Harsh Golwala

Now Accepting Applications – Structural Heart Disease Fellowship at OHSU! >600 structural cases a year, lots of TAVRs, LAAO, Mitral/Tricuspids, PVLs, and ASD/PFO closure- only 1 structural fellow/year! Email: plesiaa@ohsu.edu

@hafeewn @BinAbdulHak_A @ShariqShamimMD Great question- lot of factors come in play- frailty, ability of pt to live a year, is pt on ionotropes, is LV dysfunction purely due to AS or AS is an add on on top of CAD etc-

@HarshGMD @BinAbdulHak_A @ShariqShamimMD Dr. Golwala I am having a hard time understanding how to approach this. If a patient warrants an intervention, why not always straight TAVR?

Life saved under pressure. Critical AS with acute HF and severe LV dysfunction complicated by cardiac arrest during valve crossing. Prompt S3 valve deployment restored hemodynamics, highlighting the vital role of timely valve implantation in high-risk scenarios. #TAVR

@BinAbdulHak_A @ShariqShamimMD Depending on the patient’s clinical condition- if frail etc- BAV and d/c- reassess candidacy for tavr in a month.. if really tavr candidate- would just TAVR without prior BAV- less pacing runs etc- one inflation and done.

@ShariqShamimMD @HarshGMD Thank you. No CPR needed. Great points Shariq as always. He instantly improved with valve deployment. BAV or not is always a debatable issue in such clinical situations and as you know it is without a risk. I don’t think he would survive a BAV without a valve.

@JayMathewsMD which sheath is this?

Embolized Micra to distal PA. New Micra placed. Original Micra removed with Triever24 Flex and Triloop Snare.

@mvaduganathan @MethodistHosp @kershawpatel @khurramn1 @WilliamZoghbi @hfdocbhimaraj @AlanLumsdenMD @DrMarthaGulati @HMHCardioFellow @DeBakeyCVedu @RBPatelMD Muthu- circle of life- so happy my friend! Proud dad, proud son🫡🙂

Incredibly grateful to the impressive @MethodistHosp team for the kind invitation to present at GR Extra special my father, who trained there, could attend. He inspired me to become a cardiologist and has been a lifelong guide & ultimate role model 🙏🏾 🎥 m.youtube.com/watch?v=vlHjpX…

@MayraGuerreroMD @KimberlyHolstMD @smitha_narayana @MayoClinicCV Terrific result Mayra! Congratulations

A great way to celebrate “International Day for Interventional Cardiology” doing an “All-Women Transseptal Valve in MAC” with my awesome colleague @KimberlyHolstMD and our wonderful fellow @smitha_narayana!!! @MayoClinicCV ❤️

@DLBHATTMD Congratulations, Dr. Bhatt. A big feat!

#cardiology #cardiovascular #cardiotwitter #cardioX

@fjsawaya @CERC_CRO @AUBMC_Official @BSC_EU_Heart Congratulations Fadi!

Honored to receive the Best Investigator Award from my former mentor, Marie-Claude Morice, in recognition of our work leading the TAVI MENA study. Grateful for the opportunity to contribute to this important research! @CERC_CRO @AUBMC_Official @BSC_EU_Heart

@CASivaram1 @DavidWienerMD @Drdevignair @DJ_Lakkireddy @argulian @iamritu @NadeenFaza @KemalogluOz @PWesslyMD @alexsfelixecho @alex1708ander @StellEkaterina @drrakeshg1 @purviparwani would get a CT to understand more.

#echofirst 🫀TEE of LAAO device 12 months after implant 🫀Insignificant PDL 🫀Impression & next steps? @DavidWienerMD @Drdevignair @DJ_Lakkireddy @argulian @iamritu @NadeenFaza @KemalogluOz @PWesslyMD @alexsfelixecho @alex1708ander @StellEkaterina @drrakeshg1 @purviparwani

@B_Naz_MD @AkashKataruka @MiguelVldrbno @jamiemccabeMD @DavidElison1 @UWMedHeart @True_EP @Ed_Gerst @DrRoderickTung Done a few cases with Saket! great collaboration!

@AkashKataruka @MiguelVldrbno @jamiemccabeMD @DavidElison1 @UWMedHeart @True_EP @Ed_Gerst @DrRoderickTung 6x12 OTW peripheral balloon proximally and 4x12 monorail coronary balloon distal

#AblateVT more fun as a team. Post-infarct mid-inferosept VT inaccessible from RV, LV & epi. Double balloon EtOH via MCV worked w/ help choosing balloons & wires from @jamiemccabeMD & @DavidElison1. Thx to @MiguelVldrbno for tips & tricks during @UWMedHeart EP research conf.

@YaleHF @YaleCardiology @YaleCardiacSurg Marc, this is great ! Congratulations !

