Sandeep M Patel, M.D.

Father, Husband, Son, Brother, Grandson, Interventional Cardiologist; Director, Structural Heart & Interventional Center, St. Rita’s, Lima,OH; Tweets are My Own

[Sandeep M Patel, M.D. @SMPatelMD]

Drumroll please—SOLO CLOSE for WATCHMAN —developed and researched at SRMC—congrats to the team! Live teaching and Virtual Reality cases available from Boston Sci @BSCCardiology @GregMaschi24063 @SCAI @ACCinTouch @TAVRBot @MDT_StructHeart @crfshj @TCTMD

[Sandeep M Patel, M.D. @SMPatelMD]

@djc795 Nothing possible
Terrible ostial carotid disease bilaterally, severe iliacs, and LIMA came of left subclavian (LAD CTO) which was on smaller side, and lead pipe aorta all the way through the iliacs

[Sandeep M Patel, M.D. @SMPatelMD]

Yes TC TAVR is fantastic, but never forget the original Cribier access —still necessary and efficient (with Snare) — #Back2theFuture

[Sandeep M Patel, M.D. @SMPatelMD]

@GaneshMuthappan @SCAI @GuiAttizzaniMD @DrArgyle @PedroMDMSc @GilbertTangMD @DrJayMohan @ACCinTouch @JasonGKaplanMD @cardiowiis @RajTayalMD @DrAmirKaki @UHCardsFellows @PittCardiology @SEH_MD @g_giustinoMD @GutoDallan @GolzarianH @Sadeer_AlKindi @lflanflan @YSCastroMD @caresans26

[Sandeep M Patel, M.D. @SMPatelMD]

@hvanspall Your courage to write this is incredible
I can only imagine the tears between drafts and the walk aways from the paragraphs —I was completely shaken and I believe it would happen to us even with the power to help our
Loved ones…prayers for u

[ŌNŌCOR @ONOCORvascular]

ŌNŌ helps again…
Cōngratulatiōns tō @SMPatelMD and cōlleagues @St Rita’s Medical Center, Lima, ŌH ōn their use ōf ŌNŌ via transcaval access tō retrieve a malpōsitiōned LSCA stent.
@MDT_Cardiac @AbbottCardio @WLGore @InariMedical @PenVascular @BSCCardiology

[Sandeep M Patel, M.D. @SMPatelMD]

@achdDoc12 100% right—severe acute Mr, acute on chronic chf, LV decompression, AS shock, stemi with no reflow—it works it always has and you don’t have limb ischemia or bleeding; but u gotta manage within 24-48 hrs, and later ur gonna need big MCS to reverse the MODS

[Sandeep M Patel, M.D. @SMPatelMD]

@GaneshMuthappan @gbiondizoccai @minhaskh @ccijournal So you can get distal, save a majority of vessel, and in this case the coils kept Migrating into pericardium, so it gives u a backstop and Fluoro marker

[Sandeep M Patel, M.D. @SMPatelMD]

If u cannot
Stop hemorrhaging distally stent into it/pingpong guides and deliver 014 coils into the mid stent -quick easy Fluoro guided no more injections keep stent balloon up till ready any 014 coil
@sahilparikhmd @crfheart @GuiAttizzaniMD @PittCardiology @UHCardsFellows

[Sandeep M Patel, M.D. @SMPatelMD]

The Interventional “Backstop”:The Stent‐Mid‐Perforation Coiling Technique for Large Distal CoronaryPerforations @SCAI⁩ @ACCinTouch⁩ LimaOH-St.Ritas ⁦@abraskin⁩ ⁦@ATYounesMD⁩ ⁦@SEH_MD⁩ ⁦@RahulThomasMD⁩ ⁦@HadyLichaaMD⁩ https://t.co/OON87H205D

[Giuseppe Biondi-Zoccai @gbiondizoccai]

Welcome to another intriguing tool of the trade for large coronary perforations, courtesy of Catheterization and Cardiovascular Interventions: the The Stent-Mid-Perforation Coiling Technique https://t.co/oMduFkC3SF @ccijournal

[Sandeep M Patel, M.D. @SMPatelMD]

@JayMathewsMD @jtsaxon Ok hold up…I thought..
Cataclysmic = torrentialTR + solar eclipse
Biblical=torrentialTR+mayan calendar End of world date
Extinction =I hear we won’t see in our lifetime, or yet to be discovered with current tech

I was sure there was a footnote during a course at a conference

[Sandeep M Patel, M.D. @SMPatelMD]

@GuiAttizzaniMD @shishem @ACUkaigweMD @vinesteves Glad to see the recognition! Never met anyone that works harder and relentlessly while being the best mentor/teacher! #routineispristine

[Sandeep M Patel, M.D. @SMPatelMD]

@DrKevinBuda @JasonKatzMD @CCCEnthusiasts @BalimSenmanMD @dpot29 @AmandaGarfinkel @MayoClinicCCM @MayoPCCM Can’t wait for this! Let it flow!

[Sandeep M Patel, M.D. @SMPatelMD]

@DrKevinBuda Exactly! Which really is the only question for a majority of patients bc time is EVERYTHING. FastONFastOFF #MiyagiStyleECMO

[Sandeep M Patel, M.D. @SMPatelMD]

@DrKevinBuda Thanks for an awesome answer—I’ve read some of these b4 while the numbers drop, the lack of aoV excursion once you put them on determines many a time if we should unload bc these numbers evolve during the course of the run; perhaps if initially there was pulsatility?

[Sandeep M Patel, M.D. @SMPatelMD]

@dpot29 @CCCEnthusiasts @SocietyOfCCC @DrKevinBuda @aniket_rali @JasonKatzMD @TrinaAugustinMD This can only be true if the LV function was relatively normal —in a failing LV (the reason for the ECMO), almost always the aortic valve stops moving bc LV cannot pump against 4-5LPM of retro flow…am I missing something—hence need to decompress!?!

[Hafez Golzarian @GolzarianH]

SOLO-CLOSE is here at #TCT2025!

Developed and refined by @SMPatelMD at St. Rita’s (Lima, OH)

We’re presenting our first 200 cases of single-operator TEE-guided LAAO - tomorrow 5:30 PM, Exhibit Hall 2

See you all there! @BostonSciWDD @crfheart @TCTMD @HCAHoustonCVD

[Sandeep M Patel, M.D. @SMPatelMD]

@GolzarianH So proud.

[Hafez Golzarian @GolzarianH]

Come tune in on our seminar next week on vascular closure devices!

Registration: https://t.co/5xVMaQrVM6