Indian Cathlab Technologists

11/03/2026

Shout out to our newest followers! Excited to have you onboard!

Saket Soni, Siva Prasath, Anwar Ahmed, Fazli Rahman, Bishal Gautam, Lolobeuty Lolo

07/03/2026

Dr Siva Kumar Darimireddy sir successfully performed a Transcatheter Aortic Valve Replacement (TAVR).

Patient Profile

A 60-year-old male with multiple comorbidities including Diabetes Mellitus, Hypertension, Chronic Kidney Disease, and COPD.

Procedural Challenge

The left coronary artery had a very low origin, with a coronary height of only 5 mm from the aortic annulus, which posed a significant procedural challenge.

However, the presence of a wide Sinus of Valsalva measuring 38 mm and a Valve-to-Coronary (VTC) distance of 12 mm allowed safe deployment of a 24.5 mm Myval Transcatheter Heart Valve, resulting in a successful outcome.

Team Effort

Sincere thanks to My Cath Lab Tech Team of Medicover Hospital for smoothly executing the procedure by efficiently managing fluoroscopic views, material handling, power injector operation, rapid pacing, hemodynamic monitoring, and overall procedural coordination. Mr Praveen, Mr Vikas, Mr Prasanth, Mr Teja. Ch Praveen - Vikas Pothemsetti - Kala Prasanth Kumar Chilla - Sathwik Teja

Appreciation to our nursing staff for arranging the required drugs, scrub table setup, and circulatory support throughout the procedure. Sis Swathi, Sis Suneeta, Sis Lilly, Sis Sarala and Sis Kumari. Swathi Singam - Suneeta Patini

We also thank the Pharmacy team for promptly arranging the extensive list of materials required for a TAVI procedure, which is a crucial component for procedural readiness. Suresh Polireddy Suresh Polireddy

Gratitude to the General Maintenance Team for ensuring uninterrupted power supply and infrastructure support, and to the Biomedical Engineering Team for their presence and technical support throughout the procedure.

Thanks to the General Store and HR Department for facilitating and issuing the necessary items required for the case.

Special Acknowledgements
• CTVS and Cardiac Anesthesia Team, led by Dr Sujit sir, Anaesthesia Tech Ms Madina for their valuable intra-procedural support. Sujith Chinta
• Hospital Management for enabling the cath lab and providing all necessary arrangements.
• The Meril Life Sciences Heart Valve Team for their technical assistance and support during the procedure.

This achievement reflects excellent multidisciplinary coordination and teamwork in successfully managing a complex structural heart intervention.

06/03/2026

IVL | When arteries turn to stone… we use sound to break it.

https://youtube.com/shorts/DnLu8ySzZU8?si=BA2zwhEKa6UMfyTz

Intravascular Lithotripsy (IVL) uses controlled sonic pressure waves to fracture calcium deposits inside coronary arteries, allowing the vessel to expand properly before stent placement.

Inside this artery was something harder than plaque ..calcium.
Calcium makes arteries rigid, resistant to balloons, and difficult to expand during angioplasty.

Rather than forcing the artery open with very high pressure, IVL modifies the calcium first, improving vessel compliance and enabling optimal stent expansion.

🔬 Clinical insight:
IVL is particularly effective for deep and concentric coronary calcification, where conventional balloon angioplasty may fail.

Intravascular Lithotripsy (IVL) uses controlled sonic pressure waves to fracture calcium deposits inside coronary ar...

02/03/2026

Coronary Calcium in a 34-Year-Old Male

Severe coronary calcification is traditionally associated with older patients. However, this case highlights significant coronary calcium in a young 34-year-old male, reminding us that coronary artery disease can develop early.

Heavy calcium poses challenges such as poor balloon expansion, difficulty in stent delivery, and risk of under-expansion. Proper lesion preparation using plaque modification techniques and imaging guidance plays a crucial role in achieving optimal outcomes.

Early detection, aggressive risk factor control, and appropriate interventional strategies are essential in managing premature coronary artery disease.

01/03/2026

Listen to the Sound of Calcium modification inside the Coronary Artery

https://youtube.com/shorts/wQUVklKeIsg?si=VegAFIS69TloTjaaata

to the sound of calcium modification…This video captures the characteristic sound of Orbital Atherectomy while...

01/03/2026

The Answer is
B. Intramural Hematoma

Accumulation of blood within media causing:
• Crescent-shaped hypoechoic area
• Compression of lumen
• No communication with lumen (in pure hematoma)

https://whatsapp.com/channel/0029Va5AdhEJP21ASAeljz24/283

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25/02/2026

IVUS: What is the most likely finding in this ostioproximal LAD IVUS image?

Follow the channel for regular academic discussions and valuable professional insights.

https://whatsapp.com/channel/0029Va5AdhEJP21ASAeljz24/278

Follow Cath Lab Chronicles's WhatsApp Channel. A Channel dedicated for Cath Lab Professionals. Follow the channel for regular academic discussions and valuable professional insights.. Join 815 followers for the latest updates.

25/02/2026

Answer for the recently posted Question

In post-CABG CASES, is it appropriate to administer Inj, Tirofiban ?

In SVG (saphenous vein graft) lesions, the plaque inside the graft is usually soft and fragile (friable). When we manipulate it during PCI, small pieces can break off and travel downstream, causing blockages in multiple small vessels.

Tirofiban (a GP IIb/IIIa inhibitor) mainly works by preventing platelet aggregation at one main site of injury. This works better in native coronary arteries, where the problem is usually a rupture of the vessel lining at one fixed spot.

In SVG cases, since the issue is debris and embolization happening in multiple areas, Tirofiban may not fully address the problem.

Historically, Interventionists are cautious with GP IIb/IIIa inhibitors in elderly patients and especially in those who recently had surgery because of the increased bleeding risk.

18/02/2026

Dr Ashok Seth:
Alain Cribier Training - TAVI
May 28-29
Rouen, France

18/02/2026

Shout out to my newest friends! Excited to have you onboard!

Vinod Kumar Yadav, Pankaj Sharma, Numit Sharma, Abhijit Roy, Sandeep Mohapatra, Gnanarajprabakaran J, Vineet Rana, Joselin Rose, Chaudhary Mukesh Dabas, Mahantesh Ganghadhar Madiwalar, Samuel Praveenkumar Bantu, Satish Kumar Arora, Karthi Muthusangaiah, Robin Varghese, अखण्ड प्रताप सिंह, Aakash Gupta, Rajeev Ricky Lata, Abhinav Sharma, Hariom Rajput, Prabal Thapa, Sohan Negi, Naqeeb Ullah Qadri, Jitendra Kumar Bairwa, Anil Singh, Nayyan Pamnani Sona Rijhwani, Sahil Sharma, عرفان ظہور, AAkash Mishra, Dinesh Rocky, Deep Shakya, Dipesh Kajal Darnal, Ãmîr Hãmzã Rõñi, Arun Rohit, S Rahul Agarwal, Pratik Kumbhalwar, Kranti Tiwari, Ajay Kewat, Vishal Singh, Lalit Mohan Rathi, Moosa Mushtakk, साहिल ठाकुर, Syed Sameer, Rizwan Ansari, Saurabh Bisht, Nilu Chaudhary, Sona Dazz Sona, Zahra Afadhl Ramadhan Mohammed, Kalu Bhai, Venkatesh Irugu, Yogesh Singhvi

16/02/2026

Hearty congratulations to Mr Bhuvan Chandra Joshi on securing Runner-Up II in the Technician / Cath Lab Staff Quiz at CARDICON 2026, Lucknow.