Dharmaraj Karthikesan MD FRCP MSc
@drdharmarajk
Director of Cath Lab and Interventional Cardiologist Ministry of Health Malaysia | MSc Clinical Trials Oxford NDPH #CHIP #CTO #IVUS
Graduated with an MSc in Clinical Trials from @UniofOxford. Grateful to the @escardio @Oxford_NDPH. Will always cherish the friendship and fun we had during this journey. Thank you @MananPareekMD @MRPopescuDr @Teebi_MD
An educational rota burr entrapment case. When a burr is stuck, we pull on the burr. If that doesn’t work, then we think of complex manoeuvres: cutting the burr, removing Teflon sheath, guide extensions, parallel wiring/ballooning and ping pong guides etc… But we often forget…
Proximal optimisation to prevent stent elongation. Simple strategy to adopt in your cath lab practice. jacc.org/doi/10.1016/j.…
In our post hoc analysis of the randomized STEP trial, ARBs and CCBs appeared more favorable for reducing composite cardiovascular outcomes than diuretics and beta-blockers. Full article here (open access): bmcmedicine.biomedcentral.com/articles/10.11… @CTCPR_ @RigsHeart
If you have research on Inflammation in acute MI let me, @MananPareekMD or @TarekBekfaniMD know about it - Exploring the impact of Inflammatory processes on the course of Acute Myocardial Infarction: Pathways and Therapies @FrontCVMedicine frontiersin.org/researchtopic/…
Everyone over 30 blames aging for their belly fat. But the problem isn't age... It's poor choices and years of neglect. Here are 5 simple fixes to destroy stubborn belly fat: 🧵
Calcified lesions represent one of the most challenging subsets for PCI. Successful treatment is feasible in selected cases through careful planning, data integration, and expert use of available devices. Below is an algorithmic approach to the use of balloons, atherectomy, and…
ライブ後に問い合わせがあったROTA中のslow flowの予防と改善に使っているモンスターカクテルの組成です。少しコツがありますが、slow flow対策では最強です。血圧や脈拍管理からかなり解放されます。普通にROTAされる術者ならペーシングもいらなくなるはずです。。。あくまでも個人の見解です。
May 2025 certainly is one to remember - had my last day of fellowship at @RigsHeart and graduated the MSc in Clinical Trials at @Oxford_NDPH! Next up, the Nordic-Baltic Congress of Cardiology on Thursday! @DLBHATTMD @TorBiering @CTCPR_ @mvaduganathan @drdharmarajk @MRPopescuDr
Preview to an enjoyable #HDR case! This week we performed 5 #CTOPCIs, i.e. 5 #HDR attempts! 4 were successful, one failed because we couldn’t penetrate the cap. Here is a ‘mid intervention’ image from the 2nd most challenging case. There is a lot the operator can glean from…
LAD #CTO #MHA #singleaccess #HDR Pilot200→HDR→EPand IP→XT nontip→HDR→EP & TL→Corsair pull back during passive injection→TL→sionblack→TL IVUS shows GW is in all IP. @realarainmd @cto_chip_japan @DaitaroK @calcbreaker @UmihikoKaneko @SKuramitsu0511 @tadano98…
The Contrast Modulation revolution is here! I made this account to spread the word and share my experiences with this exciting and often misunderstood technique. It is NOT an alternative to conventional CTO PCI - but an adjunct. Please comment, critique, share! #contrast1st #HDR
Looking forward to seeing the case. Here is what I have learnt about stains and the behavior of the XT: 1. If the stain is linear and in line with the vessel then it is either IP or very close to it. 2. If the stain stops growing, then it must be connected to either the…
#HDR to the rescue. Ambiguous RCA + poor retro options. Puncture with Gaia 3rd + Corsair Pro —> HDR —> Fielder XTA.
Congratulations Dr. Nancy Virginia, SpJP(K) as Best Presenter in Case Competition #TCTAP2025 We are proud of your achievement. Keep up the good work 👍 @uziyahya46
Always a pleasure at #TCTAP well organized by @summitmd_cvrf. Seeing friends from around the region and sharing cases have been fun as always. Congratulations on the 30th anniversary! 🥂#TCTAP2025
#CTO @cto_chip_japan case. #TDADR LCX CTO G2punctured→#HDR→XT nontip→#HDR EP→sionblack→#3rdHDR→EP stain, expanded stain during passive injection.→＃KWT→#TDHDR→#Starrysky→XT non tip crossed TL #IVUS shows extravessel hematoma, That is caused by ST GW injured adventitia…
#LCX #CTO #TDHDR #HDR #contrast1st. Conq ST punctured in PC with #TD #IVUSguided #HDR ⇨IPstain⇨EPstain during GWinsertion⇨non TIP XT went to EP⇨Tip bend XT ⇨crossed TL GW is in all IP. @realarainmd @DaitaroK @calcbreaker @SKuramitsu0511 @tadano98 @rotamonster @OpolskiMP…