Vinoth Kumar Dhanpal (VKD)

Interventional Cardiologist. Tweets ≠ endorsements.

[CardioVisual: Powered by MedicalVisual @CardioVisualApp]

Watch the full step-by-step tutorial to set up Perclose device at https://t.co/l0ZgE6C0hk.

#CathLab #Perclose #VascularClosure #InterventionalCardiology #StructuralHeart #CathLabTech #CathLabNurse #MedicalVisual #CardioVisual

[Vinoth Kumar Dhanpal (VKD) @drvinoth04]

Wow much needed

[Vinoth Kumar Dhanpal (VKD) @drvinoth04]

Spotter… Fellows…

[Reads with Ravi @readswithravi]

“Once you pick the right thing to work on, and the right people to work with, then work as hard as you can.”

— Naval Ravikant

[Keith Siau @drkeithsiau]

😅

[Vinoth Kumar Dhanpal (VKD) @drvinoth04]

Experienced similar case withqRBBB
Severe MR 8 months back LVIDD5.2 asymptomatic now post LAD done MVRepair later

[Dr G Rajesh (Gopalan Nair Rajesh). @DrRajeshG1]

A case of ischemic MR.If there is a 90% lesion in mid part of dominant LCX with other vessels normal,what is the management option?(A) CABG with MV repair (B) PTCA to LCX and watch regression of MR (C)PTCA to LCX followed by Mitra clip later (D) CABG with mitral valve replacement

[Dr G Rajesh (Gopalan Nair Rajesh). @DrRajeshG1]

A case of ischemic MR.If there is a 90% lesion in mid part of dominant LCX with other vessels normal,what is the management option?(A) CABG with MV repair (B) PTCA to LCX and watch regression of MR (C)PTCA to LCX followed by Mitra clip later (D) CABG with mitral valve replacement

[Berci Meskó, MD, PhD @Berci]

A low-cost and expert-driven medical technology is being used in rural areas in Australia!

The machine is operated by a sonographer remotely (using a gaming controller) and helps perform an ultrasound examination.

Doctor shortages shouldn't mean that patients have to travel more (sometimes for no medical reason), but to use technologies that can extend the reach of medical care.

This is a perfect example of that!

[Abad khan,MD/DM @abadkhan2002]

Proximal CAP AMBIGUITY even in the presence of a STENT .. ISR CTO ..

Nature finds a way , the epicardial collaterals have formed just around the stented segment just like a moneyplant grows over a thread trail ..

Important question

Should we even open this CTO , which in all possibilities have 25% chances of reocclusion over less than 10 years , or just give medical therapy a chance now since we know these bridging epicardial collaterals are resistant to atherosclerosis and will never close down antegrade flow ..
#CTO #Cardio_X #CardioTwitter
#cardiology

[AbdAllah Othman @CardioBeat_]

A quick Guide to Standard Coronary Angiographic Views❣️
#Cardiology #Angiography #CathLab #MedicalEducation #CardioTwitter #HeartDisease #InterventionalCardiology
Source:intuitivecardiology.notion.

[Vinoth Kumar Dhanpal (VKD) @drvinoth04]

Great

[Dr Akhil Sharma @Drakhil_cardio]

#Sharing is learning
Mistakes are powerful but costlier teachers.
Why it was happened ?
It was a chance or certain??Prevention?
Following strict protocols can prevent the majority of embolizations. Rules are safeguards, not barriers—double-check before any device release.
Life is precious.
I follow some protocols—what do you all follow? Share your insights! #SafetyFirst #LearnFromMistakes

[Vinoth Kumar Dhanpal (VKD) @drvinoth04]

@baramink Awesome

[Abad khan,MD/DM @abadkhan2002]

Run of the mill case , real world scenario ..
IWMI , CHB , poor hemodynamics at this time of CAG video .. BP in 80's ..