Yale Appoints Dr. Marc Pelletier, Chief of Cardiac Surgery. We are excited to welcome Dr. Pelletier! @YaleCardiology @YaleCardiacSurg m.yale.edu/cw83

@phillipfreeman BATMAN vs. LAMPOON vs. SESAME..how to decide!

# SESAME #electrosurgery #CardioTwitter Aalborg structural heart, pushing boundaries again. 74 year old patient with severe mitral stenosis and severe MAC. Turned down for LAMPOON Valve in MAC due to an extremely tight neoLVOT even with LAMPOON under 150mm2.

@HarryDauerman @DrTGupta It is interesting Harry- our peds folk do the same exact way..they prefer left side though most of the time !

First #tavr s3 in a failed pulmonic surgical valve. Fast lunderquist into distal wedge catheters—#maybeiamamazed that these maneuvers are so well tolerated ⁦@DrTGupta⁩

@OHSUCardFellows @OHSUCardio

Interviewing for structural fellowship for academic year 2025-2026. Interested fellows are welcome to apply to OHSU. One of the leading centers in structural space with TAVR, TMVR, TTVR, LAAO and lot of cutting edge early feasibility trials- contact plesiaa@ohsu.edu with CV/LORs!

@PedroMDMSc @JACCJournals Not as easy as described- cracking tears the leaflet a lot of times, causing severe AI, trying to do BASILICA in that situation can be detrimental as well.

@JACCJournals This is well described . You have to crack the valve first and then basilica . Post fracking after basilica can modify surgical or native leaflet orientation. Crack, basilica then deploy valve

Managing complex coronary anatomy with #TAVR using #BASILICA can still sometimes result in procedural challenges. See an amazing case in this week’s #JACC: bit.ly/4eXWZLk #JACCCaseReports #SAVR

@DrRajeshG1 Balloon sizing isn/t necessarily right. Would need a CT scan, but looking at the great ballooning, either BEV or SEV should be fine. Seems like sinuses and STJ are big

Experts on TAVR please teach us some points on selection of the valve(balloon expandable vs self expanding), size of the valve(23 suggested after CT), post dilatation in case you see mild PVL etc etc.

@SrihariNaiduMD @DutchRojas Well summarized in a nutshell and possible solution. Fantastic!

@DutchRojas Ah sarcasm! Tho if we want docs as servants of society then we need free tuition to college & med school, free healthcare for us & our families at VA, front of line for ✈️, abolish malpractice (bc there’s no 💰 in it anymore), & all other perks & respect of servitude. Any takers?

1/7 BREAKING: Medical Utopia Achieved! 🎉🏥 Doctors' salaries capped at $50k! Because who needs experienced surgeons when you can have enthusiasm and minimum wage? 💉💸 #HealthcareRevolution

@SachinGoelMD @KHERA_MD @DhavalKolte @PradeepYadavMD @rooshaparikh @Pooh_Velagapudi @DrTGupta @ParasuramMD @AnkurKalraMD @mathur_a @NishithChandra @LucySafi @GilbertTangMD what a game! can't ask for a better result!! Really demonstrates the commitment, hard work and some support from the Almighty at crucial times!

@KHERA_MD @DhavalKolte @PradeepYadavMD @rooshaparikh @Pooh_Velagapudi @DrTGupta @ParasuramMD @AnkurKalraMD @mathur_a @NishithChandra @LucySafi @GilbertTangMD What a game!! Unbelievable!!

Congratulations to @rahuldravid_ind for leading very successful campaigns. Wonderful batsman , human and coach. You will be missed. Let’s get the World Cup home @ImRo45

@Pooh_Velagapudi @cardiacinterv @pkothapalliMD @poojaotherwise @dcscant @SanChris999 @skilicmd @TamiAtkinson @SEH_MD @yadersandoval @HadyLichaaMD @adityadoc1 @Babar_Basir @SNedios @Kristen_BrownMD @asimshabbir54 @MansiOberoi7 @DrRosanel @Umair2017 @arnavkumar @DrTGupta @NishthaSodhi @PradeepYadavMD Wonderfully written! Congratulations!

@cardiacinterv ⬆️@pkothapalliMD @poojaotherwise @dcscant @SanChris999 @skilicmd @TamiAtkinson @SEH_MD @yadersandoval @HadyLichaaMD @adityadoc1 @Babar_Basir @SNedios @Kristen_BrownMD @asimshabbir54 @MansiOberoi7 @DrRosanel @Umair2017 @arnavkumar @DrTGupta @NishthaSodhi @PradeepYadavMD @HarshGMD

Poonam Velagapudi, MD (@Pooh_Velagapudi) reveals tips for success during/after training, including advice for the biggest challenges facing fellows, how to determine the best career path for your goals/values, and critical nonmedical skills to practice citoday.com/articles/2024-…