmLzaEwxS

Berlin, Germany
Joined August 2011
How beautiful! @rahatheart1
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Osama Bisht retweeted
Massive. New Harvard study finds that AI-written paper reviews now beat the best human peer reviews on every measure the authors tested. Peer review is slow and often misses errors. Earlier studies concluded AI should only assist human reviewers, not replace them. They used 134 reviews from rapidPeer, a Harvard service that pays expert reviewers well. Claude Opus 4.8 reviewed the same 1124 papers, and GPT-5.5 plus 3 former journal editors judged the pairs blind. GPT-5.5 picked the AI review in all 132 decided pairs, and the editors picked it 87% of the time. Only 5.5% of the AI's claims about the paper were wrong, versus 15.9% for the human reviews. Teams that depend on expert critique can now let AI do the first full review pass, and keep a human for the final decision.
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In the SPIRARE II trial, mechanical aspiration thrombectomy with the Vertex Pulmonary Embolectomy System met its prespecified safety and effectiveness endpoints in intermediate-risk pulmonary embolism, with improved right ventricular function and a low rate of major adverse events. Read more here: eurointervention.pcronline.c… #PulmonaryEmbolism #MechanicalThrombectomy @CatalinPToma @FelixMahfoud @wissamj123
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For interventional cardiologists intrested in deep dive in complex structural scenarios, electic surgery techniques with hands-on simulators, several Live-cases and Live-in-a-Box, join us on the 28th and 29th of January 2027 in Essen
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Osama Bisht retweeted
The Wonderfully Peculiar Phenomenon Of “Wire Exit” Wire exit usually means the wire has left the lumen and is sitting within the media somewhere. Here is a case demonstrating the phenomenon. As @uqayyum1968 correctly points out, wire exit usually means “proceed with caution! ⚠️” but doesn’t necessarily spell doom. 😀 @mmamas1973 @ziadalinyc @DrBIqbal @rotamonster @gbiondizoccai @TWilsonMD @jl35wilsonMD @stefano_garzon
Good point. “Wire exit” can sometimes be seen after rotational atherectomy of nodules, or other plaque modulation, especially around bends. This usually indicates the wire is subintimal (or intramural), and may be very close to the adventitia. (It is also the reason why the rota wire is often difficult to pull back after successful run.) Your point about cautious stent expansion in such cases is well taken, particularly if the opposite wall has a large +/- thick plate of unfractured calcium.
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Osama Bisht retweeted
A More Eye Catching Way To Start My Tweets?! 😀
🤖 Made with AI
The Ambiguous Proximal Cap - As Never Seen Before Here is an OCT run for all #CTOPCI - and IVI - connoisseurs! 62 y/o man with long LAD CTO, EF 35%, viable mid AW, and NYHA II DOE. We decided to use OCT with 3D magic to resolve the proximal cap! 🤩
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Osama Bisht retweeted
Seeing this is a TEE, the anterior wall is the only one that is working (a bit). You can tell it is TEE because of the omniplane indicator in the top left.
Patient with severe shock, what is the regionality of LV dysfunction shown here?
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✂ Biopsy forceps... for pulmonary #thrombus removal? When standard balloon angioplasty couldn't break the cycle of recurrent #CTO reocclusion, Nagayoshi et al. went off-label to mechanically remove an organized fibrotic "cap". Read the case: asiaintervention.org/article…
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🫀 Does ultrasound guidance make femoral venous access safer in interventional PE? In 89 patients, US-guided puncture was linked to fewer vascular-access and bleeding complications. #Cardiology #PulmonaryEmbolism #MedicalResearch
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We opted to perform @TAVRBot 1️⃣ Pre-dilated given the calcification & double TAP as frame appeared constrained @AliSahebHusain (I’m a believer after all 🤓) Mean Gradient 2mmHg 2️⃣ SAPT 👉🦴🔪
Will continue this string of complex decision making: Independent 87F has syncope & suffers an intertrochanteric fracture requiring internal fixation ..critical AS discovered Now what❓ 1) valvuloplasty followed by 🦴🔪 2) @TAVRBot followed by 🦴🔪 3) SAVR 4) 🦴🔪
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📄 Non-Ultrasound-Guided Versus Ultrasound-Guided Femoral Venous Puncture in the Interventional Pulmonary Embolism Era: Does Ultrasound Guidance Improve Safety and Feasibility? Authors: Abdelrahman Elhakim, Desouki Abdelatti, Mohamed Elhakim, Osama Bisht @Obisht, Ibrahim Yassin @DIbrahimyassin ,Mohamed A Mosaad, Ahmad M Hassaan, Peter W. Radke, Mohammed Saad Affiliations: Schoen Clinic Neustadt, Germany University Wuppertal, Germany The Royal Prince Alfred Hospital, Australia Coswig Heart Center, Germany Alazhar University, Egypt Sana Klinikum Coburg, Germany read imrpress.com/journal/RCM/27/…
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TAVI conversations aren’t easy any more: 80M with a renal mass & critical AS .. CTA noted Ao aneurysm .. Surgeons declined SAVR & nephro declined resection until AS treated TAVI: yes/no❓ If so which platform❓ @mnyoung1 @SuzanneJBaron @DocSavageTJU @AnasNomanMD @MarwanSaadMD @RodrigoBagur @amrmohsen213 @AmroAlsaid @purviparwani
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Went for a balloon expandable THV .. in & out.. aneurysm has been stable, so will observe & consider TEVAR ..now time for resection of the renal mass Relevant references: 1) jacc.org/doi/10.1016/j.jacc.… 2) academic.oup.com/eurheartj/a…
TAVI conversations aren’t easy any more: 80M with a renal mass & critical AS .. CTA noted Ao aneurysm .. Surgeons declined SAVR & nephro declined resection until AS treated TAVI: yes/no❓ If so which platform❓ @mnyoung1 @SuzanneJBaron @DocSavageTJU @AnasNomanMD @MarwanSaadMD @RodrigoBagur @amrmohsen213 @AmroAlsaid @purviparwani
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For left-sided infective endocarditis, a response-tailored antibiotic Rx resulted in longer time alive without antibiotic Rx and was noninferiority for safety but was associated with a higher incidence of relapse of bacteremia or infective endocarditis nejm.org/doi/full/10.1056/NE…
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Osama Bisht retweeted
Interactive case discussion. Send your opinions on this case. 60ym, South Asian with uncontrolled LDL, no symptoms and no other CV risk factors. Got this cardiac CT. What would you do next? LCX and RCA have no Ca2+
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Harlan M. Krumholz's editorial explains why JACC won’t require disclosure when AI only assists manuscript writing: tools aren’t ghosts, authors remain responsible for every claim/citation/word, and AI in research must still be reported for reproducibility. jacc.org/doi/10.1016/j.jacc.…
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Osama Bisht retweeted
New Meta-analysis of Sex Differences Outcomes&Intervention in Primary MR bit.ly/SexDifference_DMR Congrats @longedouard @JACCJournals @ACCinTouch @escardio @DrMarthaGulati @PPibarot
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