Interventional Cardiologist | CTO PCI Specialist | DraW Technique | Live Case Operator | Educator & Proctor |@NHSBartsHealth @RoyalFreeNHS
Joined December 2011
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Thx #CTO2025. Thought provoking session on CTO wire skills. DRaW (Differential Resistance Wiring): a conceptual framework to navigate CTO. Think different. ADR & Parallel not opposites. Knuckling a wire skill. @RinfretStephane @crfheart @BartsIntervGrp @KambisMashayek1 @VP_Med
Great to join you @ignamatsant for this complex #cto case. Perfect result for the patient & excellent education. Always a privilege to operate with the Monaco team and a pleasure to work with you, Laurent Drogoul & @OlgaTolevaMD @BartsIntervGrp @MLCTOAcademy
🤩Fantastic #MLCTO2026. I had the chance to do a live case w @SmithElliotjs & @OlgaTolevaMD & Monaco team
🙏THANKS for this live experience to @RinfretStephane Alex @KambisMashayek1
❤️HAPPY for the patient
Challenging RCA CTO post-CABG @MLCTOAcademy @PCRonline @shci_sec
Elliot Smith retweeted
Calling all fellows attending #EuroPCR 2026! Come to one of our three fellows-specific Training Village sessions on best practices for cracking calcium with #ShockwaveIVL. Before it Gets Complex, Get Back to Basics of Calcium-PCI Management features Dr Margaret McEntegart (@mbmcentegart), Dr Erik Rafflenbeul (@KardiologieHH), Dr Elliott Smith (@SmithElliotjs), Dr Maciej Lesiak (@M_Lesiak), Prof Johan Bennett and Dr Neus Salvatella (@cardioyoguini).
Learn more and mark your calendar today: shockwavemedical.com/europcr…
US Rx only. Safety Information: shockwavemedical.com/isi/
Product availability may vary by country.
Elliot Smith retweeted
@UN Never in history have you shown greater contempt for your founding values than when the one body created to investigate the Iran regime’s atrocities against protesters instead condemns the only effort to stop the mass murderers—which the people of Iran themselves begged for.
Great message here @AsherElad. While we mustn’t chase futility there are cases we all recall where the RCT parameters simply didn’t apply. The inspirational story of @fmuamba6 is well reported and just one of them @DocDeaner @BartsIntervGrp
When we applied strict RCT inclusion criteria from ARREST, PRAGUE, and INCEPTION to a real-world ECPR cohort published in Resuscitation Plus, something striking emerged: survival wasn’t confined to those who “fit the rules.” Some patients who would have been excluded by trial criteria survived — even with meaningful neurological recovery. RCT frameworks guide us, but at the bedside, rigid thresholds may cost lives. Clinical judgment still matters. #ECPR #OHCA #CriticalCare
sciencedirect.com/science/ar…
@PCRonline @Sbrugaletta @Ortega_Paz @Anazmicalik @guilbom @hect2701 @NicolaRyanI1 @DrPascalMeier @W_jyg @ICigalini @Hragy @SABOURETCardio
@mmamas1973 @djc795 @GreggWStone @toreyj01 @EAPCIPresident @CMichaelGibson @SmithElliotjs @ArielRoguin @aayshacader @twj1974
#europcr @dangiloncardio @deharo_pierre
@DanieleGiacoppo @MilasinD18 @Taiebphil
@plateletdoc @realarainmd
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Elliot Smith retweeted
Great to see this programme start @BartsIntervGrp Dr. Amit Bhan @krishnaraj82 @Bhcintervention @Ozkor @oliverguttmann @SmithElliotjs
Thanks @ShockwaveIVL @rallamee @K_DeSilva @ranildesilva2 @joelgiblett @jcspratt @DrKeeble for supporting
COSIRA II MILESTONE ALERT: 🚨
Kudos to Prof. Anthony Mathur, Dr. Amit Bhan, Dr. Krishnaraj Rathod, Dr. Dan Jones, and the entire team at St Bartholomew's Hospital, as well as proctor Dr. @K_DeSilva, for their participation in the COSIRA-II study, joining the growing number of #COSIRAII enrolling sites and completing their 1st randomized patient for the COSIRA II trial in the UK!
A special mention as well to the Barts Interventional Group (B.I.G.) for their continued commitment and collaboration.
To learn more about the COSIRA-II trial and the participating sites visit: shockwavemedical.com/en-eu//…
ISI bit.ly/3iEq7fC Caution: Investigational Device. Limited by U.S. and Canadian law to investigational use.
Elliot Smith retweeted
Great to see @BartsIntervGrp presenting a live case at #CHIPCTOIndia2026! yesterday Led by @SmithElliotjs and operators Kalaivani Mahadevan, Weerackody Roshan and Alex Binnie. Also excellent AV support from @rohiniram90, Stephen Hamshere, @SMohanakumar93 & Kate Egan.
Elliot Smith retweeted
Last night of Chanukah. The point of the light is not optimism. It’s defiance.
