Abhishek Kasha Interventional Cardiologist

30/11/2025

https://www.facebook.com/share/v/1McG5szgxT/?mibextid=wwXIfr

28/11/2025

24/11/2025

Case Series Highlight: Turning “Surgical Turn-Down” Into a Successful Recovery

By Dr. Abhishek, Interventional Cardiologist
Aster Narayanadri Hospital, Tirupati

Today, I’m sharing another case from my growing CHIP (Complex High-Risk Indicated PCI) series—patients who are turned down for surgery but still deserve a chance at meaningful recovery.

🌟 The Patient

An elderly gentleman presented with:
• Recent acute coronary syndrome
• Triple vessel disease
• Severe left ventricular dysfunction
• Severely calcified coronaries

He was evaluated by both the cardiac surgeon and the heart team. In view of his high surgical risk, advanced age, and very weak heart, he was labelled a “surgical turn-down” for CABG.

💡 The Heart Team Decision

After detailed discussion with the patient and family, we offered a high-risk interventional option—an IABP-assisted complex PCI—as a safer, life-restoring alternative.

🩺 Step 1: Stabilizing a Sick Heart

We first optimized his condition with guideline-directed heart failure therapy, improving his hemodynamics and readiness for intervention.

🚑 Step 2: Supported PCI – Precision & Protection
• Right femoral artery → 40 cc IABP inserted for circulatory support
• Right radial artery → Main PCI access
• LAD & LCX heavily calcified lesions prepared using specialty balloons
• Stents deployed in LAD and LCX with excellent angiographic results
• IABP removed immediately after the procedure
• Large-bore access closed securely using ProGlide endovascular closure system

🏥 Step 3: Rapid Recovery

The patient remained stable throughout:
• 24 hours observation
• Discharged home within 48 hours
• Improved hemodynamics, breathing, and confidence
• Marked improvement in quality of life

🙏 Gratitude

Thanks to my entire cath lab team for their exceptional coordination, and to the patient and family for trusting us to deliver a safer and effective alternative to high-risk surgery.

**💙 Complex problems need confident solutions.

20/11/2025

Naegleria Fowleri: What Everyone Must Know — Especially Sabarimala Pilgrims

Naegleria fowleri is a rare but dangerous amoeba found in warm freshwater. It doesn’t spread by drinking water — it infects only when contaminated water enters the nose, usually while swimming, diving, or ritual bathing.

Key Symptoms (1–9 days):
Severe headache, fever, vomiting, stiff neck, confusion, seizures.
👉 Seek urgent care if these appear after river bathing.

How to Stay Safe:
• Avoid putting your head underwater
• Don’t allow water to enter the nose
• Use nose clips if possible
• Avoid stagnant or warm river pockets
• Ensure tanks/water sources are well chlorinated

For Sabarimala Pilgrims:
Stay cautious while bathing in Pampa or natural springs. Keep your head above water and prevent nasal water entry — especially for children and elders.

Prevention is power. Awareness saves lives.

20/11/2025

https://drabhishekcardiologist.in/smoking-kills-silently-protect-your-heart-brain-and-future/

Every puff of smoke — from a cigarette, beedi, ho**ah, or even chewing to***co — is not just a casual habit. It’s a slow, silent poison. What starts as a momentary pleasure quietly steals your breath, your heartbeat, and your future.

12/11/2025

A remarkable case from Aster Narayanadri Hospital, Tirupati — where precision, expertise, and innovation came together to save a life.A 58-year-old patient w...

08/11/2025

08/11/2025

❤️ Precision Saves Lives — Successful CTO PCI in a High-Risk Case

A 58-year-old male with a prior RCA stent presented with recurrent chest pain and worsening heart failure. Despite infection recovery and kidney disease risks, angiography revealed an ISR-CTO of RCA with diffuse LAD and LCX disease.

Using advanced imaging and specialized CTO techniques, a successful PCI was performed — restoring flow and relieving symptoms. The patient was discharged in stable condition.

💡 CTO PCI matters when:

Angina or heart failure persists despite medication

The blocked artery (>3 months) still supplies viable myocardium

There’s in-stent restenosis or long-segment occlusion

State-of-the-art CTO PCI is now safely performed in tier-2 centers, delivering world-class cardiac care close to home.

At Aster Narayanadri Hospital, Tirupati
By Dr. Abhishek Kasha, Consultant Interventional Cardiologist & Clinical Lead – Structural and Complex Coronary Interventions

🩺

05/11/2025

https://drabhishekcardiologist.in/sudden-cardiac-death-in-the-young-what-every-family-should-know/

Every year, we read heartbreaking stories of young athletes, students, or professionals who collapse suddenly and never recover. These are not isolated incidents — they reflect a growing, yet preventable, problem called Sudden Cardiac Death (SCD).

26/10/2025

The Smart Grain for a Stronger Heart & Better Sugar Control!

Move over white rice — Millets are the real superfood!
Packed with fiber, magnesium, and plant nutrients, they help:
💚 Lower bad cholesterol
💪 Stabilize blood sugar
💫 Improve heart and gut health

✨ Just 3–4 millet-based meals a week can transform your health —
small swaps, big results!

Let’s bring back our traditional grains for a modern, healthy life. 🌾