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Stephan Achenbach Profile
Stephan Achenbach

@Steph_Achenbach

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606
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Chairman, Department of Cardiology, University of Erlangen, Germany. Intervention and Imaging. Past President, European Society of Cardiology. @escardio

Joined May 2013
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@Steph_Achenbach
Stephan Achenbach
6 years
Atrial appendages just sitting there doing nothing? Certainly not! (at least in sinus rhythm). See CT imaging of LAA/RAA function.
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@Steph_Achenbach
Stephan Achenbach
3 years
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@Steph_Achenbach
Stephan Achenbach
1 year
Among the first coronary CT angiography cases on our new Photon Counting CT. #Cardiotwitter @escardio @Heart_SCCT
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@Steph_Achenbach
Stephan Achenbach
1 year
Porcelain aorta if I ever saw one #Cardiotwitter @escardio
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@Steph_Achenbach
Stephan Achenbach
6 years
AV Block III° in echocardiography #cardiotwitter #echofirst
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@Steph_Achenbach
Stephan Achenbach
3 years
Beautiful echo in an ASD patient with R->L shunt under Valsalva (acquired and rendered by @monique_trobs ) #cardiotwitter @escardio @moha
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@Steph_Achenbach
Stephan Achenbach
4 years
Left ventricular pseudoaneurysm (contained rupture of the LV) 3 months after MI. Continues to amaze my how the epicardium manages to sustain that pressure. #cardiotwitter @GreggWStone @mirvatalasnag @Drroxmehran @drjohnm @M_Marwan_ @Abbara_UTSW @HolgerNef @Hornegger @escardio
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@Steph_Achenbach
Stephan Achenbach
5 years
Mitral valve stenosis can be a good thing .... not letting the thrombus pass) #cardiotwitter
@davidrosenthal
David Rosenthal MD
5 years
OMG. Never seen anything like before- worth reposting. #POCUS #FOAMed
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@Steph_Achenbach
Stephan Achenbach
1 year
On my way to on-call STEMI. Lucky to be living in a small town (w/ large hospital) where I can bike to the cath lab on a summer night (or winter, when the time comes) and still arrive before the patient #cardiotwitter @escardio @HolgerNef @JEscaned @ESC_President @Drroxmehran
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@Steph_Achenbach
Stephan Achenbach
4 years
I love my job. #cardiotwitter
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@Steph_Achenbach
Stephan Achenbach
3 years
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@Steph_Achenbach
Stephan Achenbach
4 years
The very rare POEMS syndrome (Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal protein, Skin changes) can be associated w/ severe pulmonary hypertension - here in female pt. presenting w/ massive edema & pericardial effusion (thx @monique_trobs ). #cardiotwitter @escardio
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@Steph_Achenbach
Stephan Achenbach
2 years
Left ventricular apical pseudoaneurysm in an 83 year old patient, found incidentally 2 years after transseptal mitral vale-in-valve implantation. #cardiotwitter @escardio @Drroxmehran @Heart_SCCT @mirvatalasnag @M_Marwan_ @CardiacCTGuy
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@Steph_Achenbach
Stephan Achenbach
5 years
ESC 2019 Guidelines on Chronic Coronary Syndromes just released (). Finally, Class I indication for coronary CTA in suspected CAD! Text says wisely: use testing according to pre test likelihood, patient characteristics and expertise. @escardio #ESCCongress
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@Steph_Achenbach
Stephan Achenbach
1 year
The visual summaries of all Hot Line trials at #ESCCongress 2023 are an extremely useful resource provided by @escardio . Free access at #CardioTwitter
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@Steph_Achenbach
Stephan Achenbach
2 years
Contrast enhanced cardiac CT: Pseudoaneruysm following surgical mitral valve replacement, a known but infrequent complication. #cardiotwitter @escardio @jescaned @SuhnyAbbara @Drroxmehran @charles_driving @M_Marwan_ @M_Ijgua @mirvatalasnag @Heart_SCCT @EACVIPresident
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@Steph_Achenbach
Stephan Achenbach
6 years
Double chambered left ventricle in cardiac CT (incidental finding, 63 year old patient). #CardioTwitter @SuhnyAbbara @RonBlankstein @mirvatalasnag @almallahmo @Heart_SCCT #YesCCT @escardio #radiology
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@Steph_Achenbach
