CVI 2026 Session Archive

Challenging Case Competition: Coronary Semifinals 1

Moderators: Ashish Pershad, MD and Poonam Velagapudi, MD

Panelists: Manoj Kesarwani, MD; Houman Khalili, MD; Timothy Mixon, MD; Saroj Neupane, MD; Timir Paul, MD; and Paul Poomipanit, MD

• 00:00:03 Outflow Tract Obstruction and No Flow Do NOT Mix, Josh Rezkalla, MD
• 00:13:01 When LAD is Mystery, Ahmad Awad, MD
• 00:21:40 Wizard of Os: An Ostial Left Circumflex Artery Chronic Total Occlusion, Balakrishnan Pillai, MD
• 00:31:30 Management of Multiple, Repeating Coronary Artery Aneurysms, Iad Alhallak, MD
• 00:42:31 Inferior STEMI Complicated by Incomplete Left Ventricular Free Wall Rupture: A Management Dilemma, Zois Panos, MD
• 00:56:57 Troubleshooting Complex PCI in Ischemic Cardiomyopathy with Multivessel CAD, Mishita Goel, MD
• 01:08:49 Whack-a-nodule: Multimodal Management of Recurrent In-stent Restenosis, Sarvgna Raval, MD
• 01:17:27 CTO PCI in STEMI Cardiogenic Shock: Recognizing When You Can’t Walk Away, Amad Chohan, MD
• 01:27:55 I(VUS) Can See Clearly Now – Novel Use of IVUS to Diagnose Plaque Morphology During STEMI, Jasneet Kaur, MD

Due to technical issues the first 25 seconds of audio for the first case was not recorded but the video hsa been included so the slides can be referenced.

Challenging Case Competition: Coronary Semifinals 2

Moderators: Vladimir Dzavik MD and Rhian Davies, MD

Panelists: Salman Arain, MD; Cihan Cevik, MD; Ryan Christofferson,MD; Faisal Latif, MD; Kendrick Shunk, MD; and Thomas Tsai, MD

• 00:00:03 Looking Into the Mirror, Ahmed Kamal, MD
• 00:11:16 Seeing is Believing!, Ahmed Elborae, MD
• 00:19:21 Trapped IVUS, Two Guides, One Chance: Don’t Pull!, Shivani Reddy, MD
• 00:30:36 Managing Pulmonary Hemorrhage Caused by Cavitary Aspergilloma in Patient with Biventricular Support, Imran Mihas, MS2
• 00:38:47 IABP Rescue for Refractory No-Reflow During Primary PCI: A Challenging STEMI Case, Sarah Misbah, MD
• 00:53:36 Complex PCI in Ischemic Cardiomyopathy: Reconsidering the Paradigm, Ravi Thakker, MD
• 01:13:19 Twist to Treat: Wire-Twirling Rescue After Stent Balloon Rupture, Ahsan Ali MBBS, FCPS
• 01:22:12 Durable SVG Patency With Drug-Coated Balloon in Recurrent ISR Background, Salma Thabet MD, MSc

Challenging Case Competition: Coronary Semifinals 3

Moderators: Dean Boudoulas, MD and Konstantinos Charitakis, MD

Panelists: Cihan Cevik, MD; Ankur Gupta, MD; Katherine Kunkel, MD; Perwaz Meraj, MD; and Anand Prasad, MD

