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purushottam mittal

@PurumittalDr • 1,384 subscribers

Cardiology, Neurointervention आ नो भद्रा: क्रतवो यन्तु विश्वत: Let noble thoughts come to us from all directions

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Pt underwent cutting balloon angioplasty followed by DCB to ISR of Ostial RCA stent. Implanted 7 yr back. This is post DCB image. What do your opinion

Pt underwent cutting balloon angioplasty followed by DCB to ISR of Ostial RCA stent. Implanted 7 yr back. This is post DCB image. What do your opinion

27,072 Aufrufe

How should we plan this, which vessel first.? 73 ym, admitted w/ c/o progressive dyspnea leading to emergency hospitalisation for ADHF No relevant past history, diabetes+, Trop I negative. Echo Global hypokinesia, EF- 20%

How should we plan this, which vessel first.? 73 ym, admitted w/ c/o progressive dyspnea leading to emergency hospitalisation for ADHF No relevant past history, diabetes+, Trop I negative. Echo Global hypokinesia, EF- 20%

10,152 Aufrufe

58 y male with NSTEMI, EF 45%. Recurring Angina after 12 hr of tirofiban infusion If this your case, what will be your approach ? PCRonline 🫀 mandeep singh Mamas A. Mamas Joy Sanyal,MD, DM, Latchumanadhas K Shariq Shamim AshishShah Osama Bisht ALKINDY Abdulrhman

58 y male with NSTEMI, EF 45%. Recurring Angina after 12 hr of tirofiban infusion If this your case, what will be your approach ? PCRonline 🫀 mandeep singh Mamas A. Mamas Joy Sanyal,MD, DM, Latchumanadhas K Shariq Shamim AshishShah Osama Bisht ALKINDY Abdulrhman

21,763 Aufrufe

Failure to cross, 86 Yr male with ACS, Trop I positive. Old IWMI tried many tricks Switched from Rad to fem Support guide Balloon support run through, fielder family cross it, whisper Planning to re-attempt Any tips and tricks!

Failure to cross, 86 Yr male with ACS, Trop I positive. Old IWMI tried many tricks Switched from Rad to fem Support guide Balloon support run through, fielder family cross it, whisper Planning to re-attempt Any tips and tricks!

22,921 Aufrufe

Midnight shock! Dear young Indian ICs, forget heart team, rush the patient straight to cath lab and remember, it's not criminal to do LMCA angioplasty without imaging if life is hanging by thread

Midnight shock! Dear young Indian ICs, forget heart team, rush the patient straight to cath lab and remember, it's not criminal to do LMCA angioplasty without imaging if life is hanging by thread

11,670 Aufrufe

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Significant stent overhang from previous PCI. When protrusion is >5 mm (3-4 struts) it’s very difficult to cannulate the mouth. we airmailed a wire from 3D RC. IVUS probe couldn’t be passed predilatation, created a side flap. Dissection was non-flow limiting,Would you stent this!
0:23
PurumittalDr's profile picture

Significant stent overhang from previous PCI. When protrusion is >5 mm (3-4 struts) it’s very difficult to cannulate the mouth. we airmailed a wire from 3D RC. IVUS probe couldn’t be passed predilatation, created a side flap. Dissection was non-flow limiting,Would you stent this!

purushottam mittal

26,799 Aufrufe • vor 2 Monaten

Salman Arain Please give your valuable insight on this run. Stent thrombosis of Ostial LAD
0:38
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Salman Arain Please give your valuable insight on this run. Stent thrombosis of Ostial LAD

purushottam mittal

14,029 Aufrufe • vor 1 Monat

A pt had large perf after RCA stenting, was stabilised by quick aspiration and prolonged balloon inflation. After 🎈deflation perforation sealed but he was found to clot at stent overlap. Covered with another DES. No residual thrombus. TIMI3 flow. Stable BP. Shifted to ICU, but
0:36
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A pt had large perf after RCA stenting, was stabilised by quick aspiration and prolonged balloon inflation. After 🎈deflation perforation sealed but he was found to clot at stent overlap. Covered with another DES. No residual thrombus. TIMI3 flow. Stable BP. Shifted to ICU, but

purushottam mittal

15,478 Aufrufe • vor 3 Monaten

7F, fem. easy crossing with runthrough thrombosunction. LCX wiring. prediat with NC, Aperta 2.5 *10 mm for LAD os. Mid LAD stent 3.0*40, LM - LAD Cross over 4.0*28. LMCA POT with 4.5*10 NC would you prefer risking thrombus exrrusion by doing POT or un opposed stent in LM
0:33
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7F, fem. easy crossing with runthrough thrombosunction. LCX wiring. prediat with NC, Aperta 2.5 *10 mm for LAD os. Mid LAD stent 3.0*40, LM - LAD Cross over 4.0*28. LMCA POT with 4.5*10 NC would you prefer risking thrombus exrrusion by doing POT or un opposed stent in LM

purushottam mittal

12,220 Aufrufe • vor 1 Jahr

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