Atul D. Bali, MD @ABaliMD X Profile

Atul D. Bali, MD

@ABaliMD

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182

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Interventional Cardiologist @lenoxhill / @ZuckerSoM🫀| Interests #CHIP #PERT #CardiacCriticalCare | Previously @nymedcollege @PennMedicine | tweets are my own |

New York, NY

Joined March 2017

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Atul D. Bali, MD

@ABaliMD

10 months

Our paper now out in @JCardFail 📜.We summarize the current landscape of PE intervention & MCS platforms for high risk disease 🫀.🔹limitations in current risk strat.🔹transcatheter therapies/data/devices.🔹MCS choices, platforms, and implementation.

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Atul D. Bali, MD

@ABaliMD

5 days

Our paper in the August issue of @InvasiveCardiol . IVBT is effective for multilayer ISR at 1-year follow up. 🔑 diligent imaging to eval morphology 📷 stepwise lesion prep prior to IVBT delivery. TLR at 1 year 10.9% - slightly improved when compared to previously reported data.

Journal of Invasive Cardiology

@InvasiveCardiol

6 days

📖 Read the August issue now! @CCAD_MHIF @esbrilakis @m1chaella_alex @Dr_JHAnderson @tulliopalmerini @DrDamluji @DLBHATTMD #cardioTwitter #cardioX #cardiology #interventionalcardiology

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Grok

@grok

1 day

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Atul D. Bali, MD

@ABaliMD

8 days

An excellent learning case with a super educational discussion in the comments by the masters. Bravo. #CTOPCI #CHIP.

Alex Truesdell

@agtruesdell

9 days

1/3 Very proximal (and long) calcified 🪨 RCA CTO (with no good native or graft retrograde options). Carlino followed by Scratch and Go with Hornet 🐝 14 wire. Subintimal traversal with P200 wire then STAR ⭐️ into RPDA with Mongo wire…

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Atul D. Bali, MD

@ABaliMD

27 days

2/ . As always, feedback appreciated 🙏🏽 . @realarainmd @Laserrman @jl35wilsonMD @SaidAshrafMD @DrBIqbal @SripalBangalore @evandrofilhobr @DrRajeshG1 @mandeep_mayo @TWilsonMD @ShariqShamimMD @agtruesdell @DrIHHashmi1 @MichaelMegalyMD @AntoniousAttall @jedicath. #CTOPCI #CHIP.

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Atul D. Bali, MD

@ABaliMD

27 days

Tough Impella #CTOPCI case w/ heavy calcium:. 60s👴🏽, LVEF 35%, MV-CAD🫀. G3 ➡️ CP12 cross ostium & puncture mid ➡️ MC ❌ ➡️ free rota wire, 1.25 burr ➡️ serial NC/CB ➡️ DESx2 to prox/mid➡️ IVUS w/ poor ostial Ca+ mod ➡️ IVL to ostium ➡️ crossover DES Left main-LAD. Full PCI vid:

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Atul D. Bali, MD

@ABaliMD

1 month

4/. Relatively low contrast for LAD, so took care of residual RCA in same setting for complete revasc. Subtotal RPDA crossed with PJ wire, swapped for wiggle, facilitated NC balloon/DES without issue. #CTOPCI

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Atul D. Bali, MD

@ABaliMD

1 month

2/. Full intervention:. Mid segment where MC was “bent” was balloon uncrossable - hence up-front 1.25 mm burr.

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Atul D. Bali, MD

@ABaliMD

1 month

Recent #CTOPCI - surgical turndown, LVEF 20%. CCTA for mapping & plaque evaluation ➡️ CTO ~30mm, heavy Ca+, distal bifurcation. No R->L collaterals. PCI: impella supported, #AWE crossed IP w/ Gaia 3 ➡️ 1.25mm rota to mid segment ➡️ IVUS ➡️NC/CB ➡️ DESx 3 to LAD ostium. #CHIP

