Houston IC & Structural | Alum @BrighamWomens @harvardmed | Via @emory_heart @EmoryCCRI | #ShearStress #ComputationalImaging 🇮🇳Cricket
Houston, Texas
Joined March 2009
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Arnav Kumar, MD, MSCR retweeted
• IMPELLA OFF-LABEL USE: ECMELLA.
It is one of the most common off-label uses of Impella CP.
Although not FDA-approved, LV unloading during VA-ECMO has become common practice in experienced shock centers, particularly when left ventricular distension is detected. #impella
Arnav Kumar, MD, MSCR retweeted
What’s YOUR next move?!
@Grok may well be the wisest #CTOPCI guru to have never set a foot in the cath lab! 😂
A great f/u question. My 1st move is almost always to build up support. This is by far the most common reason devices won’t cross.
Option #2 is modify the cap/plaque.
Thanks for the clean version and video shoutout! That algorithm from Lombardi & Tiwana is a timeless CTO/CHIP gem for wire-crossed but device-uncrossable lesions.
The Javelin?? addition is spot-on — Shockwave’s forward IVL catheter was literally designed for exactly these calcified, tight spots where nothing else advances. Perfect modern update for both coronary and PAD/CLI cases.
What’s your first-line move when small balloons + grenadoplasty fail?
Arnav Kumar, MD, MSCR retweeted
RTIG Cap Puncture Tutorial
Here is a ‘self learning’ real time IVUS guided cap puncture tutorial as requested by several colleagues.
It has two parts - one for the angio and another for the IVUS. The primary operator usu. goes back and forth bet. them in real time.
Questions, comments and suggestions welcome!🙏🏼
Arnav Kumar, MD, MSCR retweeted
#HDRanalysis - Happy New Year Edition! 🧵
The first #HDRanalysis of 2025!
The case was posted earlier by @evandrofilhobr - a man who needs no introduction here.
There were three #HDR injections - with three(!) different patterns.
Case below, my analysis to follow…
#CTO101 #HDR #CTOPCI
Interesting RCA CTO PCI
@realarainmd maybe I get honor to get your inputs in this case...
Still don't know how to name the crossing technique lol !😅 (I'm sure the patient don't care!)
Arnav Kumar, MD, MSCR retweeted
💧#HDRanalysis 🧐 - Case 027
An CTO Intervention Unlike Any You Have Seen! 🧵
Here is an unusual CTO for most. The patient is a 48 year old woman with systemic sclerosis (SSc), Raynaud’s, and non-healing ulcer of the left 3rd digit.
Here is the patient’s hand. More…👇🏼
Arnav Kumar, MD, MSCR retweeted
🤔Do you know how to classify, assess, and treat non-left main bifurcation lesions with PCI?
New #USCardiology Review by @ANazmiCalik, @mirvatalasnag et al. @radcliffeCARDIO
🔗uscjournal.com/node/21745?ch…
Arnav Kumar, MD, MSCR retweeted
What a great group! Thanks to @Ajar_Kochar for his tremendous leadership of our training program
@kevinjamescroce @BrianBergmark @JaneALeopold @_The_Real_Sobie
Proud of our graduating interventional/CHIP/structural fellows!
@DaveGrossMDPhD @arnavkumar @JKhambhati @fangjonathanx @MotasemAlyamani @s_adusumalli @ZaidAlMarzooq @Clauden_Louis Mike Lee
Thank you to Tyler Newman for the amazing graduation portraits!
Arnav Kumar, MD, MSCR retweeted
Proud of our graduating interventional/CHIP/structural fellows!
@DaveGrossMDPhD @arnavkumar @JKhambhati @fangjonathanx @MotasemAlyamani @s_adusumalli @ZaidAlMarzooq @Clauden_Louis Mike Lee
Thank you to Tyler Newman for the amazing graduation portraits!
