COMPLEX CORONARY, VALVULAR, and ENDOVASCULAR INTERVENTIONS

Complex high risk coronary interventional procedures (CHIP): 1000+ cases including:

• left main interventions

• chronic total occlusions(CTO)

• complex bifurcation stenosis

• bypass graft disease with special interest in debulking atherectomy

Impella Pump - Percutaneous ventricular assist device (PVAD) procedures: 108 cases

• acute coronary interventions for patients in cardiogenic shock

• novel indications for Impella use in cardiomyopathy/congestive heart failure

• Impella deployment in peripheral arterial disease(PAD) patients through innovative techniques

Cutting balloon Aortic valvuloplasty for inoperable aortic stenosis patients, poor candidates for TAVR: 54 cases

Percutaneous approach with large bore access closure for AAA stent graft procedures: 50 cases

Novel large bore access closure solutions (Ramesh K. Adiraju, Access Closure Innovations, Journal of Indian College of Cardiology, Available online 1 July 2017, ISSN 1561-8811, https://doi.org/10.1016/j.jicc.2017.06.014.

(http://www.sciencedirect.com/science/article/pii/S1561881117301128).

Peripheral CHIP cases - limb salvage procedures with special emphasis on debulking atherectomy : 500+ cases

Specialization in debulking atherectomy approach - coronary and peripheral for optimal revascularization and better long-term outcomes in complex disease states such as bifurcation stenosis, ostial stenosis, long diseased segments and in-stent re-stenosis where conventional approaches yield sub-optimal results.

Embolization therapy for life threatening bleeding cases. Embolization therapy experience published. Over 200 case experience with embolization therapy. (Endovascular Embolization Therapy – Abstract C-007 (CCI, SCAI Journal May 1, 2012 vol 79 issue 6) SCAI meetings May 2012.)

Novel protocols for nephro-protection and recovery of renal dysfunction during coronary and endovascular procedures with IV Fenoldopam: 103 case series