Stephan Achenbach
4 years
Cinematic rendering of one of today´s run-of-the-mill coronary CT angiography scans... always nice to look at & amazing anatomic detail #cardiotwitter @M_Marwan_ @Drroxmehran @mmamas1973 @CardioimagenINC @CardiacCTGuy @Heart_SCCT @FiRSTSCCT @escardio @ARakisheva @mirvatalasnag
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@Steph_Achenbach
Stephan Achenbach
2 years
Footage of 1st ever TAVI (April 16, 2002) shown at celebration to honor Alain Cribier and 20 years of TAVI today in Rouen #cardiotwitter @escardio @Drroxmehran @
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@Steph_Achenbach
Stephan Achenbach
5 years
Sometimes it is just nice to see something nice to look at .... cardiac CT always a good candidate. Medtronic-Hall tilting disk valve (75° opening, 1st implant performed in 1977 and no longer manufactured ) in aortic position. #cardiotwitter @Heart_SCCT @SuhnyAbbara @escardio
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@Steph_Achenbach
Stephan Achenbach
6 years
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@Steph_Achenbach
Stephan Achenbach
4 years
It´s Friday afternoon, weather is nice out, and cardiac CT is such a beauty. So much detail to discover in this aortic stenosis pre TAVR/TAVI data set. Have a nice weekend everyone! @escardio #cardiotwitter @FiRSTSCCT @Heart_SCCT @mmamas1973 @CardioimagenINC @SuhnyAbbara
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@Steph_Achenbach
Stephan Achenbach
1 year
Amsterdam is ready! Cardiologists from all over the world are starting to trickle in. Excitement is building. #ESCCongress @escardio
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@Steph_Achenbach
Stephan Achenbach
5 years
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@Steph_Achenbach
Stephan Achenbach
5 years
In myocardial bridging of the LAD, the vessel can have an extremely close anatomic relationship to the right ventricle - may seem to run through RV lumen. (some say "never stent a bridge, may perforate into RV"- I´ve seen it once). #cardiotwitter @escardio @mmamas1973 #yesCCT
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@Steph_Achenbach
Stephan Achenbach
6 years
Left ventricular pseudoaneurysm following mitral valve replacement surgery. An infrequent, but known complication. #CardioTwitter #HeartSurgeons @journalCCT @escardio @EurHeartJournal #radiology
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@Steph_Achenbach
Stephan Achenbach
3 years
Caffeine is not a trigger for atrial fibrillation episodes - I-STOP Atrial Fibrillation trial presented at #AHA21 (n=251 in intervention group trying to avoid self-identified AF triggers). Alcohol consumption is. @escardio #cardiotwitter #FAU @charles_driving
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@Steph_Achenbach
Stephan Achenbach
3 years
For the myxoma I posted the other day, here´s now the surgical correlation (thank you Prof. Michael Weyand). #Cardiotwitter @escardio @CHeimMD @thiele_holger @HolgerNef @M_Marwan_ @monique_trobs @RonBlankstein @Drroxmehran @mirvatalasnag @UniFAU
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@Steph_Achenbach
Stephan Achenbach
1 year
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@Steph_Achenbach
Stephan Achenbach
4 years
We call it the "C" view in cardiac CT... nicely shows the entire RCA which often runs pretty much in one single plane all the way up to the take-off of its distal branches. Nothing spectacular here, just looks nice. #cardiotwitter @FiRSTSCCT @Heart_SCCT @escardio @Drroxmehran
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@Steph_Achenbach
Stephan Achenbach
4 years
Review on leaflet thrombosis following TAVI/TAVR in EHJ: Lack of normal sinuses "flush" after division into two spaces by TAVR may contribute. Hypoattenuated leaflet thickening (HALT) not necessarily hypoattenuation affecting motion (HAM). #cardiotwitter
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@Steph_Achenbach
Stephan Achenbach
5 years
Spontaneous applause as the first result slide of DAPA-HF is shown in Hotline I at ESC Congress 2019 in Paris by John McMurray, signaling, as later suggested by discussant Marco Metra, the start of “a new era in heart failure treatment“. @escardio #ESCCongress #cardiotwitter
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@Steph_Achenbach
Stephan Achenbach
4 years
Example of BAT (balloon assisted tracking) which nicely helps advance guide in radial spasm. (Remember: when catheter obstructs artery, your contrast needs to go somewhere...) #cardiotwitter @mirvatalasnag @Drroxmehran @HolgerNef #RadialFirst @mmamas1973 @JEscaned @ESC_Lavinia
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@Steph_Achenbach
Stephan Achenbach
4 years