Arnav Kumar, MD, MSCR retweeted
Thankful to God for this new career milestone #Professor. Humbled to join 0.42% of #black full professors in #medicine Thanks to @emory_heart #ACCFIT for the lovely gift ❤️ Special appreciation to my family, mentors, mentees, sponsors, supporters & my #cardiology tribe🙏🏾#Profat50
Arnav Kumar, MD, MSCR retweeted
Beautiful #scimitar case by @LopezOpitz anomalous vein( looks like a scimitar 🗡) connecting into IVC near RA, hypoplastic R lung smaller than L , heart shifted rightward
drawing by @drzgezdentok1 – at Pittsburgh, PA
Arnav Kumar, MD, MSCR retweeted
#EchoFirst #VisualGraphic
The worse the #aortic #stenosis
The higher the peak velocity
The later (#tardus) peak velocity
The longer the ejection time
#ACCFIT #CardioEd #FOAMed
#TAVR #RadialFirst @ASE360 – at Pittsburgh, PA
Arnav Kumar, MD, MSCR retweeted
Our own @BrianBergmark, who was recently promoted to Assistant Professor of Medicine at Harvard Medical School, has just been named as a 2023 winner of @SCAI 's 30 in Their 30s award! Congratulations, Brian!
Arnav Kumar, MD, MSCR retweeted
Excited to share our new publication on multimodality imaging for degenerative MS @CASEfromASE
From the @MCWcardiology echo lab.
Star resident @LambergMorgan & coauthors @Dave_LewMD @abhinuv23 @MichaelWidlans1
sciencedirect.com/science/ar…
Arnav Kumar, MD, MSCR retweeted
🔥Triluminate Trial #LBCT by #PaulSorraja
Tricuspid Valve TEER for Severe TR
🏷️ Reduction in TR severity 30 day
🏷️ Improved QoL
🏷️ No difference in mortality Year 1
🏷️ No difference in Hospitalization Year 1
@ACCinTouch #ACC23 #ACCWIC #ACCEarlyCareer
Arnav Kumar, MD, MSCR retweeted
in older patients with bio prosthetic valve failure most didn’t reach long-term f/u of valve durability because competing risk of 💀
No dif in severe SVD & BVF b/w TAVI/SAVR at 5 -8 y but TAVI has ⬆️risk of reintervention
long-term f/u of low-risk trials
🔑TAVI durability #CRT23
Arnav Kumar, MD, MSCR retweeted
#CRT2023
#OCT strut level shear stress analysis 👇
@BCase07 @Ortega_Paz @sjorge4 @DFCapodanno @CRT_meeting @news_hart @KalChitturi @CRMjournal @mmamas1973 @baileyannRN @mirvatalasnag @SrihariNaiduMD @AnkurKalraMD @HashimHayder @GiorgioMedranda
Thrilled to catch the atherosclerosis & vulnerable plaque session @CRT_meeting #CRT2023
💡 ACS prediction w/ advanced imaging + computational tech @arnavkumar
- shear stress mapping, endothelial dysfxn, plaque vulnerability
- non-invasive imaging/AI
- invasive shear analysis
Arnav Kumar, MD, MSCR retweeted
Lux valve by @modine_thomas
Access is trans jugular even if vein is small by #yescct (<5mm)
valve has 2 graspers that go under anterior & posterior Tricuspid leaflets ( looks like rabbit 🐇 ears on #echofirst ) & interventricular septal anchor
#CRT23
Arnav Kumar, MD, MSCR retweeted
And we have an imperially packed room @ #Empire for our kick start w @hect2701 announcing our 1st speaker @MaeharaAkiko on #IVUS & beyond 🤩
@WomenAs1 @mc_morice @VijayKunadian @JSillerMatula @Drroxmehran @SuzanneJBaron @SonaliKumarMD
#CRT2023 #WIC #ACCWIC #SheForShe #HeForShe – at Washington, DC
Arnav Kumar, MD, MSCR retweeted
@ChetRihal #TWIST study @MayoClinicCV #CRT23 using
INNOVALVE
Avg insertion time 45 min efficient
Rotation creates favorable LV remodeling
Posterior chords are shorter than anterior chords & this valve is cantered away from LVOT ( low risk of LVOT obstruction) #echofirst
