Cardiologist🫀 Fb: https://xitter.cf/t.co/uV8q2YNFgV Almamater: Peshawar Institute of Cardiology
Joined October 2009
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Dr.Umar Ashfaq Khan 🇵🇰 retweeted
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
Dr.Umar Ashfaq Khan 🇵🇰 retweeted
🔹 Left native BASILICA for a patient with severe AS, low LM ostium height (6 mm) and shallow SOV
🔹 Left coronary re-access ✅
@AlkashkariWail @rashaalbawardy @AlrahimiJ @bogamisa @MogneeA @DFahadAlmehmadi @ibrahimjelaidan @AtifAlqubbany @atifalzahrani
Dr.Umar Ashfaq Khan 🇵🇰 retweeted
🫀 First-in-human valve-in-valve TAVI in mechanical prostheses
Bench-to-bedside study: disc dislodgement & retrieval followed by successful TAVI.
Published in European Heart Journal.
👉 academic.oup.com/eurheartj/a…
@escardio @PCRonline @secardiologia @CNIC_CARDIO @sacyl @TCTMD
Dr.Umar Ashfaq Khan 🇵🇰 retweeted
Must-see #TAVR save:
Evolut FX+ embolized to ascending aorta. Snaring triggered extensive iatrogenic dissection of arch. Aortogram speaks for itself. Percutaneous bailout by vascular team with Gore thoracic stent graft (37×100).
Dissection detected 09:11. Case closed 10:00AM
Dr.Umar Ashfaq Khan 🇵🇰 retweeted
Is even mild PVL no longer acceptable in #TAVR?
Our editorial on the #OCEAN-TAVI trial is now published in JACC: Interventions.
authors.elsevier.com/a/1m7M3…
Dr.Umar Ashfaq Khan 🇵🇰 retweeted
Directed Reverse CART is the perfect scenario to apply the OVERLAP VIEW #3Dwiring concept in #CTO. Point retrograde wire tip precisely at balloon with a single wire rotation! (3D reverse CART)
see more at @AsiaInterv : doi.org/10.4244/AIJ-D-25-000…
@KambisMashayek1 @realarainmd @dautov_MD @Laserrman @esbrilakis @sandeep_jalli @BarberoUmberto @ungureanuclau20 @ShariqShamimMD @KovacicMihajlo @AhmedHatata90 @Carl01196478 @K_DeSilva @DrJMHill @AntonisPavlidi3 @RajanRehan23 @AishSinha1
Dr.Umar Ashfaq Khan 🇵🇰 retweeted
Role of preprocedural CT in assessment & management of access site complications in patient undergoing transfemoral TAVI
Preprocedural CT helps to assess :
Vessel Caliber
Vessel Tortuousity
Distribution of Ca
Optimal puncture site
Alternative Access
#TAVR #Imagefirst #1/3
Dr.Umar Ashfaq Khan 🇵🇰 retweeted
TAVI in patients with concomitant coronary artery disease...
Here is the available evidence from:
☆ ACTIVATION Trial
☆ NOTION 3 Trial
&
☆ FAITAVI Trial
#TAVI #PCI @PCRonline @APSIC6
Dr.Umar Ashfaq Khan 🇵🇰 retweeted
My Best OCT Image! 🧶
This image is ‘one in a million’ - literally, because I looked at 100s of 1000s of imaging frames this week. 😂
This shows the final appearance of an LCX treated with scoring PTCA, NC 🎈, and DCB.
Analysis to follow…
Dr.Umar Ashfaq Khan 🇵🇰 retweeted
Carotid #Artery #Intervention Workshop @PICMTI_OFFICIAL successfully hosted a hands-on workshop in collaboration with #RIC Rawalpindi advancing #stroke #prevention, patient safety & innovation in cardiovascular care.
Dr.Umar Ashfaq Khan 🇵🇰 retweeted
Why ‘in-Vivo’ sizing for Redo-TAV makes sense over ‘in-vitro’ sizing . Just out publication addressing this for failed Evolut R
Dr.Umar Ashfaq Khan 🇵🇰 retweeted
An insightful session on #HeartFailure Management was conducted by Dr. Umar Ashfaq (#Interventional #Cardiologist)
The session highlighted the latest ACC #guidelines,#patientcare protocols,and cardiac #rehabilitation strategies, followed by an engaging quiz competition.
Dr.Umar Ashfaq Khan 🇵🇰 retweeted
Ten Ways to Use IVUS for #CTOPCI
While searching the web for 3D wiring, I found this recording from EuroCTO last year.
This is pre #TDADR. I have learnt so much since then! 😀
16th Experts Live CTO: Flash Highlights: Intravascular imaging in CTO PCI eurocto.eu/videos/en-GB/3040…
Dr.Umar Ashfaq Khan 🇵🇰 retweeted
A large, real-world analysis confirms safety & durability of aortic valve-in-valve compared with #TAVR at all surgical risk levels at mid-term follow-up, published in #JACCINT jacc.org/doi/10.1016/j.jcin.…
@rlaham @tavrkapadia @bapat_savrtavr @PradeepYadavMD
Dr.Umar Ashfaq Khan 🇵🇰 retweeted
Ticagrelor wasn’t superior to BID clopidogrel at 1 month post-#PCI, with similar bleeding, but reduced #MACE in the first 2 weeks. jacc.org/doi/10.1016/j.jacc.…
#JACC #ESCCongress #WCCardio @ahakeem143
Dr.Umar Ashfaq Khan 🇵🇰 retweeted
SOFIA neurovascular catheter for large volume thrombus aspiration in ACS / STEMI. + 50 cases in our centre, published in HLC. Restoration of TIMI 3 flow in 88% cases. No procedural complications. No embolic events. Routine in our centre now for large vol thrombus. Set up in vid
Dr.Umar Ashfaq Khan 🇵🇰 retweeted
Cutting The Gordian Knot!
Here is an “#HDR Classic” that shows how to approach the patient with multiple CTOs.
The pt. has a low EF, recurrent admits for CHF, and a single remaining vessel - a LIMA to an LAD segment occl. on bith sides!
Re-posting for @abadkhan2002 and everyone else who enjoys a good #CTOPCI!
This is the case!
Using Contrast To Cut The Gordian Knot
69 year old man s/p CABG in 2012 - all three SVGs failed. LIMA patent to mid LAD only. Several CTOs.
Presents with CCS IV angina, EF 35%. Failed EECP. Options: high risk #CTOPCI, CABG, Cosira II, 💊+ prayer!
Cont’d