EXPLORER-HCM, hot line @ #ESCCongress 2020: Antimyosin drug mavacamten in symptomatic HOCM over 30 wks lowers gradients and achieves primary endpoint (NHYA improved and/or pVO2 up) in 37% (mavacamten) vs. 17% (placebo) Exploratory endpt.: 27% symptom-free @escardio #cardiotwitter
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@Steph_Achenbach
Stephan Achenbach
2 years
Constrictive pericarditis with pericardial calcification in CT, pressure tracing with sqrt sign and diastolic equalization of LV & RV pressure #cardiotwitter @escardio @M_Ijgua @M_Marwan_ @Heart_SCCT @HolgerNef @Drroxmehran @mirvatalasnag @monique_trobs @RonBlankstein
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@Steph_Achenbach
Stephan Achenbach
1 month
New ESC Chronic Coronary Syndrome Guidelines just out. For LM stenoses w/ low Syntax Score, both surgery and PCI - as long as full revasc is possible - have Class IA recommendation. Image-guided PCI has Class IA for LM / bifu / long lesions #Cardiotwitter @escardio #ESCCongress
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@Steph_Achenbach
Stephan Achenbach
5 years
Nice demonstration of the concertina effect: series of perceived narrowings when a tortuous coronary artery segment is straightened by a wire. Pull wire and the "stenoses" are gone. @mmamas1973 @escardio #cardiotwitter #Cardiology @Drroxmehran @mirvatalasnag
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@Steph_Achenbach
Stephan Achenbach
2 years
Atrial Septal Aneurysm (ASA) in cardac CT. Usually defined as excursion > 10 mm (sometimes > 15 mm) to either side. Prevalence in the population likely around 2% (higher in populations with stroke of possible embolic origin). #cardiotwitter @escardio @Heart_SCCT @UniFAU
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@Steph_Achenbach
Stephan Achenbach
4 years
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@Steph_Achenbach
Stephan Achenbach
6 years
Very impressive live view of atrial fibrillation #AFib #cardiotwitter
@EM_RESUS
Sam Ghali, M.D.
6 years
If you take care of #AFib patients watch this AMAZING video captured during coronary bypass surgery. This is what actually happens to the atria! Courtesy: @thomas1973 #FOAMed
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@Steph_Achenbach
Stephan Achenbach
4 years
For us cardiologists always good to see what a heart really looks like. Just came across this video of a heart with 1-day old anterior STEMI showing "inflammation, edema, akinesis, myocardial hemorrhage" (thank you @BobbyYanagawa ). I rotated it by 180°. #cardiotwitter
@BobbyYanagawa
bobby yanagawa
4 years
One day after anterior STEMI - inflammation, edema, akinesis, myocardial hemorrhage (permission granted by patient)
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@Steph_Achenbach
Stephan Achenbach
3 years
While not an unrestricted supporter of using coronary CTA in patients with coronary bypass grafts, I'll immediately admit that this one looks very nice. (IMHO native arteries in post CABG patients often too severely calcified for reliable evaluation) #cardiotwitter @escardio
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@Steph_Achenbach
Stephan Achenbach
5 years
Mycotic coronary aneurysm: infected coronary stent in the proximal right coronary artery (CT, PET-CT and coronary angiogram). #Cardiotwitter #Radiology #yesCCT #CardiacCT @escardio @mmamas1973 @mirvatalasnag @Drroxmehran @ghoshhajra
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@Steph_Achenbach
Stephan Achenbach
2 months
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@Steph_Achenbach
Stephan Achenbach
4 years
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@Steph_Achenbach
Stephan Achenbach
1 year
Summary of new recommendations for drug treatment of HFmrEF and HFpEF in the 2023 Focused Update of the 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure Link here: @escardio #Cardiotwitter
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@Steph_Achenbach
Stephan Achenbach
3 years
@argulian
Edgar Argulian
3 years
Uremic pericarditis with pericardial effusion and fibrinous strands, 2D TTE, short axis view
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@Steph_Achenbach
Stephan Achenbach
2 months
A heart with a lot of help
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@Steph_Achenbach
Stephan Achenbach
1 year
"Less is more"... with higher resolution, impressively little partial volume effects ("blooming") of calcification in coronary CTA on Photon Counting CT reconstructed @ 0.2 mm resolution. Less partial volume effects should allow more accurate assessment of lumen. #CardioTwitter
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@Steph_Achenbach
Stephan Achenbach
4 years
The heart is a miracle.
