7 months ago after meeting 2 Cardiology giants @mmamas1973 @Hragy & seeing their fitness, i felt i was too unhealthy & may be was giving hollow advices to my patients for healthy practices if i couldn't follow it on myself .. Changed the game ..From BMI of 31.4 to BMI of 26.2

@realarainmd @Laserrman @cto_chip_japan @DaitaroK @calcbreaker @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP @jcspratt @KambisMashayek1 @LAzzaliniMD @AgostoniPF @skat_ct @mornei2011 Can it cause flap to extend retrogradely into LM when doing such close to LM

@EM_RESUS De winters .. Prox LAD THROMBOTIC OCCLUSION ..

@Pardhu6627 @TWilsonMD @DrIHHashmi1 @GopalKkoduru @evandrofilhobr @Laserrman Try with PJW may be sion black .. If not , fielder xt with C/L access

@baramink Wire and stent prox LAD immediately forget distal .. Wire into LCX and see the result accordingly .. do not keep the patient in LAB with LM hooked for long .. in and out brisk .. definitely place IABP atleast ..

@BaiardoMartina Patient was not intubated , procedure was being done in LA as is usually done for most cases in my lab

@doc_hormone 🤣🤣🤣

@sulimov_dmitry Kindly enlighten more on this ,, are u talking about bioptome ?

@jedicath Sheath is already 14f here .. yes PERIPHERAL ENSNARE 45 was not available .. also trick on how to catch hold and how to decide the FLOROSCOPIC PLANE in such or its just luck and trial and error ..

@jedicath Yup .. Any tricks on percutaneously retrieving ?

@AlkashkariWail It was there , just around 5mm not the studiest rim though .. Defect size was 32mm x28mm ..

Besides this TEE part , which i also believe adds to safety , anything else which cud have been done via snare , any tricks to it .. This what u are seeing are multiple hand made snares made inside cath lab with 0.25 /0.35 /0.18 wires which were unable to cath the device .. Unfortunately bioptome was also not available inside the lab ..

@jedicath Yes absolutely , rightly said .. But again , personal biases come into play after having done so many , larger and cmore complex too ..

@DrAnkushG @nadig_cardio @Hragy @JoySanyal74 @DrRajeshG1 @care4urheart2 Absolutely actually..

@nadig_cardio @GTawade84 @Hragy @JoySanyal74 @DrRajeshG1 @care4urheart2 U can attempt it , but its not the right patient obviously .. Tey more optimization with diuretics first .. and see whether its functional component also .. If MR reduces then its ok to attempt , May not worsen bm..

RT @doc_hormone: @piersmorgan you said it man! you said it can be explained! there is no explanation for killing of children and women!

@SrBachchan Plz Edit tweet , T minus 5276 , It was a T20 NOT ODI ..

@cardiodoc1988 @aditya_gan3500 Absolutely .. those 2 gems .. such aunthenticity is visible even in the writing pattern .. Now a days the focus is on moulding english ..

@DrRajeshG1 Large flap seen .. Aortic dissection

@Gauravcardio01 @DrRajeshG1 @rotamonster @ahakeem143 @CTOcomplication @DrIHHashmi1 @CtoEuro What is the issue with distal LAD ? Thrombotic occlusion ? CHECK EDP & Place a balloon pump then decide for CABG vs PCI .. Also Extremely difficult to open RCA using Antegrade technique only .. Direct retrograde is not possible without fixing LAD lesion ..