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Dr Imran Hanif Hashmi

@DrIHHashmi1 • 2,981 subscribers

interventional cardiologist

Shorts

Another off-label use of inoue balloon for PBP.

Another off-label use of inoue balloon for PBP.

13,946 görüntüleme

Morbidly obese diabetic young male with NSTE ACS. Diffusely diseased LAD, D1, and high OM/ RI. Then, there was cath induced non flow limiting LMS dissection.....

Morbidly obese diabetic young male with NSTE ACS. Diffusely diseased LAD, D1, and high OM/ RI. Then, there was cath induced non flow limiting LMS dissection.....

15,431 görüntüleme

A 60‑year‑old female presented with NSTE‑ACS. Angiography showed a mid‑LAD lesion that looked simple and lacked high‑risk features. After predilating with a 2.5 mm balloon at 10 atm, a massive perforation occurred. What do you think led to this?

A 60‑year‑old female presented with NSTE‑ACS. Angiography showed a mid‑LAD lesion that looked simple and lacked high‑risk features. After predilating with a 2.5 mm balloon at 10 atm, a massive perforation occurred. What do you think led to this?

23,659 görüntüleme

Everything was fine till post-dilation and then...... Adrenaline surge..

Everything was fine till post-dilation and then...... Adrenaline surge..

51,046 görüntüleme

Difficult scenario to deal with. Young male with severe chest pain. ST elevation in III, avr, V1 and ST depression in all other leads. Would like to hear from colleagues, how to handle this.

Difficult scenario to deal with. Young male with severe chest pain. ST elevation in III, avr, V1 and ST depression in all other leads. Would like to hear from colleagues, how to handle this.

32,021 görüntüleme

A 51-year-old male presented with SOB. Dilated RA, RV severe PHTN. What do you think about it.

A 51-year-old male presented with SOB. Dilated RA, RV severe PHTN. What do you think about it.

15,855 görüntüleme

How would you handle this LAD,D1,D2 trifurcation.

How would you handle this LAD,D1,D2 trifurcation.

10,517 görüntüleme

How to handle this LAD, D1& D2. One important thing to mention there is a small coronary cameral fistula from the distal lad to LV visible at the end of the cine. This can create confusion as wire perforation after intervention.

How to handle this LAD, D1& D2. One important thing to mention there is a small coronary cameral fistula from the distal lad to LV visible at the end of the cine. This can create confusion as wire perforation after intervention.

26,820 görüntüleme

30 y old female. 3 months pregnant. Ant STEMI. Previous h/o four spontaneous abortions. What do you think about it.

30 y old female. 3 months pregnant. Ant STEMI. Previous h/o four spontaneous abortions. What do you think about it.

37,869 görüntüleme

A 70-year-old man with inferior STEMI. What's your take on the likely culprit vessel, and how would you manage this case?

A 70-year-old man with inferior STEMI. What's your take on the likely culprit vessel, and how would you manage this case?

14,614 görüntüleme

Ant STEMI, LVF. Previous history of PTCA at some other place no record available. Poor compliance. Severe LV dysfunction. What would you do?

Ant STEMI, LVF. Previous history of PTCA at some other place no record available. Poor compliance. Severe LV dysfunction. What would you do?

21,701 görüntüleme

84y/f underwent CAG via 6F femoral route. Hemostasis was secured with manual compression. In CCU, she developed hypotension and massive Ant. Abdominal wall hematoma. Her groin was clean. Shifted back, did SFA stick, and took the femoral shot. What do you think what had happened

84y/f underwent CAG via 6F femoral route. Hemostasis was secured with manual compression. In CCU, she developed hypotension and massive Ant. Abdominal wall hematoma. Her groin was clean. Shifted back, did SFA stick, and took the femoral shot. What do you think what had happened

23,066 görüntüleme

What should I do? A 50-year-old diabetic female presented to the gastroenterology OPD with abdominal pain, Refer to our ER, having inf STEMI. LVEF 30%. Shifted to the cath lab for PPCI.

