akbar haq

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?

@mirvatalasnag @biljana_parapid @MBalghith @KemalogluOz @HanCardiomd @hvanspall @Hragy @manalalasnag @drptca @pelivanbeograd @JusufspahicMuna @FarshadForouz @Drroxmehran @aymanka @ozlembilen2 @JamalRanaMD @RHammami_cardio @drbennisahmed @dr_nouf81 @MJusufspahic Eid Mubarak

@biljana_parapid @MBalghith @KemalogluOz @HanCardiomd @hvanspall @Hragy @manalalasnag @drptca @pelivanbeograd @JusufspahicMuna @FarshadForouz @Drroxmehran @aymanka @ozlembilen2 @JamalRanaMD @RHammami_cardio @drbennisahmed @dr_nouf81 @MJusufspahic #EidMubarak 🌸🌸🌸

#EidAlFitr, #Nowruz & #Spring surprised us all this Mar 2️⃣🅾️, so have a blessed day, Everyone, filled with joy & serenity! 🥰🍀🌷🕊️🪻✨ Srećan Bajram — od ♥️ , svima! 🥰 @mirvatalasnag @MBalghith @KemalogluOz @HanCardiomd @hvanspall @Hragy @manalalasnag @drptca @pelivanbeograd

@turilrh Eid Mubarak

@jmahmed Eid Mubarak

Eid Mubarak to all our colleagues and friends all over the world:

@DrRajeshG1 Legends in every sense and very humble beings

With my cardiology teachers Prof Rajan Joseph Manjuran who passed DM Cardiology from AIIMS in 1974 and Prof N Sudhayakumar who passed out DM from PGI Chandigarh in 1983. These brilliant teachers who dedicated their life for teaching students stimulated me to follow their path.

@jmahmed Best wishes

I am honoured to stand for election as Councillor of the Royal College of Physicians of London in 2026. I am committed to supporting trainees, strengthening professional standards, promoting inclusive leadership, and ensuring members’ voices are heard I will value your support

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

@jedicath Tough decision making.Would have done the same.What’s the time lapse between PCI and surgery?

Octagen needs hernia surgery. Anesthesia refers to cards due to age >>echo EF 25%>>Cath. Note LM and LAD are both heavily calcified. Result below (RCA is normal). Where do we go from here. CARP, REVIVED BCIS2.

@jedicath CARP excluded significant LM disease.Any viability study done?

> “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

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?!

@care4urheart2 @abadkhan2002 @CRISPcon2025 @Drakhil_cardio @nadig_cardio @DrRajeshG1 @DrAnkushG @AIU_Medical @drcheruvarun @serioustaurean @Pardhu6627 @JoySanyal74 Complication sessions with Dr Vijay trehan was one of the best sessions .Congratulations to you and your team

@abadkhan2002 @CRISPcon2025 @Drakhil_cardio @akbarul @nadig_cardio @DrRajeshG1 @DrAnkushG @AIU_Medical @drcheruvarun @serioustaurean @Pardhu6627 @JoySanyal74 Tx Abad for the kind words

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

@mandeep_mayo @jedicath @realarainmd @abadkhan2002 @mmamas1973 @angna_86 @Obisht @Babar_Basir @nadig_cardio @riyaz_doc @djc795 @DrIHHashmi1 @JoySanyal74 @minhaskh @georgegirgis74 @AlanHeldman Another view

@akbarul @jedicath @realarainmd @abadkhan2002 @mmamas1973 @angna_86 @Obisht @Babar_Basir @nadig_cardio @riyaz_doc @djc795 @DrIHHashmi1 @JoySanyal74 @minhaskh @georgegirgis74 @AlanHeldman The ostium is not involved and unlikely to lose it

65 yr old with acs.What would be your approach if emergency Cabg wasn’t available?#CardioTwitter @jedicath @realarainmd @abadkhan2002 @mmamas1973 @angna_86 @Obisht @Babar_Basir @nadig_cardio @riyaz_doc @djc795 @DrIHHashmi1 @JoySanyal74 @minhaskh @georgegirgis74 @AlanHeldman

@mandeep_mayo @jedicath @realarainmd @abadkhan2002 @mmamas1973 @angna_86 @Obisht @Babar_Basir @nadig_cardio @riyaz_doc @djc795 @DrIHHashmi1 @JoySanyal74 @minhaskh @georgegirgis74 @AlanHeldman Thank you

@mandeep_mayo @jedicath @realarainmd @abadkhan2002 @mmamas1973 @angna_86 @Obisht @Babar_Basir @nadig_cardio @riyaz_doc @djc795 @DrIHHashmi1 @JoySanyal74 @minhaskh @georgegirgis74 @AlanHeldman Any particular reason for ignoring ramus?

