Establishing flow& cabg was d plan. Repeated Thrombosuction -loads of thrombus - no antegrade flow, TPA 15mg - wait 15 mins ,Thrombosuction again, sluggish forward flow still .stent done in hope of establishing flow. lucky to get some flow & CHB recover. Surgeon accepted 4 cabg

When you encounter something unexpected. Night time primary PCI.. IWMI with CHB.. what next to do? @akbarul @mmamas1973 @abadkhan2002 @mirvatalasnag @realarainmd @suricardio @SareenSaab @SyedYNaqvi1

@suricardio @DrRajeshG1 @Biswaji83036474 @akbarul Adult ALCAPA with septal colletrals it is..

45 yr old with chest pain. Interesting echo!! @suricardio @DrRajeshG1 @Biswaji83036474 @akbarul

CUT & DEB.. !! Done for Diagonal with seemingly good end result.. (other lab) Patient now with angina within a month. !! Ostial lad critical!! What went wrong?? @abadkhan2002 @mmamas1973 @mirvatalasnag @care4urheart2 @akbarul @SareenSaab @suricardio @DrRajeshG1 @KardiologieHH

Distal vessel heavy Ca.. Using Rota Ablation in a distal vessel.. ? Here with 7F guideliner. How do you do it.. distal vessel rota.. !! @abadkhan2002 @akbarul @ahakeem143 @care4urheart2 @mmamas1973 @mirvatalasnag @rotamonster @SareenSaab @KPujdak @evandrofilhobr

#EuroPCR #BifurcationPCI 💥Excellent overview of Predictors of SB Occlusion and the Prevention/ Treatment Strategies @PCRonline #CardioTwitter

@akbarul @care4urheart2 @KardiologieHH @mmamas1973 @mirvatalasnag @TWilsonMD @abadkhan2002 @SareenSaab @ateap0tist @KPujdak

OCT images.. recanalised thrombus or scad? @akbarul @care4urheart2 @KardiologieHH @mmamas1973 @mirvatalasnag @TWilsonMD @abadkhan2002 @SareenSaab

Update to? Lad scad case. Worsening angina. Check cag. OCT images in reply.

Challenging Cases: 84yo WM w/AS, did TAVR. Used single Proglide in LCFA. Proglide got stuck and foot plate mechanism would not disengage from Ca+. We deconstructed and safely removed from the arteriotomy. Fantastic tips & tricks, big credit to Dr Amy Daliman @TAVRBot⁩

What's going on with the intra-aortic balloon pump (IABP)? Here's a practical🧵 for all residents and fellows during their time on rotation in the cardiac ICU. Learning objectives 🎈 basics of the IABP 🎈 IABP alarms 🎈 ways to fix them #CardioTwitter #Medtwitter #tweetorial

Mini-tweetorial on Shockwave MOA 1\ 3 types of lithotripsy 1)Extracorporeal (ESWL) – break kidney stones from the outside 2)Intracorpoeal (ISWL) – break kidney stones from the inside 3)Intravascular (IVL) – fracture calcium in the vasculature from the inside

Echo is one of the more skilled ultrasound exams you can do. Having learnt it and now teaching it, I see the same mistakes being made over and over again. I have put together thread on beginner mistakes in echo. #tweetorial #POCUS #FUSIC #askpocus

Absolutely great video to illustrate the aortic and mitral valve anatomy, leaflets and continuity. Imagine you are looking from the ventricular side. Note the relation between the AMVL and the NCC (3-7 O’Clock) and the LVC (11-3) Enjoy #Cardiology #CardioTwitter #CardioEd

Young male , ACS AWMI, mild pain, Lad Scad? Timi 2 flow.. How do you approach? If intervening then which wire/ stent strategy? @akbarul @abadkhan2002 @care4urheart2 @mmamas1973 @KardiologieHH @mirvatalasnag @SareenSaab

💡 30y old male referred to our centre for severe mitral regurgitation. Classic Barlow valve with mixomatous degeneration as shown by 2D/3D TOE: ✔ Huge annulus dilatation (48 mm - intercommissural) ✔ Main lesion: wide P2 prolapse, small P3 prolapse ✔ Secondary lesion: A1

Snare to rescue..

Multiple Twist /kinked catheter .. radial angiography. How to manage now. @abadkhan2002 @care4urheart2 @DrRajeshG1 @mmamas1973 @mailtarun07 @mirvatalasnag @Biswaji83036474 @SareenSaab

What is going on with the right upper lobes in these 2 patients? If you’re interested in learning Radiology with comics, tap/click here: https://t.co/5lOHV31ELB