Clinical Focus

Advanced, Patient-Centered Solutions for Complex Cardiovascular Conditions

Overview

As an interventional cardiologist, I specialize in treating patients with advanced cardiovascular disease who often have limited options. From heavily calcified left main lesions to multi-valve degeneration, I work closely with a multidisciplinary team to ensure each patient receives a tailored, evidence-based treatment plan — whether that means percutaneous coronary intervention (PCI), transcatheter valve repair/replacement, or hybrid strategies.

Clinical Areas of Focus

High-Risk PCI

High-Risk PCI

What it is:
High-risk PCI refers to coronary interventions in patients with complex anatomy, comorbidities, or hemodynamic instability — cases where surgery is not an option and the margin for error is small.

Expertise Includes:

Left main and multi-vessel disease in non-surgical candidates

Use of mechanical circulatory support (Impella, ECMO, IABP)

Chronic total occlusion (CTO) revascularization

Atherectomy (rotational, orbital, laser)

PCI in patients with severe LV dysfunction or cardiogenic shock

Approach:

Pre-procedural imaging and heart team evaluation

Hemodynamic planning and support selection

Staged strategies and post-PCI optimization

Goal: Durable outcomes in patients once considered inoperable

Structural Heart Interventions

What it is:
Minimally invasive procedures to repair or replace heart valves and close defects, especially in patients too high-risk for open-heart surgery.

Expertise Includes:

TAVR (Transcatheter Aortic Valve Replacement)

MitraClip / TEER for mitral regurgitation

LAAO (Watchman) for stroke prevention in AFib

ASD/PFO Closure

Tricuspid interventions and transcatheter valve-in-valve procedures

Approach:

Echo, CT, and 3D imaging integration

Pre-procedure simulation and device sizing

Real-time intraprocedural imaging guidance

Collaborative heart team discussions

Goal: Maximize function and quality of life with minimal recovery time

Structural Heart Interventions

Patient-Centered Care

Patient-Centered Care

I believe that great outcomes begin with compassionate care. Each case is handled with attention to patient goals, shared decision-making, and clear, respectful communication.

Approach:

Multidisciplinary coordination

Transparent risk–benefit discussions

Post-procedural education and long-term support

Goal: Build trust and empower each patient through personalized care

Case Highlights

A few examples of complex cases successfully managed through our advanced techniques:

Case 1

78M with severe AS & LVEF 25%

Condition

Inoperable

Solution

Balloon-expandable TAVR with ECMO support

Case 2

65F with LM disease & prior CABG

Condition

Referred as non-PCI candidate

Solution

LM-PCI with rotational atherectomy and Impella

Case 3

72M with severe MR & CHF

Condition

NYHA Class IV

Solution

MitraClip × 2 with improvement to Class II

Patient Pathway & Referrals

Whether you’re referring a patient or seeking a second opinion, our process is structured, compassionate, and collaborative.

How to refer a high-risk PCI or structural case

What to expect: consultation, imaging, heart team review, procedure, follow-up

Second opinions are welcome at any stage

Collaborative Decision-Making

Collaborative Decision-Making

“We treat patients, not angiograms.”

Weekly heart team rounds

Collaboration with heart failure, imaging, EP, and CT surgery

Complex case review boards for shared expertise

Looking to refer a complex case or explore advanced options for your patient? We’re here to collaborate, support, and lead with precision and compassion.