Arnav Kumar, MD, MSCR

IC & Structural | Alum @BrighamWomens @harvardmed | Via @emory_heart @EmoryCCRI | #ShearStress #ComputationalImaging 🇮🇳Cricket

[Arnav Kumar, MD, MSCR @arnavkumar]

@realarainmd @habib_samady @AllanLKleinMD1 @SachinGoelMD @iamritu @SaadGhummanMD @PedroMDMSc @CASivaram1 @fangjonathanx @DrLouMDPhD Once the wire was confirmed true luminal, we still couldn’t cross with a microcatheter or 1.0/1.25 balloons. Used 50:50 laser on contrast to cross, and the lesion then yielded nicely with scoring balloons. Any tips on alternative approaches? @realarainmd @DLBHATTMD

[Arnav Kumar, MD, MSCR @arnavkumar]

@realarainmd @habib_samady @AllanLKleinMD1 @SachinGoelMD @iamritu @SaadGhummanMD @PedroMDMSc @CASivaram1 @fangjonathanx @DrLouMDPhD Thank you, @realarainmd! We also felt this was likely a calcified nodule. Once crossed with a Fielder XT, we probed distal side branches to confirm true lumen position. Subtotal lesions, absent guiding collaterals, and elevated EDP in severe #AS can make these cases challenging.

[Arnav Kumar, MD, MSCR @arnavkumar]

Is even mild PVL no longer acceptable in #TAVR?
Our editorial on the #OCEAN-TAVI trial is now published in JACC: Interventions.

https://t.co/SFiZArziLp

[Salman Arain @realarainmd]

RTIG Cap Puncture Tutorial

Here is a ‘self learning’ real time IVUS guided cap puncture tutorial as requested by several colleagues.

It has two parts - one for the angio and another for the IVUS. The primary operator usu. goes back and forth bet. them in real time.

Questions, comments and suggestions welcome!🙏🏼

[Arnav Kumar, MD, MSCR @arnavkumar]

@utmbcardiology @UTMBProvost @AmericanHeartTX @docHJ Congratulations @docHJ! Big achievement for you and your team!

[Arnav Kumar, MD, MSCR @arnavkumar]

@PinakShahMD Amazing News! Congratulations, @PinakShahMD!

[Arnav Kumar, MD, MSCR @arnavkumar]

@kashishgoelmd Congratulations @kashishgoelmd! Amazing achievement

[Salman Arain @realarainmd]

#HDRanalysis - Happy New Year Edition! 🧵

The first #HDRanalysis of 2025!

The case was posted earlier by @evandrofilhobr - a man who needs no introduction here.

There were three #HDR injections - with three(!) different patterns.

Case below, my analysis to follow…

[Salman Arain @realarainmd]

💧#HDRanalysis 🧐 - Case 027
An CTO Intervention Unlike Any You Have Seen! 🧵

Here is an unusual CTO for most. The patient is a 48 year old woman with systemic sclerosis (SSc), Raynaud’s, and non-healing ulcer of the left 3rd digit.

Here is the patient’s hand. More…👇🏼

[Arnav Kumar, MD, MSCR @arnavkumar]

@realarainmd 🙏 kind words @realarainmd !
It has been a pleasure to learn from you.
I always felt it was so easy to talk to you!
As you pointed out - we felt there was a mechanical issue with the anastomosis/prior stent. Lesion was heavily calcified .. Added post-laser/balloon Image.

[Arnav Kumar, MD, MSCR @arnavkumar]

@DLBHATTMD @Houston @pranav_loyalka @realarainmd @YChatzizisis Thank you @DLBHATTMD

[Arnav Kumar, MD, MSCR @arnavkumar]

Our first attempt #HDR #CTO Technique @Houston Heart with @pranav_loyalka & Dr. Omar Hadidi last month after #AWE didn’t cross ..

66 M, NSTEMI, second admission w active chest pain despite maximum medical Rx ..

Credit @realarainmd for describing the technique ..
@DLBHATTMD

[Arnav Kumar, MD, MSCR @arnavkumar]

@realarainmd @Houston @pranav_loyalka @DLBHATTMD @YChatzizisis Thank you @realarainmd!
Felt I was able to engage the lesion cap in a coaxial manner with a micro-catheter - and the goal of #HDR was to create/find a micro-channel. Thankfully, it worked well.

[Arnav Kumar, MD, MSCR @arnavkumar]

Slightly harder contrast injection through micro-catheter since #ISR. Crossed with Mongo, however balloon uncrossable, Micro-catheters won’t reach since long SVG… 0.9 Laser worked .. Ballooned and stented ..

[Arnav Kumar, MD, MSCR @arnavkumar]

@kashishgoelmd Congratulations!

[Arnav Kumar, MD, MSCR @arnavkumar]

@Pooh_Velagapudi @MohitTuragam @rooshaparikh @BCCI @AkhilNarangMD @PradeepYadavMD @SachinGoelMD @KHERA_MD @purviparwani @adityadoc1 @poojaotherwise @SarasVallabhMD @ShashankSinhaMD @DrSaritaRao2 @SivaArdhanariMD @Drdevignair @kashishgoelmd @dcscant What a 🥇 win! Glad you were there to soak it in! What a great game!

[Arnav Kumar, MD, MSCR @arnavkumar]

@Pooh_Velagapudi @MohitTuragam @rooshaparikh @BCCI @AkhilNarangMD @PradeepYadavMD @SachinGoelMD @KHERA_MD @purviparwani @adityadoc1 @poojaotherwise @SarasVallabhMD @ShashankSinhaMD @DrSaritaRao2 @SivaArdhanariMD @Drdevignair @kashishgoelmd @dcscant Wow! Amazing!

[Arnav Kumar, MD, MSCR @arnavkumar]

@umiamimedicine @YChatzizisis Amazing work on #ComputationalImaging! Congratulations @YChatzizisis !

[Arnav Kumar, MD, MSCR @arnavkumar]

Reminded me of the #NoLookSix from @msdhoni7781 to win us the @cricketworldcup in 2011! #Whatachampion #WhataThrow #NeerajChopra #WorldAthleticsChampionships2023

[Virrender Sehwag @virendersehwag]

Fenkon toh aise fenko ki chaar log bole Kya fekta hai yaar.

88.17 mtr door Bhaala phenka and a World Athletics Championship Gold for our Champion #NeerajChopra . The mega run continues .