What should I do? A 50-year-old diabetic female presented to the gastroenterology OPD with abdominal pain, Refer to our ER, having inf STEMI. LVEF 30%. Shifted to the cath lab for PPCI.

12,277 görüntüleme

Distal balloon anchor in the same vessel to facilitate stent delivery. 85 y old male, ant STEMI. Total proximal lad occlusion. Lms calcification and angulation. Balloon crossed easily, but stent didn't. Guide support, buddy wire failed. No side branch anchor available.

Distal balloon anchor in the same vessel to facilitate stent delivery. 85 y old male, ant STEMI. Total proximal lad occlusion. Lms calcification and angulation. Balloon crossed easily, but stent didn't. Guide support, buddy wire failed. No side branch anchor available.

26,266 görüntüleme

Ant STEMI at midnight. What would you do in such a scenario? 1 Provisional or 2 Upfront 2 stent strategy. Just curious to know if is there any impact of late working hours on the bifurcation strategy.

Ant STEMI at midnight. What would you do in such a scenario? 1 Provisional or 2 Upfront 2 stent strategy. Just curious to know if is there any impact of late working hours on the bifurcation strategy.

15,871 görüntüleme

Interesting. What do you think?

Interesting. What do you think?

16,180 görüntüleme

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SCAD or not. 34y male. Newly diagnosed DM. Chest pain. Osteo proximal lad critical stenosis. What do you think, is it SCAD or not?

SCAD or not. 34y male. Newly diagnosed DM. Chest pain. Osteo proximal lad critical stenosis. What do you think, is it SCAD or not?

Dr Imran Hanif Hashmi

76,164 görüntüleme • 9 ay önce

What do you think about this LAD?

What do you think about this LAD?

Dr Imran Hanif Hashmi

97,907 görüntüleme • 3 yıl önce

What do you think about this. Failed procedure, Partially successful or Successful procedure.

What do you think about this. Failed procedure, Partially successful or Successful procedure.

Dr Imran Hanif Hashmi

12,759 görüntüleme • 4 ay önce

Stent ablation of a freshly deployed Stent is a high-risk bailout procedure for a severely underexpanded freshly deployed Stent due to underestimating CN. A case of IVI and rota regret. Disclaimer. Lesion preparation wasn't adequate.

Stent ablation of a freshly deployed Stent is a high-risk bailout procedure for a severely underexpanded freshly deployed Stent due to underestimating CN. A case of IVI and rota regret. Disclaimer. Lesion preparation wasn't adequate.

Dr Imran Hanif Hashmi

15,909 görüntüleme • 8 ay önce

Inf STEMI. Mid PDA tight lesion. Pre dil. Check injection while stent positioning and then......

Inf STEMI. Mid PDA tight lesion. Pre dil. Check injection while stent positioning and then......

Dr Imran Hanif Hashmi

35,620 görüntüleme • 2 yıl önce

Young male, ACS late presentation. LCX total thrombotic occlusion. LAD was mid/distal subtotal occlusion. RCA CTO with multiple bridge collaterals. How much to do?

Young male, ACS late presentation. LCX total thrombotic occlusion. LAD was mid/distal subtotal occlusion. RCA CTO with multiple bridge collaterals. How much to do?

Dr Imran Hanif Hashmi

24,578 görüntüleme • 2 yıl önce

What do you think about this LAD? A young male presented with Ant STEMI. ST V1 to V4. Shifted for PPCI. Found this. How would you treat this pt.

What do you think about this LAD? A young male presented with Ant STEMI. ST V1 to V4. Shifted for PPCI. Found this. How would you treat this pt.

Dr Imran Hanif Hashmi

28,431 görüntüleme • 2 yıl önce

#HDRanalysis. RCA CTO at proximal stent edge very close to ostium. Guide support was challenging. Tough proximal cap. Gaia 3rd, CP 12 failed. #HDR tried but failed. Cap punctured with Gaia 2nd. #HDR again. Pilot 200 crossed MC failed. 1.0, 2.5,3,3🎈 Acceptable final results.