@akbarul @jedicath @realarainmd @abadkhan2002 @mmamas1973 @angna_86 @Obisht @Babar_Basir @nadig_cardio @riyaz_doc @djc795 @DrIHHashmi1 @JoySanyal74 @minhaskh @georgegirgis74 @AlanHeldman Fascinating! Would ignore ramus and focus on LAD/LCX. You can do T or mini crush. Angles are >70 for Culotte/DKC. Alternatively, V stent if the neocarina is not a huge issue.

@baijazvascular @jedicath @realarainmd @abadkhan2002 @mmamas1973 @angna_86 @Obisht @Babar_Basir @nadig_cardio @riyaz_doc @djc795 @DrIHHashmi1 @JoySanyal74 @minhaskh @georgegirgis74 @AlanHeldman Mid rca 90 percent tubular lesion

@akbarul @jedicath @realarainmd @abadkhan2002 @mmamas1973 @angna_86 @Obisht @Babar_Basir @nadig_cardio @riyaz_doc @djc795 @DrIHHashmi1 @JoySanyal74 @minhaskh @georgegirgis74 @AlanHeldman Wire 3. DCB the ramus. Mini crush LAD/diag. Lose the small LCX if that happens. Time spent trying to wire the 4th vessel is not worth it. What’s worse is managing 4 wires. What’s the RCA like.

@JMannisi @jedicath @realarainmd @abadkhan2002 @mmamas1973 @angna_86 @Obisht @Babar_Basir @nadig_cardio @riyaz_doc @djc795 @DrIHHashmi1 @JoySanyal74 @minhaskh @georgegirgis74 @AlanHeldman Cabg is available.However surgeon will take up the case once the effects of anti platelets wear off significantly.Till then plaque passivation with medical support

If no surgeon available in Mumbai even with emergency transport, then IABP or Impella, IV 2b3a. Next evaluate resolution of symptoms. If still symptoms unrelieved then wire all 4 branches. Next PTCA of LM into LAD, followed by DES LM into LAD. Then evaluate hemodynamics, angiographic appearance. Less is more acutely, if patient stabilizes, STOP and plan transfer to surgical center.

@Uqayyum123 @jedicath @realarainmd @abadkhan2002 @mmamas1973 @angna_86 @Obisht @Babar_Basir @nadig_cardio @riyaz_doc @djc795 @DrIHHashmi1 @JoySanyal74 @minhaskh @georgegirgis74 @AlanHeldman Yes

@akbarul @jedicath @realarainmd @abadkhan2002 @mmamas1973 @angna_86 @Obisht @Babar_Basir @nadig_cardio @riyaz_doc @djc795 @DrIHHashmi1 @JoySanyal74 @minhaskh @georgegirgis74 @AlanHeldman You mean if CABG is not available?

@turilrh @jedicath @realarainmd @abadkhan2002 @mmamas1973 @angna_86 @Obisht @Babar_Basir @nadig_cardio @riyaz_doc @djc795 @DrIHHashmi1 @JoySanyal74 @minhaskh @georgegirgis74 @AlanHeldman tough is an understatement. Problem is while wiring if everything shuts down

@akbarul @jedicath @realarainmd @abadkhan2002 @mmamas1973 @angna_86 @Obisht @Babar_Basir @nadig_cardio @riyaz_doc @djc795 @DrIHHashmi1 @JoySanyal74 @minhaskh @georgegirgis74 @AlanHeldman Tough ask Akbar, you need to wire all three major vessel , balloon LAD to LMS and LCX , see the response , provisional LMS to LAD ,