Q. What next is considered the next best line of treatment here , as u wud do it in ur practice ?

1. Its either a distal edge dissection of IMH , Just Cover with Another DES quickly ..

2. May be spasm , increase inotropes and give NTG via MC or ruptured balloon ..

3. image it and try to assess what is happening and then treat accordingly ..
#cardiotwitter #medtwitter

[Vinoth Kumar Dhanpal (VKD) @drvinoth04]

The Almighty.

[Dr G Rajesh (Gopalan Nair Rajesh). @DrRajeshG1]

Why I love cardiology.Straight from the cath lab right now and a big thanks to Almighty straight from my heart. From nothing, no flow, no BP, low saturation intubated, poor pt couldn’t afford even an IABP balloon, IC adrenaline for severe no reflow and adrenaline surge for myself

[Bilal Iqbal @DrBIqbal]

An educational rota burr entrapment case. When a burr is stuck, we pull on the burr. If that doesn’t work, then we think of complex manoeuvres: cutting the burr, removing Teflon sheath, guide extensions, parallel wiring/ballooning and ping pong guides etc… But we often forget the simple stuff. The 0.014 tip of rotawire is larger than 0.009 shaft that contains the burr.  This prevents distal vessel injury but can help retrieve a stuck burr. If wire is intact, bring wire back to burr, but this can only be done with brake defeat on (this is often forgotten!!!). Once the tip is at the burr, just pull! Works in many cases of stuck burr. Here a case of LAD rotablation. Unrecognised calcific distal LMS disease, led to burr advancement and entrapment. Tugging the burr didn’t help. So brake defeat on and then pull the rota wire. Burr came out. Then rewired with new rotawire and used same burr to finish the job.

#Cardiology #cardiotwitter #PCI #complexPCI #rotablation #complications

@Can_CTO @CtoEuro @SanjogKalra @DrBillLombardi @DrDarshanDoshi @KambisMashayek1 @RinfretStephane @KovacicMihajlo @AgostoniPF @mornei2011 @swissCTO @A_B_Hall @SmithElliotjs @YbarraLuiz @dautov_MD @ammozid @MohamadAlmutawa @BElbarouni @jcspratt @tomkaier @AnjaKsnes @RajaHatem @LAzzaliniMD @jedicath @Laserrman @FaroucJaffer @MohanedEgred @stefan_harb @BostonEdney @AHRavandi @DrIHHashmi1 @ogoktekin @OpolskiMP @K_DeSilva @KVM83 @FaurieBenjamin1 @MichaelMegalyMD @ignamatsant @agtruesdell @ziadalinyc @rickytiago @sharmaine0206 @aspergian1 @realarainmd @MauroCarlino3 @yassersadeknhi @MdM_Ochiai @SarahFairley7 @mbmcentegart

[Journal of Invasive Cardiology @InvasiveCardiol]

May Original Research: Use of the Ostial Flash Balloon in Aorto-Ostial #CTO #PCI ➡️ https://t.co/8fUuQnxOXU
@dnzmtlu @CCAD_MHIF @LAzzaliniMD @yadersandoval @esbrilakis @DLBHATTMD #cardioTwitter #cardioX #cardiology #interventionalcardiology

[Vinoth Kumar Dhanpal (VKD) @drvinoth04]

@CMichaelGibson AI will replace Patients also

[Milan Koštek @KostekMilan]

How I read LAFB ❗
From the mirror image of qR in aVL and rS in aVF to rS in II and rS in III.
LAFB ≥ minus 45 ° (S III > S II).

[mandeep singh @mandeep_mayo]

Fifteen reasons NOT to do PCI!
Can you add to this list?

[Vinoth Kumar Dhanpal (VKD) @drvinoth04]

Seen HDL more than this…. Calculated ASCVD 1.1 inspite of DM and HTN…. Next line in management……
@Hragy @NishithChandra @mmamas1973 @mandeep_mayo @mirvatalasnag @purviparwani