Dr. Saurabh Dhumale

MD, DrNB (Consultant Interventional Cardiologist), Ex-cricketer, Automobile Enthusiast, Rock Music Connoisseur. Director @bfllwsc

[Dr. Saurabh Dhumale @drsaurabhd]

@nagkulari @EuroInterventio @PCRonline @ACCinTouch @nadig_cardio @sreekanthshetty Given the tortuosity, Balanced Middle Weight(BMW) wire and AL +/- guide extension for me...

[Dr. Saurabh Dhumale @drsaurabhd]

@Drakhil_cardio @DrRajeshG1 @iamritu @EscardioWeb @CardioClinicSUM @BrJCardiol @Cardiology @ACCinTouch @escardio @ESC_Journals @BrownCardiology Thank god for that wire!

[Dr. Saurabh Dhumale @drsaurabhd]

@3rdEyeDude Extremely common sight on West Bengal Highways...

[Dr. Saurabh Dhumale @drsaurabhd]

@shumar Ok

[Dr. Saurabh Dhumale @drsaurabhd]

@SyedYNaqvi1 @JACCJournals @GilbertTangMD Amazing technique! Do you supplement it with cerebral protection device just in case?

[Dr. Saurabh Dhumale @drsaurabhd]

@abadkhan2002 MVR+CABG and LAA closure while they're at it.

[Dr. Saurabh Dhumale @drsaurabhd]

@evandrofilhobr 0.5mm Undersized OPN 40 ATM (covered stent at hand)

[ً @AlcarazProp]

Carlos Alcaraz still owes us an explanation for this.

[Dr. Saurabh Dhumale @drsaurabhd]

@JACCJournals Although marketed as such, CBs are overrated in calcified plaques. Best case scenario for use are true fibrotic non yeilding plaques.

[Dr. Saurabh Dhumale @drsaurabhd]

@drdharmarajk @Laserrman @KambisMashayek1 @SKuramitsu0511 @MauroCarlino3 @realarainmd @rotamonster Great work! May I ask, to you and stalwarts of HDR, usually in CTO's, the talk is about wire escalation, why descalate from Gaia 3 to XTA? Om the contrary, Ive often experienced difficulty in crossing the distal cap with the XTA...

[Indian Tintin @IndianTintin_]

This post is going viral on Reddit. 60 LPA Household in Bangalore is sick and tired of Heat, Dust, Noise, Potholes, Corruption, Low Social Trust, Smoke, Inflation in India.

[Dr. Saurabh Dhumale @drsaurabhd]

@purviparwani Dr. Devi Prasad Shetty @NarayanaHealth NH Bangalore Health City, is the authority in Pulmonary end-arterectomy in India.

[Dr. Saurabh Dhumale @drsaurabhd]

@Tesslagra #safefemoral

[Dr. Saurabh Dhumale @drsaurabhd]

@angna_86 @mornei2011 @BotCardiology @EkgHacks @smithECGBlog @IC_SIAC @EM_RESUS @PCRonline @SOCiME_ @ecgandrhythmRoe @marioalrb84_a @akbarul Even the distal landing zone seems 3.5...Ideally a 3.5 stent, 4/4.5 post dilatation proximally.
With a 2.75, the patient might come back within few months wid ISR.

[Dr. Saurabh Dhumale @drsaurabhd]

@evandrofilhobr Totally agree. Or an alternative strategy can be, what we did recently in a heavily calcified LM bifurcation with dominant LCx...
Wire both, POBA LM to LAD (LAD wire out), orbital for the LCx, wire the LAD, while keeping the LCx wire in place, IVL for the LAD followed by T stent.

[Dr. Saurabh Dhumale @drsaurabhd]

@cardiodoc1988 Puncture height appropriate (fairly low for RP leak, unlikely to cause RP leak), however, an unfortunately high CFA bifurcation. As its against the head of the femur, just manual compression should work 10/10 times.

[Dr. Saurabh Dhumale @drsaurabhd]

@ateap0tist Hence slight undersize 😅

[Dr. Saurabh Dhumale @drsaurabhd]

@ateap0tist Slight undersized OPN at 40ATM n it’ll crack right open.

[Dr. Saurabh Dhumale @drsaurabhd]

@SyedYNaqvi1 Probable dissection in proximal RCA and heavy thrombus burden in the distal half.
Image—>confirm dissection—>stent proximal segment n cover the dissection—>thrombosuction followed by intracoronary GP2b3a followed by infusion for thrombus—>check angio after 72 hours.

[Dr. Saurabh Dhumale @drsaurabhd]

@SyedYNaqvi1 Slight undersized OPN, go upto 40+ATM, keep covered stent handy. Cutting Balloon not a great choice IMO.