@HEARTinMagnet
Pankaj Garg
4 years
Novel imaging methods offer an interesting insight into 🫀disease. Embrace technology to help us understand the mechanisms of 🫀 disease! An image from my lab of LV flow. #4DFlowCMR @vass_vassiliou @UoL_LICAMM @ShefUni_IICD @UeaMed @escardio @EACVIPresident @chiarabd @SCMRorg
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@Steph_Achenbach
Stephan Achenbach
10 months
Truly separate LAD/LCX ostia #CardioTwitter @Heart_SCCT
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@Steph_Achenbach
Stephan Achenbach
5 years
Remember: if you didn’t make it to #ESCCongress in Paris, or just couldn’t see it all, there is phenomenal ESC365 that gives you all lectures and slides @escardio @ESC_Journals #cardiotwitter
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@Steph_Achenbach
Stephan Achenbach
6 years
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@Steph_Achenbach
Stephan Achenbach
2 years
Some TTEs of HOCM with SAM below. Hear Eugene Braunwald´s personal insight on hypertrophic cardiomoypathy on upcoming #ESCTVToday episode (Jan 12)! => Current episode: Year-end special: #Cardiotwitter
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@Steph_Achenbach
Stephan Achenbach
5 years
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@Steph_Achenbach
Stephan Achenbach
6 years
Sometimes "3 out of 4 working" just isn´t enough. Mechanical aortic and mitral prosthesis in 4D CT.
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@Steph_Achenbach
Stephan Achenbach
5 years
Myocardial crypt in angiography. Nothing to worry about. In an MR study, prevalence 3.6% in normals, more frequent in hypertensive (27%) and hypertrophic (12%) cardiomyopathy () #cardiotwitter #radiology @mmamas1973 @mirvatalasnag @Drroxmehran @escardio
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@Steph_Achenbach
Stephan Achenbach
1 year
@CMichaelGibson speaking without PowerPoint about how to speak without PowerPoint. „People do not want m o r e information“. „They want storytelling“ One could hear the proverbial pin drop On the ESC TV stage, #ESCCongress 2023 in Amsterdam. @escardio #Cardiotwitter
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@Steph_Achenbach
Stephan Achenbach
5 years
Constrictive pericarditis does not require pericardial calcification: Typical case of thickened, non-calcified pericardium in cardiac CT (and septal bounce in echo). #cardiotwitter @escardio #radiology @Heart_SCCT @FiRSTSCCT @journalCCT @ChinnaiyanMD #YesCCT
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@Steph_Achenbach
Stephan Achenbach
1 month
Are you getting ready to travel to #ESCCongress in London? Don´t forget to pack the most important item! #Cardiotwitter @escardio
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@Steph_Achenbach
Stephan Achenbach
4 years
Important for us cardiologists to see the force behind this bleed in LV free wall rupture after STEMI. Thank you @ShariqShamimMD and thank you #cardiotwitter for the opportunity to share such insight. @escardio @beatscaduk @SCAI @mirvatalasnag @Drroxmehran @mmamas1973
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@Steph_Achenbach
Stephan Achenbach
3 years
Myocardial crypts in left ventriculogram. Harmless. Common in the normal population, more frequent in hypertrophic cardiomyopathy. #cardiotwitter @escardio @M_Marwan_ @HolgerNef @Drroxmehran @mirvatalasnag @monique_trobs @ToddVillinesMD @RonBlankstein @JEscaned @thiele_holger
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@Steph_Achenbach
Stephan Achenbach
4 years
Slightly calcified aneurysm/dilatation of the left main/proximal LAD in a 33 year old patient with reimplantation of the left coronary artery at age 12 due to ALCAPA (anomalous left coronary artery from pulmonary artery). No change in size over 4 years. #cardiotwitter @escardio
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@Steph_Achenbach
Stephan Achenbach
5 years
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@Steph_Achenbach
Stephan Achenbach
1 year
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@Steph_Achenbach
Stephan Achenbach
6 years
Functionally bicuspid valve, raphe type, non coronary cusp hardly moving. CT great tool to visualize.
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@Steph_Achenbach
Stephan Achenbach
5 months
Sometimes it just falls all into one plane #cardiotwitter @escardio #Radiology
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@Steph_Achenbach
Stephan Achenbach
5 years
Today´s rare finding: Single coronary artery. CX takes over entire RCA territory. #cardiotwitter @Drroxmehran @mirvatalasnag @mmamas1973 @EuroInterventio @escardio @JEscaned
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@Steph_Achenbach
Stephan Achenbach
5 years
Caseous mitral annular calcification (MAC) in contrast enhanced cardiac CT. Density of "paste" inside cavity varies widely, from close to myocardium to contrast-equivalent. Comparison to non-enhanced CT is very useful. #cardiotwitter @escardio #Radiology #YesCCT @Heart_SCCT
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