Rotablation in an
#underexpanded
stent in a previously
#undilatable
#bifurcation
lesion!
68 male, H/o CABG - PCI to OM done a couple of years ago where cutting balloon was used for an undilatable lesion in OM, eventually stented for a flow limiting dissection
#CardioTwitter
Alhamdulillah proud to announce that first TAVI procedure in
#Islamabad
has been performed successfully at Shifa International Hospital. Thankful to an extremely competent cardiology and ICU care team for their support.
#TAVR
#TAVI
#Pakistan
50 male, smoker, MI managed medically a few months ago. presenting with CCS class llI. Severe ischemia in RCA territory on stress. Left normal. CTO RCA. Poor guide support. Ended up crossing with Gaia 2, balloon crossed with Guideliner support. Distal RCA severely stenotic.
Cardiology team at Shifa Int Hospital has performed TAVR (Transcatheter Aortic Valve Replacemnt) successfully for first time in Islamabad on an elderly patient. TAVI/ TAVR has emerged as a breakthrough in interventional cardiology as an alternative to open heart surgery.
Alhamdulillah humbled and thankful to
@georgedangas
, Carlo Di Mario
for giving me the opportunity to contribute as primary author in two chapters. Its definitely the most comprehensive and prolific textbook of Interventional Cardiology out right now
Alhamdulillah for being Faculty for the first Medtronic Heart Medtronic Medtronic
#TAVI
Team Approach (TTA) in
#Pakistan
.
Congratulations to my fellow course Faculty Ali Raza, Waleed and Peshawar institute of Cardiology for hosting this
@MDT_StructHeart
meeting.
#CardioTwitter
Alhamdulillah, for the opportunity to contribute to successful
#TAVI
Team Training (TTA), which concluded in Cairo.Senior implanters from across Egypt were comprehensively trained.
The course was organized by Ahmed Adel Attia , MBA.
@MDT_StructHeart
, Nabil Saleh and Alaa Badarne
Imaging For
#TAVI
– Fellow Training Session (PSIC) via
@YouTube
A concise summary for interventional fellows and early career interventional cardiologists interested in structural heart interventions
@JACCJournals
@ESC_Journals
@escardio
Congratulation to Shifa Cardiology Team & Dr. Asaad Akbar Khan (Consultant Interventional Cardiologist) for performing the highest number of Rotabolation procedures in Pakistan in year 2020. Shifa is among few hospitals in Pakistan providing this advance treatment.
A special thanks to
@MDT_StructHeart
@Medtronic
for organising such an amazingly comprehensive and action packed learning experience at
#ExpertsSummit23
'. Was a pleasure contributing to it however the things I have learnt and take away with me are priceless!
@SeeFisch
@sheeza_Nz
worked with me as an observer for a month. I must admit that she is a superb physician who is extremely empathetic towards the patients and a star team player. An interview call is will surely help her
Some obvious caveats in the study but for the most part it makes sense hydrating our usual cath patients aggressively for an hr pre angio and then 4 hrs post.
In chronic kidney disease patients undergoing coronary angiography, simplified hydration is noninferior to standard hydration in preventing CA-AKI, with a shorter hydration duration. Read the Journal Scan from this
#JACCINT
paper for more:
#CardioTwitter
امریکہ میں امراض کی روک تھام کا اداره 'سینٹرز فار ڈیزیز کنٹرول اینڈ پری وینشن' بعض ایسی شکایات کا جائزہ لے رہا ہے، جس میں کرونا ویکسین لگوانے کے باعث صحت کے چند مسائل کی نشاندہی کی گئی ہے۔ ڈاکٹر اسد اکبر خان بتا رہے ہیں کہ کیا کرونا ویکسین دل کے مرض کا سبب بن سکتی ہے؟
We are proud to announce that Mount Sinai Heart at The Mount Sinai Hospital is ranked No. 4 in the nation for Cardiology and Heart Surgery by U.S. News & World Report® for 2023-24.
