Mohd Iqbal Dar

@PCRonline Somebody probably forgot to take the plastic protective cover off the balloon...

An image is worth a 1,000 words: what is the unexpected finding on the IVUS during a complex coronary intervention? ❓pcronline.com/Cases-resource… Participate in the quiz to test your knowledge! Image submitted by T. Warisawa and Y. Nakamura 🇯🇵and selected for #EuroPCR 2⃣0⃣2⃣6⃣ #interventionalcardiology

@PurumittalDr @Obisht @realarainmd collapsed true lumen... (Red arrow)

@Iqbal48 @Obisht @realarainmd Why do you think so

@realarainmd Please give your valuable insight on this run. Stent thrombosis of Ostial LAD

With the legend ... @ Gary Mintz

@Mmmmmove_on @Umair2017 @imi_haf @DrHilal24718843 @mirvatalasnag @DrRajeshVijay @toreyj01 @aayshacader @IntervnCardio @sajannarayanan No

@Iqbal48 @Umair2017 @imi_haf @DrHilal24718843 @mirvatalasnag @DrRajeshVijay @toreyj01 @aayshacader @IntervnCardio @sajannarayanan Ruptured plaque cavity？

What is this lesion (arrow) Your thoughts @Umair2017, . @imi_haf @DrHilal24718843 @mirvatalasnag @mmamas197 @DrRajeshVijay @toreyj01 @moiz_hafi @aayshacader @IntervnCardio @sajannarayanan @evandrofilhob

@InvasiveCardiol @klz13657254286 @DLBHATTMD This is unusually large for an aneurysm. There seems to be another cavity with a calcified wall at 11 o'clock. A CT may help.

✨Video of the Week: A Giant Right Coronary Artery Pseudoaneurysm Successfully Managed With a Covered Stent ▶️hubs.ly/Q03VSrxk0 @klz13657254286 @DLBHATTMD #cardioTwitter #cardioX #cardiology #interventionalcardiology

@ShawkatMiro @imi_haf @DrHilal24718843 @mirvatalasnag @DrRajeshVijay @toreyj01 @aayshacader @IntervnCardio @sajannarayanan Previous IVUS already posted in the thread.

@Iqbal48 @imi_haf @DrHilal24718843 @mirvatalasnag @DrRajeshVijay @toreyj01 @aayshacader @IntervnCardio @sajannarayanan Guide induced ostial injury, if you have IVUS of earlier procedure, please post it.

Pt had undergone IVUS-guided distal LM PCI 3 months back, and now reported with chest pain. Repeat IVUS below. Your thoughts. @imi_haf @DrHilal24718843 @mirvatalasnag @mmamas197 @DrRajeshVijay @toreyj01 @moiz_hafi @aayshacader @IntervnCardio @sajannarayanan @evandrofilhob

@imi_haf @DrHilal24718843 @mirvatalasnag @DrRajeshVijay @toreyj01 @aayshacader @IntervnCardio @sajannarayanan Previous IVUS of Proximal LM.

@imi_haf @DrHilal24718843 @mirvatalasnag @DrRajeshVijay @toreyj01 @aayshacader @IntervnCardio @sajannarayanan CAG

@toreyj01 @imi_haf @DrHilal24718843 @mirvatalasnag @DrRajeshVijay @aayshacader @IntervnCardio @sajannarayanan It was a distal LM- Proximal LAD lesion. Prox LM was Normal. Cross-over stenting was done. will share previous IVUS and current angio too.

@Iqbal48 @imi_haf @DrHilal24718843 @mirvatalasnag @DrRajeshVijay @aayshacader @IntervnCardio @sajannarayanan Also note how much plaque is behind the distal stent. Not a lot. Is there more plaque more distal? Or was the distal LM stented due to spasm?

@toreyj01 @imi_haf @DrHilal24718843 @mirvatalasnag @DrRajeshVijay @aayshacader @IntervnCardio @sajannarayanan What about the focal hyperintense signal at LM ostium? Is it an eruptive calcium nodule? A similar lesion was present in the index scan, albeit small.

@Iqbal48 @imi_haf @DrHilal24718843 @mirvatalasnag @DrRajeshVijay @aayshacader @IntervnCardio @sajannarayanan There’s no extrinsic compression consistent with hematoma. Not much plaque either. Sometimes NTG doesn’t ease spasm when a wire is across it and a guide is engaged. I would look for spikes on the ILD. High catheter motion signifies spasm. Otherwise NHPR assessment.

@toreyj01 @imi_haf @DrHilal24718843 @mirvatalasnag @DrRajeshVijay @aayshacader @IntervnCardio @sajannarayanan That was the first thought. This run was taken after giving NTG

@Iqbal48 @imi_haf @DrHilal24718843 @mirvatalasnag @DrRajeshVijay @aayshacader @IntervnCardio @sajannarayanan It’s probably spasm. Give some NTG. Otherwise it’s negative remodeling and likely not physiologically significant. The distal LM is much larger than the ostial segment.

Resynchronization Therapy in a Coronary Venous Sinus Anomaly | JACC: Case Reports jacc.org/doi/10.1016/j.…

Culprit vessel? @imi_haf @DrHilal24718843 @mirvatalasnag @DrRajeshVijay @toreyj01 @aayshacader @IntervnCardio @ECGcases @smithECGBlog @ZHeart11768530

@mirvatalasnag @fayezbaraah @KFAFHCards @Dr_AshokSeth @mathur_a @AtulGupta_MD @DrSaritaRao2 @drptca @aayshacader @ANazmiCalik @mmamas1973 @iamritu @AnkurKalraMD @atunuguntla1 @doubleaguptamd @AmbreenMohamed @AlkashkariWail Yes, mam, it is. Don't forget to pack some warm clothes, though. It is a bit cold at this time of year.

@Iqbal48 @fayezbaraah @KFAFHCards @Dr_AshokSeth @mathur_a @AtulGupta_MD @DrSaritaRao2 @drptca @aayshacader @ANazmiCalik @mmamas1973 @iamritu @AnkurKalraMD @atunuguntla1 @doubleaguptamd @AmbreenMohamed @AlkashkariWail I hear it’s beautiful

My first visit to India..I was impressed by the history & hospitality & looking forward to collaborating with colleagues across the subcontinent at multiple levels @fayezbaraah #Abukhodair #AlSaeedi @KFAFHCards @Dr_AshokSeth @mathur_a @AtulGupta_MD @DrSaritaRao2 @NishithChandra

@jbspadoni @imi_haf @DrHilal24718843 @mirvatalasnag @DrRajeshVijay @toreyj01 @aayshacader @IntervnCardio @sajannarayanan @LAzzaliniMD We left him on GP IIb/IIIa infusion and antiplatelets.

@Iqbal48 @imi_haf @DrHilal24718843 @mirvatalasnag @DrRajeshVijay @toreyj01 @aayshacader @IntervnCardio @sajannarayanan @LAzzaliniMD Great images. Completely different treatment plans now. What did you do? Thrombectomy or dapt/anticoagulation. I would be tempted to penumbra here but meds alone sounds reasonable too

Distal stent edge dissection or what?@imi_haf @DrHilal24718843 @mirvatalasnag @mmamas197 @DrRajeshVijay @toreyj01 @moiz_hafi @aayshacader @IntervnCardio @sajannarayanan @evandrofilhob @LAzzaliniMD @jbspadoni