#HDRanalysis. RCA CTO at proximal stent edge very close to ostium. Guide support was challenging. Tough proximal cap. Gaia 3rd, CP 12 failed. #HDR tried but failed. Cap punctured with Gaia 2nd. #HDR again. Pilot 200 crossed MC failed. 1.0, 2.5,3,3🎈 Acceptable final results.

Dr Imran Hanif Hashmi

11,419 görüntüleme • 9 ay önce

60y old male. ACS. What approach would you take for this ostial LAD?

60y old male. ACS. What approach would you take for this ostial LAD?

Dr Imran Hanif Hashmi

13,790 görüntüleme • 1 yıl önce

Young male. Large ASD. The posterior superior margin is quite deficient. RV dysfunction. PASP 90mmhg. Left to right shunt. 34 mm device. LUPV deployment failed. RUPV deployment. Device occlusion test for 30min. No hemodynamics deterioration. Device released.

Young male. Large ASD. The posterior superior margin is quite deficient. RV dysfunction. PASP 90mmhg. Left to right shunt. 34 mm device. LUPV deployment failed. RUPV deployment. Device occlusion test for 30min. No hemodynamics deterioration. Device released.

Dr Imran Hanif Hashmi

18,496 görüntüleme • 2 yıl önce

What do you think about deployment depth? Good enough or too deep. Mild PVL.

What do you think about deployment depth? Good enough or too deep. Mild PVL.

Dr Imran Hanif Hashmi

18,809 görüntüleme • 2 yıl önce

70-year-old hypothyroid obese female. Ongoing chest pain. How much would be enough for this pt?

70-year-old hypothyroid obese female. Ongoing chest pain. How much would be enough for this pt?

Dr Imran Hanif Hashmi

16,722 görüntüleme • 2 yıl önce

Post CABG. Multiple hospitalisations after CABG. EF dropped from 50 to 30/35%. Patent grafts but.....

Post CABG. Multiple hospitalisations after CABG. EF dropped from 50 to 30/35%. Patent grafts but.....

Dr Imran Hanif Hashmi

16,483 görüntüleme • 2 yıl önce

Can someone help me with vessel identification? Anamolous LM from Rt aortic sinus. However, I was unable to identify LAD and LCX. Which one is LAD?

Can someone help me with vessel identification? Anamolous LM from Rt aortic sinus. However, I was unable to identify LAD and LCX. Which one is LAD?

Dr Imran Hanif Hashmi

11,386 görüntüleme • 1 yıl önce

Young female with effort angina. What do you think about this LCX? Woven coronary artery. Recanalized thrombus. Recanalized CTO.

Young female with effort angina. What do you think about this LCX? Woven coronary artery. Recanalized thrombus. Recanalized CTO.

Dr Imran Hanif Hashmi

13,133 görüntüleme • 1 yıl önce

How fast have you ever paced for PBPV? 22y male. Valvular PS. Severe RVH. Balloon slipped multiple times at 150, 200, 250, and 300 pacing Finally pacing at 360b did the job. Immediate post-procedure PPg dropped from 135mmHg to 60mmHg.

How fast have you ever paced for PBPV? 22y male. Valvular PS. Severe RVH. Balloon slipped multiple times at 150, 200, 250, and 300 pacing Finally pacing at 360b did the job. Immediate post-procedure PPg dropped from 135mmHg to 60mmHg.

Dr Imran Hanif Hashmi

12,132 görüntüleme • 1 yıl önce

Follow up of pt post-VSR device closure at 3 weeks. Now LAD has some flow so decided to fix it. LV angio mild residual shunt. Stable device. RHC PA 26/12/26 LV 103/36/03. CO 8L CI 5L Qp/Qs 1.5 Asymptomatic. Decided to continue GDMT. next FU at 6 weeks.

Follow up of pt post-VSR device closure at 3 weeks. Now LAD has some flow so decided to fix it. LV angio mild residual shunt. Stable device. RHC PA 26/12/26 LV 103/36/03. CO 8L CI 5L Qp/Qs 1.5 Asymptomatic. Decided to continue GDMT. next FU at 6 weeks.

Dr Imran Hanif Hashmi

19,531 görüntüleme • 3 yıl önce