Cardiologist๐ซ Fb: https://xitter.gq/t.co/uV8q2YNFgV Almamater: Peshawar Institute of Cardiology
Joined October 2009
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Dr.Umar Ashfaq Khan ๐ต๐ฐ retweeted
Most TAVI plans are still made by someone other than the operator who implants the valve.
We're building QuanTAVI at Sphygma to change that: CT-based planning for aortic valve procedures, designed by the cardiologists and surgeons who run these cases.
From the CT to the cath lab:
โ Automatic aortic root measurements, each one reviewable on the images
โ Every valve compared side by side, with the reasons behind each size
โ Instant simulation of the deployed valve: coronary obstruction, root rupture and conduction risk, before the lab
โ Physics-based (FEA) prediction of how the frame will expand
โ Lifetime planning: choose today's valve so the next TAVR stays possible
โ TAVIAssist on the table: working views, valve overlay on fluoro, and the plan by voice
โ Expansion review after deployment: the frame traced on fluoro and rebuilt in 3D
TAVR, SAVR and valve-in-valve on one platform. Built by operators, for operators.
Research use only. Not FDA cleared for clinical diagnostic use.
#TAVI #TAVR #StructuralHeart #CardiacCT
Trans Axillary TAVI performed at @PICMTI_OFFICIAL with my mentor @aliraza987_raza for a patient with unsuitable femoral access. Another high risk case turned into a new lease on life.
#CardioTwitter #TAVI #TransAxillaryTAVI #StructuralHeart
Trans Axillary TAVI performed at @PICMTI_OFFICIAL with my mentor @aliraza987_raza for a patient with unsuitable femoral access. Another high risk case turned into a new lease on life.
#CardioTwitter #TAVI #TransAxillaryTAVI #StructuralHeart
Dr.Umar Ashfaq Khan ๐ต๐ฐ retweeted
๐น Left native BASILICA for a patient with severe AS, low LM ostium height (6 mm) and shallow SOV
๐น Left coronary re-access โ
@AlkashkariWail @rashaalbawardy @AlrahimiJ @bogamisa @MogneeA @DFahadAlmehmadi @ibrahimjelaidan @AtifAlqubbany @atifalzahrani
Successful Allegra TAVI valve deployment at @PICMTI_OFFICIAL, another important step forward for structural heart interventions in Pakistan.
Special thanks to @KasparasBriedis and @aliraza987_raza for their expert proctorship and support.
#TAVI #StructuralHeart #Cardiology #PIC
Big day at @PICMTI_OFFICIAL!
We just hit our 100th TAVI procedure. A massive thank you to Dr. @aliraza987_raza and the entire team for their excellence. Proud to have been part of all 100 cases.
Check out the team celebrating the big 1-0-0! ๐
#TAVI #HeartTeam #100Cases
First ever deployment of Edwards Sapien TAVI valve in Pakistan at PIC Peshawar
Welcome @EdwardsLifesci to Pakistan
Proud to be part of this milestone for structural heart care
Grateful to proctors @HatimLawati @aliraza987_raza
#TAVI #Cardiology #Pakistan #StructuralHeart
In all my years of practice, I have realised that if there is one core trait a doctor must have, it's empathy โ at North-west Frontier, Pakistan
Dr.Umar Ashfaq Khan ๐ต๐ฐ retweeted
๐ซ First-in-human valve-in-valve TAVI in mechanical prostheses
Bench-to-bedside study: disc dislodgement & retrieval followed by successful TAVI.
Published in European Heart Journal.
๐ academic.oup.com/eurheartj/aโฆ
@escardio @PCRonline @secardiologia @CNIC_CARDIO @sacyl @TCTMD
Dr.Umar Ashfaq Khan ๐ต๐ฐ retweeted
Must-see #TAVR save:
Evolut FX+ embolized to ascending aorta. Snaring triggered extensive iatrogenic dissection of arch. Aortogram speaks for itself. Percutaneous bailout by vascular team with Gore thoracic stent graft (37ร100).
Dissection detected 09:11. Case closed 10:00AM
Dr.Umar Ashfaq Khan ๐ต๐ฐ retweeted
Is even mild PVL no longer acceptable in #TAVR?
Our editorial on the #OCEAN-TAVI trial is now published in JACC: Interventions.
authors.elsevier.com/a/1m7M3โฆ
Historic day at Peshawar Institute of Cardiology! Today, we successfully performed Pakistanโs first Hydra Valve TAVI, marking a new chapter in structural heart interventions.
Proud moment for the team and cardiac care in Pakistan.
#HydraValve #TAVI #PIC #Cardiology โ at North-west Frontier, Pakistan
Dr.Umar Ashfaq Khan ๐ต๐ฐ retweeted
Directed Reverse CART is the perfect scenario to apply the OVERLAP VIEW #3Dwiring concept in #CTO. Point retrograde wire tip precisely at balloon with a single wire rotation! (3D reverse CART)
see more at @AsiaInterv : doi.org/10.4244/AIJ-D-25-000โฆ
@KambisMashayek1 @realarainmd @dautov_MD @Laserrman @esbrilakis @sandeep_jalli @BarberoUmberto @ungureanuclau20 @ShariqShamimMD @KovacicMihajlo @AhmedHatata90 @Carl01196478 @K_DeSilva @DrJMHill @AntonisPavlidi3 @RajanRehan23 @AishSinha1
Dr.Umar Ashfaq Khan ๐ต๐ฐ retweeted
Role of preprocedural CT in assessment & management of access site complications in patient undergoing transfemoral TAVI
Preprocedural CT helps to assess :
Vessel Caliber
Vessel Tortuousity
Distribution of Ca
Optimal puncture site
Alternative Access
#TAVR #Imagefirst #1/3
Dr.Umar Ashfaq Khan ๐ต๐ฐ retweeted
TAVI in patients with concomitant coronary artery disease...
Here is the available evidence from:
โ ACTIVATION Trial
โ NOTION 3 Trial
&
โ FAITAVI Trial
#TAVI #PCI @PCRonline @APSIC6
Dr.Umar Ashfaq Khan ๐ต๐ฐ retweeted
My Best OCT Image! ๐งถ
This image is โone in a millionโ - literally, because I looked at 100s of 1000s of imaging frames this week. ๐
This shows the final appearance of an LCX treated with scoring PTCA, NC ๐, and DCB.
Analysis to followโฆ
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 โ at North-west Frontier, Pakistan
Organized and presented the Monthly Grand Round at PICโMTI 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. โ at North-west Frontier, Pakistan
The Deptt of Cardiology, @PICMTI, conducted its Monthly #Grand Round on โ5-Year Outcome of the #FAME3Trial.โ
Discussions focused on long-term results comparing FFR-guided PCI vs #CABG in multivessel #CAD, highlighting implications for patient care and clinical decision making.
Dr.Umar Ashfaq Khan ๐ต๐ฐ retweeted
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.
