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
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!🙏🏼
#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…
💧#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…👇🏼
@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.
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
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 ..
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 .