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Category: Interventional Cardiology

Free interventional cardiology teaching from the Academy of Elite Doctors, written from inside the catheterisation laboratory by a practising senior interventional cardiologist.
Coverage includes antiplatelet strategy and how duration is actually decided after PCI, stent thrombosis by timing and mechanism, no-reflow and slow flow with a stepwise treatment sequence, lesion preparation, and the complications that occur during a case and afterwards on the ward. Trial evidence is named and stated — TWILIGHT, MASTER DAPT, AUGUSTUS, ISCHEMIA and the rest — so a reader can check a position rather than take it on trust.
What distinguishes this material is that it describes decisions taken under time pressure with incomplete information, which is the situation operators are actually in. Written for interventional trainees and operators, and for the emergency physicians, intensivists and general cardiologists who manage these patients before and after the procedure. All articles are written and clinically reviewed by Dr A M Thirugnanam, MD, MSICP, FSCAI, Ph.D.

Calcified Left Main: 6 Proven Rules for Trainers

Posted on 11/09/2026 by Academy of Elite doctors

Six rules for trainers supervising fellows in calcified left main PCI: IVUS first, IVL vs RA, NC test inflation, IFU sizing, EBU 3.5 guide and MSA targets.

This entry was posted in Interventional Cardiology and tagged . Bookmark the permalink.

No-Reflow and Slow Flow During PCI: A Management Guide

Posted on 03/08/2026 by Dr A M Thirugnanam

Why coronary flow stops when the artery is open, how to tell the mechanisms apart at the table, and what actually restores perfusion.

This entry was posted in Interventional Cardiology and tagged . Bookmark the permalink.

Acute Stent Thrombosis: What Every Trainee Should Know

Posted on 03/08/2026 by Dr A M Thirugnanam

Acute and subacute stent thrombosis for board revision: mechanisms, timing, risk factors and the management decisions that follow.

This entry was posted in Interventional Cardiology and tagged . Bookmark the permalink.

DAPT Duration After PCI: How the Decision Is Actually Made

Posted on 03/08/2026 by Dr A M Thirugnanam

DAPT duration after stenting is a balance, not a fixed number. How ischaemic and bleeding risk pull against each other in current guidance.

This entry was posted in Interventional Cardiology and tagged . Bookmark the permalink.
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