• 00:01:03 Just ONE Guide!?, Ivan Pena, MD
• 00:11:48 Diagonal Artery Perforation Rescued by Ruby LP Micro-coil Embolization, Sami Masoud, DO
• 00:24:37 Management of a Fractured Coronary Guide Wire with Retained Fragment Requiring Surgical Retrieval, Muhammad Ishaq, MBBS
• 00:33:32 Bridging The Gap: Conquering ACS-NSTEMI In The Shadow of Chronic Total Occlusions, Florimond Joseph Jr. Garcia, MD, RN
• 00:42:18 Navigating Cardiac “Catch”-22, Ahmed Kolkailah, MD, MSc
• 00:54:11 Race Against Time: Unmasking the Culprit in Complex Infero-Posterior STEMI — Navigating Ad Hoc RCA CTO PCI, Saeedullah Zadran, MD
• 01:05:16: A Root Awakening!, Omid Behbahani-Nejad, MD
• 01:15:50 From Target to Conduit: Reconsidering Target Vessel Selection in a Patient with Concurrent LIMA and LAD CTOs, Avery Calhoun, MD
• 01:26:48 Mechanical Circulatory Support Using Novel Low-profile System for HRPCI in a Patient with Cardiogenic Shock, Tai Pham, MD

Challenging Case Competition: Coronary Semifinals 4

Moderators: Salman Allana, MD and Jacqueline Tamis-Holland, MD

Panelists: Ahmed Al-Ogaili, MD; Mauricio Cohen, MD; Sanjit Jolly, MD; Michael Megaly, MD; and Tony Spaedy, MD

• 00:00:48 Rare Case of DCB/HDR to LIMA, Muhammad Bilal Jehangir, MD
• 00:11:54 Taming the Aneurysm: Contemporary Interventional Strategies for Coronary Artery Aneurysms, Tariq Jamal Siddiqi, MD
• 00:21:06 High-Flow Ectatic ARCAPA with Stimulant-Induced Cardiomyopathy: A Case Report, Prithvi Basu Roy, MD
• 00:33:12 The Stent That Never Reached the Lesion: A Hidden Mechanism of Buddy-Wire–Related Stent Loss, Quoc Bao Tran, MD
• 00:44:04: Multiple Complex Issues, Search for the Priority, Ahmad Awad, MD
• 00:52:39 STEMI in Triple-Vessel Coronary Artery Ectasia, Nicholas Pennza, DO
• 01:04:23 A Multi-Flavor Recipe for a Complex CTO PCI, Ahmad Samir, MD
• 01:18:43 Treating a Severely Calcified Left Main with Nodular Calcium: Lithotripsy and DCB-Only Strategy in a High Bleeding Risk Case, Edgar Lamas, MD
• 01:29:07 The Ghost Coronary Fistula (An Apparent Fistula ‘Closed’ Without Intervention), Mahmoud Abdelshafy, MD, PhD

Challenging Case Competition: Peripheral Semifinals 1

Moderators: Shirling Tsai, MD and Anand Prasad, MD

Panelists: Mahesh Anantha Narayanan, MD; Benjamin Colvard, MD; Bala Ramanan, MBBS; and McCall Walker, MD

• 00:00:07 Cracking Under Pressure, Omid Behbahani-Nejad, MD
• 00:11:42 Radial and Ulnar Access for Iliac Chronic Total Occlusions, Haris Riaz, MD
• 00:20:26 Impella Through TAVR and Endovascular Rescue of Femoral Perforation: Lessons for the Operator, Sarah Misbah, MD
• 00:34:34 The Unmoored Sheath – Successfully Retrieving a Free-Floating Femoral Sheath, Khushboo Agarwal, MD
• 00:45:31 The Philippines’ first ECMO-supported right atrial and pulmonary artery suction thromboembolectomy, Antonio Emmanuel Recto, M
• 00:52:56 Two Roads, One Channel: Bidirectional Recanalization of a Chronic Iliofemoral Venous Occlusion, Omar Yacob, MD
• 01:03:37 Residual Popliteal Dissection After CTO Intervention: A Delayed Cause of Acute Limb Ischemia, Issa Kutkut, MD
• 01:13:54 The IABP Removal That Did Not Go as Planned, Angela Khidhir, DO, MSc
• 01:25:57 Hybrid Repair of Thoracoabdominal Aneurysm and Infrarenal Aortic Occlusion: A Two Stage Approach, Erasmia El Kanty, MD

