Dr.Umar Ashfaq Khan 🇵🇰
@documar
Cardiologist🫀 Fb: https://tinyurl.com/Documar Almamater: Peshawar Institute of Cardiology
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Alhumdulilah! 🇵🇰 On Pakistan’s Independence Day, We at Peshawar Institute of Cardiology has set a new world record — performing 14 #TAVI procedures in a single day! 🏆 @GWR, history made in the heart of KP! 💚 #14on14
NOBLE 10-year data at #TCT2025 confirm that IVUS-guided PCI achieves long-term mortality nearly identical to CABG,while angiography-only PCI lags behind. With lower TLR (5% vs 12%) and optimal stent expansion, IVUS defines the future of precision PCI. #IVUS #PCI #CABG #Cardiology
Organized and presented the Monthly Grand Round at PIC–MTI on the FAME 3 (5-year), NOBLE (10-year), and SYNTAX (10-year) follow-ups highlighting how advances in physiology-guided PCI are narrowing the long-term outcome gap with CABG in complex coronary disease.
The Deptt of Cardiology, @PICMTI, conducted its Monthly #Grand Round on “5-Year Outcome of the #FAME3Trial.” Discussions focused on long-term results comparing FFR-guided PCI vs #CABG in multivessel #CAD, highlighting implications for patient care and clinical decision making.
Carotid #Artery #Intervention Workshop @PICMTI_OFFICIAL successfully hosted a hands-on workshop in collaboration with #RIC Rawalpindi advancing #stroke #prevention, patient safety & innovation in cardiovascular care.
Why ‘in-Vivo’ sizing for Redo-TAV makes sense over ‘in-vitro’ sizing . Just out publication addressing this for failed Evolut R
An insightful session on #HeartFailure Management was conducted by Dr. Umar Ashfaq (#Interventional #Cardiologist) The session highlighted the latest ACC #guidelines,#patientcare protocols,and cardiac #rehabilitation strategies, followed by an engaging quiz competition.
2025 ESC/EACTS Guidelines on Valvular Heart Disease! Earlier AVR in severe AS Stronger role for TEER & tricuspid repair LAA closure emphasized SAPT post-TAVI Clear shift towards earlier, safer & patient-centred care. #Cardiology #ValveDisease #ESC2025
Ten Ways to Use IVUS for #CTOPCI While searching the web for 3D wiring, I found this recording from EuroCTO last year. This is pre #TDADR. I have learnt so much since then! 😀 16th Experts Live CTO: Flash Highlights: Intravascular imaging in CTO PCI eurocto.eu/videos/en-GB/3…
I couldn’t get it (3D wiring ) not even using this app 😂
A large, real-world analysis confirms safety & durability of aortic valve-in-valve compared with #TAVR at all surgical risk levels at mid-term follow-up, published in #JACCINT jacc.org/doi/10.1016/j.… @rlaham @tavrkapadia @bapat_savrtavr @PradeepYadavMD
Ticagrelor wasn’t superior to BID clopidogrel at 1 month post-#PCI, with similar bleeding, but reduced #MACE in the first 2 weeks. jacc.org/doi/10.1016/j.… #JACC #ESCCongress #WCCardio @ahakeem143
SOFIA neurovascular catheter for large volume thrombus aspiration in ACS / STEMI. + 50 cases in our centre, published in HLC. Restoration of TIMI 3 flow in 88% cases. No procedural complications. No embolic events. Routine in our centre now for large vol thrombus. Set up in vid
Cutting The Gordian Knot! Here is an “#HDR Classic” that shows how to approach the patient with multiple CTOs. The pt. has a low EF, recurrent admits for CHF, and a single remaining vessel - a LIMA to an LAD segment occl. on bith sides! Re-posting for @abadkhan2002 and…
This is the case! Using Contrast To Cut The Gordian Knot 69 year old man s/p CABG in 2012 - all three SVGs failed. LIMA patent to mid LAD only. Several CTOs. Presents with CCS IV angina, EF 35%. Failed EECP. Options: high risk #CTOPCI, CABG, Cosira II, 💊+ prayer! Cont’d
Gentle! I will make a video. I advise folks to use an ‘underhand grip’. This keeps one from performing a power Carlino. These pictures are from a case we just finished.
Nice technique for 2-stent PCI - though we know it by a different name: #JSBT facilitated nano crush. Great for when there is a) size discrepancy bet. the MB and SB, and b) the carina is well visualized.
📖New study: jailed stent-balloon technique for #Bifurcation #PCI shows promise—full side branch coverage, preserved carinal geometry, easier side branch recross, & reduced technical complexity💡 ➡️doi.org/10.1016/j.jsca… @JeffShowTran @CMcNeelyMD @prathakker @MarcSintek…
The LAD keeps humbling us, higher flow, lower FFR, even when clean. Physiology > angiography, always.
A (very!) nice review of the physiology of the LAD 🔑 The LAD has higher baseline flow and this results in a lower FFR even when widely patent! Who knew?! Apparently Lance Gould and Nils Johnson did. And now you do too. 😅 How Different is Invasive Coronary Physiology in the…
These tiktok/insta videos of Civil Servants with tacky background music are seriously cringe. Its getting out of hands now- a line needs to be drawn somewhere...
18-year-old male with a large PDA. Superstiff wire was snared in the aorta to facilitate the delivery of a 12F sheath across the PDA. A 24/26 mm ADO device was used. mPAP dropped from 49mmHg to 20mmHg. What is the largest ADO device you've used for PDA closure?
Lighting up the arteries Making the invisible visible: contrast injection during angiography #InterventionalCardiology #CardioTwitter
I've grown up hearing about Civil Service Reforms-seems like an insurmountable hurdle that every government undertakes only for it to be shelved until the next round. tribune.com.pk/story/2557745/…
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