Elliot Smith retweeted
Our statement regarding the decision to ban @MaccabiTLVFC fans from visiting Villa Park in November.
Looking forward to #CCT2025 Japan to discuss ‘Fusion of Eastern and Western CTO Techniques’. #CTO community what’s the first word that comes to mind for each. Reply
East:
West:
@KambisMashayek1 @RobertoGarbo1 @GLGasparini @DrBIqbal @RinfretStephane @KVM83 @CtoEuro @DrPeterOKane
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Thanks @PCRonline. Join us for more whether you are new to CTO or already an expert @CtoEuro #euroactos in September euroactos2025.com and @swissCTO swissctochip.com @KambisMashayek1 @BartsIntervGrp
How to successfully approach CTO interventions: a step-by-step approach
📺🎧 pcronline.com/Cases-resource…
What’s the plan when antegrade isn’t enough? Follow the roadmap in this discussion between @SmithElliotjs, @DrThomasHovasse and Roberto Garbo about the comprehensive approach to CTO interventions, as they provide structured guidance on navigating these complex interventions in a safe and effective way.
And if you're on the go, the full interview is also available as a podcast 🎧!
#EuroPCR #interventionalcardiology
Looks like a fantastic program #APEX team. Sorry I can’t be there with you. Good luck.
Proud to be part of the #APEX team running the Interventional Cardiology Workshop at Asiri Central Hospital on Saturday 2nd August, during the 2025 Sri Lanka College of Cardiology academic sessions in Colombo.
@DrPeterOKane @twj1974 @JehangirDin @SmithElliotjs @VP_Med
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Elliot Smith retweeted
Congrats to @MLCTOAcademy directors. Great organization, awesome lectures, interesting debates and beautiful live cases full of learning points. @KambisMashayek1 @RinfretStephane #AlexAvram @esbrilakis @RobertoGarbo1 @GagnorAndrea @MohanedEgred @SmithElliotjs @JEscaned
Great session. For a deep dive into IVUS in CTO & #DRaW differential resistance wiring you can see the case with @BeatrizVaqueri3, Stephane Carlier & me in immersive 360 recorded in Barcelona. Thanks Bea for hosting us. youtu.be/b30XkMDDoFo?si=9Zy8…
@BartsIntervGrp @MLCTOAcademy
Elliot Smith and Stephane Carlier showing a great interactive CTO case during IVUS workshop precourse of Boston Scientific during #MLCTO. Amazing teaching experience 🚀🚀🚀
@MLCTOAcademy
10th MLCTO Edition
@BSCCardiology
Elliot Smith retweeted
Many of our @BartsIntervGrp team were Faculty at the the annual #GCIS2025 meeting in South Korea recently. Professor Mathur, @Bhcintervention @krishnaraj82 @dr_aramasamy & Dr. Bourantas. Excellent talks and discussions leading to brilliant collaboration between the two countries.
Elliot Smith retweeted
Kudos to Prof. @MShuvy and Prof. @drmaisano for their achievement @EuroInterventio best state of the art and illustration awards 🏆
@PCRonline @Sbrugaletta @Ortega_Paz @Anazmicalik @guilbom @hect2701 @NicolaRyanI1 @DrPascalMeier @W_jyg @ICigalini @Hragy @SABOURETCardio
@mmamas1973 @djc795 @GreggWStone @toreyj01 @EAPCIPresident @CMichaelGibson @SmithElliotjs @ArielRoguin @aayshacader @twj1974
@DFCapodanno
Elliot Smith retweeted
#EuroPCR2025 Great sessions great colleagues
@PCRonline @Sbrugaletta @Ortega_Paz @Anazmicalik @guilbom @hect2701 @NicolaRyanI1 @DrPascalMeier @W_jyg @ICigalini @Hragy @SABOURETCardio
@mmamas1973 @djc795 @GreggWStone @toreyj01 @EAPCIPresident @CMichaelGibson @SmithElliotjs @ArielRoguin @aayshacader @twj1974
Bruno. Legend. Seen motivating the subs on the bench before KO with Arsenal yesterday @smithy24700 @smithymanyoo @JeremyCraneMD
Great point @realarainmd. We’re all finally understanding that it’s not about staying in plaque but getting the vessel open. And ALL these techniques facilitate wiring. So when you use them you need the right wire skill at the right time…That’s the aim of #DRaW
What is #CASE?
#CASE 👉🏼 Contrast Assisted Subintimal Entry - the #contrast1st equivalent of BASE.
Why is it important? #CASE is a quick and easy way to access the EP space and use the lessons taught by @RinfretStephane (art of knuckling) and @SmithElliotjs (DRaW) to maximize chances of success! 😍
🔑 There are only two outcomes to a contrast microinjection - either the contrast is IP (#HDR) or EP (#CASE)
As @Kandzari showed from the Ringer trial, there are several possible causes of perforation during #CTOPCI - contrast microinjection is not one of them!
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