interventional cardiologist enjoys everything related to cardiology.radialist.owner Healing Touch cardiocare and diagnostics

mumbai
Joined September 2009
80 years back after the late Jawaharlal Nehru s famous ‘tryst with destiny’ speech,India continues to write it’s destiny with rapid strides towards the goals envisioned by our founding fathers.Happy Independence Day to all Indians across the globe.
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Radial artery occlusion remains an important complication of transradial angiography. Preprocedural USG to guide sheath size selection appears to reduce this risk. In reviewing the literature, I came across varying approaches. What're the cutoff values in your daily practice?
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My slides for my talk "looking into the future for CAD , what lies ahead, from AI driven multimodel diagnostics, liquid molecular biopsies using multi-omic platforms and polygenic risk scores, through to gene editing. @mirvatalasnag @SVRaoMD @CatarinaO87223 @MichaelAlbertMD @escardio @cardiacpolymath @TomLuscher @hvanspall @piccoloraf @DrMarthaGulati @AnastasiaSMihai @jgranadacrf @Drroxmehran @CMichaelGibson
What a privilege to have the one and only @mmamas1973 talking at our meeting #NFMCV2026 about Looking at the future of CAD: What lies ahead @mnobremenezes @escardio @spcardio
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> “As I look back at CRISP 2025, I’m filled with immense gratitude and pride. What began as a simple idea — to create a space where cardiologists could learn, collaborate, and grow together — has now become one of the most powerful and purposeful platforms in Indian cardiology. Over these three days, we didn’t just share cases or discuss data — we shared experiences, perspectives, and possibilities. We challenged each other, learned from one another, and most importantly, reminded ourselves why we do what we do — to push the boundaries of cardiovascular care. CRISP 2025 was more than a conference. It was a movement — driven by passion, precision, and purpose. From the incredible participation of over a thousand cardiologists, to the energy in every hall, the innovation in every session, and the camaraderie that filled every discussion — this has truly been a celebration of our shared commitment to the heart. My heartfelt thanks to each one of you — our faculty, delegates, sponsors, and the entire organising and production teams — for believing in this vision and making it a reality. To the young cardiologists and fellows — you are the future of this field. I hope CRISP has inspired you to keep learning, questioning, and leading with compassion and curiosity. And to my peers, mentors, and industry partners — thank you for your trust and your time. Together, we’ve set a new benchmark for what academic collaboration can achieve. As we close this chapter and begin planning the next, I invite you all to stay connected — through the CRISP app, through CRISP TV, and through the growing community that now defines CRISP. Here’s to continuing the journey — with the same passion, purpose, and precision that defines the very best of cardiology. Thank you for making CRISP 2025 unforgettable. Until next time — stay inspired, stay connected, and stay CRISP.” @abadkhan2002 @akbarul @Drakhil_cardio @chinmayparale @GourishShinde @DrAnkushG @nadig_cardio @jivtesh84 @karananandpara @ziadalinyc @CathElectroSurg #Cardiology #Cardiology #cardiotwitter
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Cut, Shock, Drill - Weekend Deluxe Ed. You know the ostium is critically stenosed when contrast starts streaming from the guide SHs before it reaches the coronary! 😅 Other interesting observations: 👉🏼 Heavy Ca at the os 👉🏼 A narrowed lumen bec. of the low filling pressures 👉🏼 Competitive flow from the left system What to do?!
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Its starting .. 2 extraordinary talented people putting in after months of efforts .. #CRISP_2025 @CRISPcon2025 @care4urheart2 @Drakhil_cardio @akbarul @nadig_cardio @DrRajeshG1 @DrAnkushG @AIU_Medical @drcheruvarun @serioustaurean @Pardhu6627 @JoySanyal74 #cardiotwitter
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I would treat the proximal LAD with a PCI. This will help his symptoms and keep the AW viable. Re: strategy, IVUS guided ballooning and a DCB is one good option. Re: the distal LAD size, it will likely grow. The vessel has downsized bec. of the low pressure beyond the CTO.
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45 yr male presented with angina.Index procedure done 8 yrs back.Refuses to undergo Cabg.What should be the strategy #cardiotwitter @abadkhan2002 @jedicath @realarainmd @mmamas1973 @Laserrman @nadig_cardio @JoySanyal74 @Obisht @riyaz_doc
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When you encounter something unexpected. Night time primary PCI.. IWMI with CHB.. what next to do? @akbarul @mmamas1973 @abadkhan2002 @mirvatalasnag @realarainmd @suricardio @SareenSaab @SyedYNaqvi1
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Happy independence to all Indians
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Thanks for the participation.All of your opinions have enhanced my learning.Have a nice day
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🚨 Cath Lab Crisis Averted! 🚨
Elderly male presented with Inferior Wall MI ➡️ taken up for Coronary Angiography. 🫀 Revealed Double Vessel Disease with diffuse, calcified RCA
📍 Planned: PCI to culprit RCA via Right Radial → JR catheter 🔄 Crossed lesion with floppy wire
💥 Predilatation with 2.5 mm SC balloon
👉 Still unprepared → switched to 2.75 mm Cutting Balloon ⚠️ Complication Alert!
While removing cutting balloon...
🚫 It got stuck at JR tip near RCA ostium
🧨 Minor pull ➡️ Shaft BROKE!
😱 High risk of RCA ostial thrombosis & occlusion
🌡️ Cath lab atmosphere: Tense. Critical. On the edge. 🙏 With skill, patience, and grace of God
🔧 The stuck balloon with broken shaft was retrieved
✅ PCI completed successfully
💓 Achieved TIMI III Flow 🌟 A reminder:
Every case is a battle of calmness, teamwork, and divine support in the storm. 💪 #Cardiology #InterventionalCardiology #CathLab #HeartAttack #STEMI #InferiorWallMI #CoronaryAngiography #PCI #ComplexPCI #RCA #RightCoronaryArtery #CalcifiedLesion #CuttingBalloon #CathLabLife #CardioTwitter #MedTwitter #DoctorsOfInstagram #CaseReport #EmergencyIntervention #TIMIFlow #CathLabCrisis #ProcedureComplication #ShaftBreak #BalloonStuck #HighRiskIntervention #SavedBySkill #LifeSaved #QuickThinking #GraceUnderPressure #SuccessUnderStress
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Usually the approach towards intervention in ckd patients is nihilistic as restenosis rates are high.It was functional cto.Fielder fc f/b seq 🎈 dilatation with 2 and then 2.75x12.Later CB 3.0x8 upto 20 atm f/b IVL (80 pulses).Further 3.5 x28 and 4.0x33 DES done
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Dye was 40 ml.
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The Ahmedabad Air India crash is heartbreaking. The pain and anxiety the families of the passengers, crew and the medical students are feeling at this moment is unimaginable. My thoughts and prayers are with each one of them in this incredibly difficult moment.
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Antegrade CTO crossing -master class @KambisMashayek1 #EuroPCR2025
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Prof.Flavio s take on coronary perforations #EuroPCR
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