Arnav Kumar, MD, MSCR

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Arnav Kumar, MD, MSCR

Arnav Kumar, MD, MSCR

@arnavkumar

IC & Structural | Alum @BrighamWomens @harvardmed | Via @emory_heart @EmoryCCRI | #ShearStress #ComputationalImaging 🇮🇳Cricket

Boston, MA Katılım Mart 2009
840 Takip Edilen2.1K Takipçiler
Arnav Kumar, MD, MSCR
Arnav Kumar, MD, MSCR@arnavkumar·
#ComplexPCI before #TAVR — timing, technique, valve selection all matter. 3 cases. High surgical risk for CABG-SAVR. #Imaging guided PCI. All were discharged home first, then underwent successful outpatient TAVR in a few weeks. Each case taught us something.
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Arnav Kumar, MD, MSCR
Arnav Kumar, MD, MSCR@arnavkumar·
3 high-risk pts: severe #AS + significant #CAD — too risky for CABG+SAVR. Strategy: → Staged PCI first (imaging-guided, no MCS) → home next day → Outpatient #TAVR 2–4 wks later → home next day. Zero PPM. Minimal/no PVL. ✅ How are others managing critical CAD in severe AS?
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Arnav Kumar, MD, MSCR
Arnav Kumar, MD, MSCR@arnavkumar·
2 weeks later: outpatient TF-TAVR with Medtronic Evolut FX+ (supra-annular, self-expanding) 29mm valve. In a pt with a small annulus, the supra-annular design of the @MDT_StructHeart Evolut allowed us to achieve maximum hemodynamic benefit. D/C home the next day.
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Arnav Kumar, MD, MSCR
Arnav Kumar, MD, MSCR@arnavkumar·
Case 2 · 86F · Urgent LCx-LM PCI → Evolut FX+. Chest pain, EKG changes during TAVR workup. EF 40%. Patent LIMA-LAD. Urgent IVUS-Guided LCX-LM PCI → #IVL → 3.5×24mm @BSCCardiology Megatron, post-dil to 4.0mm. Recrossed struts → 3.0×15mm #DrugCoatedBalloon to LAD ostium.
Arnav Kumar, MD, MSCR tweet mediaArnav Kumar, MD, MSCR tweet media
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Arnav Kumar, MD, MSCR
Arnav Kumar, MD, MSCR@arnavkumar·
Case 1. 80M · Calcified LM Bifurcation with Severe #AS. Preserved LVEF. Shockwave lithotripsy → IVUS-guided DK-Culotte stent across LM-LAD-LCX. Discharged Home.
Arnav Kumar, MD, MSCR tweet mediaArnav Kumar, MD, MSCR tweet media
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Arnav Kumar, MD, MSCR
Arnav Kumar, MD, MSCR@arnavkumar·
3 weeks later — outpatient TAVR → Edwards SAPIEN 3 Ultra Resilia 29mm (balloon-expandable). +1cc for precise, controlled oversizing. Discharged the next day. 🏠 @EdwardsLifesciences More cases to follow ↓
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Arnav Kumar, MD, MSCR retweetledi
Salman Arain
Salman Arain@realarainmd·
RTIG Cap Puncture Tutorial Here is a ‘self learning’ real time IVUS guided cap puncture tutorial as requested by several colleagues. It has two parts - one for the angio and another for the IVUS. The primary operator usu. goes back and forth bet. them in real time. Questions, comments and suggestions welcome!🙏🏼
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Pinak Shah, MD
Pinak Shah, MD@PinakShahMD·
Looking forward to a new position as Director of Interventional Cardiology at Mass General Brigham. With incredible colleagues throughout the system, we will build the most comprehensive IC program internationally.
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Kashish Goel
Kashish Goel@kashishgoelmd·
CRT 2025 was busy and impactful! Thanks to Dr. Ron Waksman for the invite! Honored to present the latest update on Innovalve TMVR EFS (thanks to Dr. Rihal) and thrilled to be a runner-up in Best Cardiovascular Innovations for Laplace TTVR EFS! Exciting times in transcatheter mitral & tricuspid therapies #CRT2025 @ChetRihal @colinbarkerMD @VUMChealth @ronwaksman @scaielm @vumcvalve
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Arnav Kumar, MD, MSCR retweetledi
Salman Arain
Salman Arain@realarainmd·
#HDRanalysis - Happy New Year Edition! 🧵 The first #HDRanalysis of 2025! The case was posted earlier by @evandrofilhobr - a man who needs no introduction here. There were three #HDR injections - with three(!) different patterns. Case below, my analysis to follow…
Evandro Martins F. MD@evandrofilhobr

#CTO101 #HDR #CTOPCI Interesting RCA CTO PCI @realarainmd maybe I get honor to get your inputs in this case... Still don't know how to name the crossing technique lol !😅 (I'm sure the patient don't care!)

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Arnav Kumar, MD, MSCR retweetledi
Salman Arain
Salman Arain@realarainmd·
💧#HDRanalysis 🧐 - Case 027 An CTO Intervention Unlike Any You Have Seen! 🧵 Here is an unusual CTO for most. The patient is a 48 year old woman with systemic sclerosis (SSc), Raynaud’s, and non-healing ulcer of the left 3rd digit. Here is the patient’s hand. More…👇🏼
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Arnav Kumar, MD, MSCR
Arnav Kumar, MD, MSCR@arnavkumar·
@realarainmd 🙏 kind words @realarainmd ! It has been a pleasure to learn from you. I always felt it was so easy to talk to you! As you pointed out - we felt there was a mechanical issue with the anastomosis/prior stent. Lesion was heavily calcified .. Added post-laser/balloon Image.
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Salman Arain
Salman Arain@realarainmd·
I would like to congratulate and recognize Arnav, who posted his 1st #HDR. I have known him since he was a resident - and now he is a budding #CTOPCI specialist! 👉🏼 You can see why prior attempts failed - the anastomosis is in STENT jail More…
Arnav Kumar, MD, MSCR@arnavkumar

Our first attempt #HDR #CTO Technique @Houston Heart with @pranav_loyalka & Dr. Omar Hadidi last month after #AWE didn’t cross .. 66 M, NSTEMI, second admission w active chest pain despite maximum medical Rx .. Credit @realarainmd for describing the technique .. @DLBHATTMD

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