Fellow Structural Heart Disease TAVR, Mcmaster University https://xitter.cf/t.co/vCQdjWUIqY

Hamilton, Ontario
Joined January 2010
Proud to be a #PCRPresenter and #PCRLV, @PCRonline See you in @PCR London Valves, November 27-29
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The TAVI procedure doesn't always follow the plan. So why should the plan stay the same? We spend hours planning a TAVI procedure. Valve sizing, coronary risk, deployment depth, working angles, and predicted expansion. But things change inside the cath lab. The valve may land deeper than intended. There may be some tilt, incomplete frame expansion, or residual PVL. These changes can affect coronary risk, valve hemodynamics, and future treatment options. What if the plan could evolve as the procedure unfolds? That's why we built TAVIAssist, an AI-powered, voice-controlled assistant integrated with QuanTAVI. Just ask: 🎙️ "Scroll from the STJ to the annulus." The CT moves through the aortic root. 🎙️ "Where's the biggest calcium?" It identifies the location and takes you there. 🎙️ "How do I remove the parallax?" It provides the C-arm angles from the double S-curve. 🎙️ "If I deploy a 23 at 4 mm, what's my VTC?" It calculates the coronary distances for that scenario. 🎙️ "Show me the expansion." It reconstructs the deployed valve frame in 3D from two fluoroscopic views. No keyboard. No mouse. Just talk to your plan. This isn't about replacing the operator's judgment. It's about connecting pre-procedural planning with what actually happens during the intervention. The TAVI plan should not stop at the cath lab door. It should evolve inside the cath lab. QuanTAVI by Sphygma. Built by operators, for operators. Watch TAVIAssist in action below. Research use only. Not FDA cleared for clinical diagnostic use. #TAVI #TAVR #StructuralHeart #MedTech #CardiacCT
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Most TAVI plans are still made by someone other than the operator who implants the valve. We're building QuanTAVI at Sphygma to change that: CT-based planning for aortic valve procedures, designed by the cardiologists and surgeons who run these cases. From the CT to the cath lab: → Automatic aortic root measurements, each one reviewable on the images → Every valve compared side by side, with the reasons behind each size → Instant simulation of the deployed valve: coronary obstruction, root rupture and conduction risk, before the lab → Physics-based (FEA) prediction of how the frame will expand → Lifetime planning: choose today's valve so the next TAVR stays possible → TAVIAssist on the table: working views, valve overlay on fluoro, and the plan by voice → Expansion review after deployment: the frame traced on fluoro and rebuilt in 3D TAVR, SAVR and valve-in-valve on one platform. Built by operators, for operators. Research use only. Not FDA cleared for clinical diagnostic use. #TAVI #TAVR #StructuralHeart #CardiacCT
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Dr Suleman retweeted
Pleased to share our new opinion piece in Structural Heart: “Lifetime Planning of Aortic Stenosis Treatment Starts Before the First Valve.” As TAVR expands to younger patients with longer life expectancy, procedural success is no longer enough. The first valve should preserve the next option. We propose moving CT upstream in decision-making — from a procedural sizing tool to a lifetime planning tool, considering coronary access, redo-TAVR feasibility, valve platform, implant depth, commissural orientation and frame expansion. The question is not only: “Can we do TAVR?” It is: “What will this first intervention allow us to do next?” #TAVR #TAVI #StructuralHeart #Cardiology #CardiacCT #LifetimeManagement @GilbertTangMD @mmamas1973 @nolanjimradial @jorgeachv @docsuleman @dr_benoy_n_shah
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Today marks the publication of our ABC sizing app validation study. This multicenter study demonstrates that meticulous sizing, utilizing the ABC algorithm, can significantly mitigate the risk of catastrophic root rupture complications in balloon-expandable valves. The app is available on app store for download.
Can Aortic Root Rupture be averted in bicuspid valve anatomy? ABC Sizing Algorithm for Bicuspid Valves Treated with SAPIEN 3. Presented at @TCTConference #NYValves2026 and published simultaneously @docsuleman ahajrnls.org/4xQx29R
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If post-dilating of Evolt is being blamed for 6–7 year failure, maybe we should ask whether the valve remembers crimping - arguably the most aggressive moment of its life 😅
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Dr Suleman retweeted
Just wrapped up an incredible time at #NYValves with the @McMasterU team leading three exciting innovation projects: 🔹 @docsuleman on gradient correction 🔹 Dr. Sheth on TAVR repeatability 🔹 I presented our AI-driven model for expansion prediction. Grateful for the learning, the city, and the momentum. Till we meet again, NYC! #TAVI #StructuralHeart #Innovation
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Get the latest updates in #TAVR at #NYValves2025! 🔥 Explore breakthrough data on valve performance, patient outcomes, and new tech transforming aortic valve care. @AugustinCoisne @ANVoraMD @SammourMD @Docsuleman #CardioEd #CardioResearch #CardioX #CardioTwitter
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An outstanding case of Double Basillica done for ViV-TAVI at Pushawar Institute of Cardiology and presented at #PakLive2024 by Dr.@docsuleman @psicpakistan #CardioTwitter #ViV_TAVI
#PakLive2024 🌟Programme Highlights of Last Day at #PSIC Annual Conference ✅️Session on Structural Interventions ✅️Local Live Cases ✅️PSIC Research WorkShop ✅️Adult Congenital Interventions ✅️Best Fellow's Case Presentations
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The PREVENT trial showed that preventive #PCI of focal non-FFR-positive plaques that are angiographically >50% & have evidence of vulnerability on intravascular imaging along w/ OMT is superior to OMT for clinical outcomes at 2 years. Read more: bit.ly/3xuHWrl #ACC24
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My take on OCT Trials and where this strategy stands in the current landscape of options for PCI guidance. A thread. 1/17 #CRT2024
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Chairman Imran Khan's victory speech (AI version) after an unprecedented fightback from the nation that resulted in PTI’s landslide victory in General Elections 2024.
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We implanted @MDT_StructHeart Evolut R valve during a live case at the TWAL Structural Heart Summit. Our procedure was guided by double and triple S-Curve techniques for precise depth and parallax removal. We utilized our in-house-built prototype software, TAVIAssist. @TAVRBot
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Our annual meeting of Interventional Cardiology Excellent Session on Complex PCI at PakLive2023
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Exciting news! We successfully performed doppio-BASILICA ✂️ on a surgical valve with radiolucent posts using our very own prototype software, BASILICA-Assist 👨‍💻. This innovative software allowed us to simulate the current orientation of the valve in real-time. #CardioTwitter
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56 year old man with history of multiple TIAs. Carotid Angio showed unstable plaque in ICA. Left ICA stented with casper 5×30 under the able supervision of @aliraza987_raza @Mohamma22774282 and @Rafiull33056172 #cardiovascular #Cardiotwitter – at North-west Frontier, Pakistan
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Allahmdlillah 🎊passed cardiovascular CT board exam ☑️ #yesCCT #CBCCT #CardiacCT @Heart_SCCT
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Alhamdulillah got first prize in 51st Cardiocon for my innovation on CTO PCI software application on 3D wiring. #PCS #Cardiocon #MedTwitter #CardioTwitter
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@evandrofilhobr your case was the one which inspired me to work on 3D wiring, so special thanks to you
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Academic writing is a superpower. It's a key to publishing, getting a new job or tenure, and becoming known in the field These 10 AI-powered websites will help you with EVERY part of your manuscript and will save you 100+ hours: #openscience #AcademicTwitter #phdvoice #phdchat
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