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Atul D. Bali, MD

@ABaliMD

2 months

2/. I typically go 1.25 burr (high speed) if 1.0 balloon or MC uncrossable for channel creation. @mandeep_mayo @realarainmd @jl35wilsonMD @TWilsonMD @SripalBangalore @evandrofilhobr @SrihariNaiduMD @SaidAshrafMD @ShariqShamimMD @Laserrman @agtruesdell @DrBIqbal @TanyaSh112

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Atul D. Bali, MD

@ABaliMD

2 months

In light of recent rota burr discussions:. Heavily calcified, subtotal occlusion. Proximal nodule was balloon & MC uncrossable. MC ➡️ free wire/knuckled rota wire ➡️1.25 burr at 180-190k rpm ➡️ sequential NC balloon PTCA ➡️ IVUS guided DES x2 to ostium. #CTOPCI #CHIP

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Atul D. Bali, MD

@ABaliMD

2 months

Int-high risk #PE by @ESC_Journals criteria, elevated #CPES score🫀💉. RV/LV ratio impressive 1.4, elevated biomarkers, and +DVT. Interestingly symptoms were mild, even on ambulation. Given degree of RV dysfunction, young age, elevated CPES - offered intervention. #PERT

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Atul D. Bali, MD

@ABaliMD

2 months

These two have brought magic back to the tour. The future of tennis is secure. Congrats @carlosalcaraz, what an absolute warrior and champion! Picking up right where Rafa left off - Vamos 🇪🇸! . #RolandGarros.

Roland-Garros

@rolandgarros

2 months

The longest Men's singles final in Roland-Garros history. #RolandGarros

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Atul D. Bali, MD

@ABaliMD

2 months

2/. @agtruesdell @SrihariNaiduMD @realarainmd @SarasVallabhMD @SripalBangalore @zaid_balasm @jl35wilsonMD @SaidAshrafMD @Babar_Basir @CCCEnthusiasts @JasonKatzMD @VladLakhter @robertshiuzhang @TanyaSh112 @DrRajeshG1.

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Atul D. Bali, MD

@ABaliMD

2 months

Tough one - #ECPR mid week. VA-#ECMO cannulation in ED resus for AMI w/ refractory VF ⚡️.Lucas device in-place facilitated cannulation. Door to cannulas~ 30 minutes. Followed by #Impella for LV venting & primary PCI of culprit pLAD. VF terminated after PCI. #CardiogenicShock

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Atul D. Bali, MD

@ABaliMD

2 months

3/. As always feedback appreciated 🙏🏽. @realarainmd @Laserrman @jl35wilsonMD @evandrofilhobr @DrBIqbal @SripalBangalore @SrihariNaiduMD @MichaelMegalyMD @LAzzaliniMD @agtruesdell.

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Atul D. Bali, MD

@ABaliMD

2 months

2/. Full #CTOPCI video: . Dual access -> CorsAir Pro XS + #AWE -> cap puncture w/ G3 -> #HDR -> partial channel creation -> No-tip wiring failed -> Gaia 3 for ISR crossing -> wiggle wire -> IVUS guided ballooning -> PCI (4.5x15 ostium, 4.5x48 prox, 3.5x48 distal -> RPDA)

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Atul D. Bali, MD

@ABaliMD

2 months

Single-layer ISR #CTOPCI of RCA. Elderly 👴🏽 w/ prior CABG, LIMA failed graft, thus previous rota-PCI to left system. Mechanism of ISR was severely undersized previous stents. #HDR after ISR cap puncture facilitated anterograde wiring. #CHIP #CTO.1/

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Atul D. Bali, MD

@ABaliMD

3 months

2/. @realarainmd @Laserrman @jl35wilsonMD @SrihariNaiduMD @TanyaSh112 @ShariqShamimMD

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Atul D. Bali, MD

@ABaliMD

3 months

Dressed for success - planned for AWE, parallel wiring, #HDR, & had good retrograde options if needed. Crossed in 30 seconds w/ the first wire (Gaia 2nd flew through). “Soft” #CTOPCI 😅 - I’ll take it when they come.

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Atul D. Bali, MD

@ABaliMD

3 months

3/. @realarainmd @Laserrman @SrihariNaiduMD @evandrofilhobr @jl35wilsonMD @ShariqShamimMD @MichaelMegalyMD @SripalBangalore.

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