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Dr Imran Hanif Hashmi

@DrIHHashmi1 • 2,970 subscribers

interventional cardiologist

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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.....

15,222 Aufrufe

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?

23,649 Aufrufe

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.

15,849 Aufrufe

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.

32,020 Aufrufe

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

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

51,046 Aufrufe

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

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

10,507 Aufrufe

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.

26,805 Aufrufe

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 Aufrufe

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?

21,700 Aufrufe

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

23,061 Aufrufe

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 Aufrufe

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.

26,253 Aufrufe

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 Aufrufe

Upfront RA or not? Young male, Renal Transplant candidate. On MHD for last 10 y.

Upfront RA or not? Young male, Renal Transplant candidate. On MHD for last 10 y.

11,273 Aufrufe

Interesting. What do you think?

Interesting. What do you think?

16,180 Aufrufe

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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

76,141 Aufrufe • vor 7 Monaten

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

12,743 Aufrufe • vor 2 Monaten

What do you think about this LAD?

What do you think about this LAD?

Dr Imran Hanif Hashmi

97,906 Aufrufe • vor 3 Jahren

RCA functional CTO. All good till we pulled out the wire, Then it was obvious. What to do next.

RCA functional CTO. All good till we pulled out the wire, Then it was obvious. What to do next.

Dr Imran Hanif Hashmi

34,705 Aufrufe • vor 1 Jahr

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

15,891 Aufrufe • vor 7 Monaten

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

35,604 Aufrufe • vor 2 Jahren

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

24,565 Aufrufe • vor 1 Jahr

#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 Aufrufe • vor 7 Monaten

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

28,428 Aufrufe • vor 2 Jahren

80y old male. NSTE ACS. LVEF 30% How much should be done in one setting?

80y old male. NSTE ACS. LVEF 30% How much should be done in one setting?

Dr Imran Hanif Hashmi

16,198 Aufrufe • vor 1 Jahr

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

13,769 Aufrufe • vor 1 Jahr

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 Aufrufe • vor 1 Jahr

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

18,804 Aufrufe • vor 1 Jahr

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 Aufrufe • vor 2 Jahren

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

11,373 Aufrufe • vor 1 Jahr

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

16,480 Aufrufe • vor 2 Jahren

An elderly male pt presented with NSTE ACS. LVEF 30%. CABG declined by CS as pt was declared high surgical risk by a pulmonologist due to severe lung disease. What do you think how much should be done in one setting?

An elderly male pt presented with NSTE ACS. LVEF 30%. CABG declined by CS as pt was declared high surgical risk by a pulmonologist due to severe lung disease. What do you think how much should be done in one setting?

Dr Imran Hanif Hashmi

12,433 Aufrufe • vor 1 Jahr

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 Aufrufe • vor 1 Jahr

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

12,120 Aufrufe • vor 1 Jahr

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 Aufrufe • vor 3 Jahren