@usnews
زندگی کے اتار چڑھاؤ میں اگر خوشیاں ملتی ہے تو کبھی دل ٹوٹ بھی جاتا ہے۔ میڈیکل سائنس کے مطابق دل کا ٹوٹنا صرف ایک احساس کا نام نہیں بلکہ جب انسان دکھی ہوتا ہے تو اس کے دل میں واقعی ٹوٹ پھوٹ ہوتی ہے۔ دل کے ڈاکٹر اسد اکبر کی رائے
مکمل ویڈیو
Pakistan health sector is feeling the impact of current economic crises like all other spheres. We need an extremely concerted effort from all stakeholders to minimize its impact on general public.
Pakistan’s health sector relies heavily on imports. Low $ reserves=few/no LCs. Importers+hospitals short on surgical gloves, catheters, contrast dyes, stents… the list goes on. My report: Pakistan’s Health Sector Hit Hard by Economic Crisis
I have been doing it all along without knowing that its called the “POT puff sign”!. Good to see it’s validation against OCT and hopefully many others can join in👏🏽
#EuroPCR
@ESC_Journals
@ESCardioNews
Congratulations for this victory and this beautiful study! 👏
#EuroPCR
New approach to detect malapposition. So ingenious ! 🔥 Are you ready for the POT Puff sign ?
4: Runthough side by side with Rota Floppy. Plan to wire OM abandoned. 2.75 NC won’t make the turn 2.75 balloon so dilated here and got Guidezilla down to the mid to distal LCX followed by 3.0 NC.Overlapping DES followed by high pressure post dilatation.Patient went home next day
کیا بچوں کو روزے رکھنے چاہئیں؟
ماہرِ امراضِ قلب، ڈاکٹر اسد اکبر خان کہتے ہیں کہ 13 سال سے بڑے بچے روزے رکھ سکتے ہیں لیکن ان کے والدین کو بچوں کی خوراک کا خاص خیال رکھنا ہو گا۔ مزید جانتے ہیں 'آن لائن کلینک' کی اس ویڈیو میں۔
#Children
#Fasting
#Ramadan
#Ramzan
#Ramazan
#Pakistan
@yasercheema
@ShariqShamimMD
Will need Impella so you can do two stent strategies in both LAd/D1 and LAD/LCx. Otherwise, Ostial LCx appears a focal lesion so after doing a MiniCrush in LAD/Diag just balloon the LCX and do provisional (lesion length is less than 10 mm),TAP if needed.keep it simple!
Lesion wired with Pilot 150 with Corsair however couldn’t get the Corsair to cross the lesion. Direct wired with Rota Floppy from this point and
#rotablated
with 1.25 burr followed by DK Crush
Alhamdulillah for an excellent result
2/2
So proceeded with LAD first as flow was kinda TIMI 2. Wired and rotablated with 1.75 burr. Stented with 3.5 DES to just before the ostium, post dilated with 3.5 NC
@24
atm
Catheter is bent at the level of aortomitral curtain so most likely through the mitral apparatus. High pressure injection, operator not realising the complication early enough to stop injecting, resulting in cardiac perforation. Easily avoidable
@VoiceOfValor
Thank you but that data is not validated in any peer reviewed journal. I specifically mentioned that and that’s why quoted data from journals like Lancet and places like Yale
3: Rotablated distal LCx with 1.25 burr and proximal to mid part with 1.75 burr. Slow flow, ST elevation and hypotension ensued along with fast AFIB at this point.
Patient presented with intractable angina to the primary IC who referred to me. The problem ended up being way more complex with presence of additional severely calcified lesions in distal left Main and LCx at the bifurcation. 1/2
@HarryDauerman
We would always make sure systolic BP drops real low ~ 60s (during check run) in a valve in valve case. Another factor to look for beforehand is LVH and minimal LVOT dia if planning to deploy with such pacing. If LVOT is narrow it will definitely push the balloon up like this