purushottam mittal
@PurumittalDr • 1,451 subscribers
आ नो भद्रा: क्रतवो यन्तु विश्वत: Let noble thoughts come to us from all directions Director & Head, Cardiology, Sudha Medical College Jagpura & Sudha hosp Kota
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Let’s start talking life time management of CAD. In the era of highly effective PCI, hybrid strategies and CABG, is there any reliable prediction model (manual or AI ) which guide evidence based durable revascularization strategy for this 51 ym patient with NSTEMI and normal EF
purushottam mittal34,970 次观看 • 6 天前
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 mittal26,824 次观看 • 5 个月前
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 mittal15,478 次观看 • 6 个月前
Friend in need A 54 ym, ACS, EF 15%, refractory pulmonary edema. CAG after stabilization👇. Accepted by CTVS for CABG, On IABP. now it seems our young surgeon is not sure whether patient will be able to make it. asking if we can fix it some way by PCI. what do you think...
purushottam mittal24,066 次观看 • 3 年前
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 mittal12,228 次观看 • 2 年前
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