Challenging Case Competition: Peripheral Semifinals 2

Moderators: Yulanka Castro, MD and Anand Prasad, MD

Panelists: Deepakraj Gajanana, MBBS; Timir Paul, MD; Nour Tashtish, MD; and McCall Walker, MD

00:00:00 Aortic Perforation: Early Detection, Excellent Outcome. A Life Saved, Farrukh Malik, MD

• 00:06:02 At the Edge of Amputation: Successful Limb Salvage Through SFA CTO Recanalization, Leah Montgomery, MD*
• 00:10:50 Deep Venous Reconstruction for Advanced Venous Disease Due to Mixed Diffuse AVF and IVC
• 00:16:18 Related Obstruction, Yamini Vyas, MD
• 00:25:58 Percutaneous Retrieval of Venous Stent Embolized Into Pulmonary Artery, Victoria Eichten, MD
• 00:32:54 Entrapped by Shear Stress, Elizabeth Bruno, MD
• 00:46:40 Mixed Signals Matthew Wooten, MD
• 01:02:46 From Near Renal Failure to Renal Salvage: Complex Bilateral Renal Artery CTO Recanalization with IVUS-Guided Complete Revascularization, Saeedullah Zadran, MD
• 01:13:57 A Rare Detour: Unmasking A Portosystemic Shunt in Refractory Heart Failure and Pulmonary Hypertension, Ahmad Abdelkhalek, MD
• 01:20:57 Antegrade SFA CTO Recanalization Using the BeBack Device, Issa Kutkut, MD

*Due to technical issues, the audio/video for the first 4 slides of the first case were not recorded, but the slides have been included for context.

Challenging Case Competition: Structural Semifinals 1

Moderators: Anum Asif, MD and Yashasvi Chugh, MD

• 00:00:02 Fenestrated Septal Defect, A Double Device Challenge, Manas Gundala, MD
• 00:10:08 Valve-in-Valve: Trouble in the Main, Billal Mohmand, MD
• 00:18:19 Breathless BATMAN: Solution for Mitral Stenosis, Alexander Warner, MD
• 00:25:35 Multivalvular Shock and Aortic Disruption: Repair, Rest, and Replace, Hafez Golzarian, DO, MBA
• 00:37:21 Gadolinium-Guided TRICVALVE Implantation in an Elderly, High-Risk Patient, Abdullah AlQahtani, MD
• 00:44:50 No Way In, No Way Out: When Surgery is Not the Answer, Ahmed Salama, MD
• 01:00:10 Unusual Solution for an Unusual Hole, Mostafa Abdrabou, MD
• 01:08:58 Heavily Calcified Bicuspid Aortic Valve Stenosis, Fady Iskander, MD Msc
• 01:19:10 Severe Hypoxemia with Normal Right-Sided Pressures Due to Right-to-Left Shunting Across a Patent Foramen Ovale Successfully Treated with Percutaneous Closure, Mahnam Khizer, MD

Challenging Case Competition: Structural Semifinals 2

Moderators: Brinder Kanda, MD and Karan Sud, MD

• 00:00:03 Clipping at the Edge: Impella-Assisted M-TEER for Ischemic MR Following Left Ventricular Pseudoaneurysm Rupture Post-Infarction, Kailee Fernandes, MD
• 00:06:38 Percutaneous Transapical Bioprosthetic Leaflet Modification Facilitated Valve-in-Valve Transcatheter Aortic Valve Replacement, Mina Iskander, MD, Msc
• 00:19:17 Opening What Was Closed and Catching What Was Lost, David Makarious, MD
• 00:34:01 Double Trouble in the LVOT (When a TAVI Valve Silences a Mitral Prosthesis), Hadeer Gamal Ali, MD
• 00:46:24 Plugging The Problem, Punit Arora, MD
• 00:56:02 Multivalvular Bioprosthetic Failure and Aortic Root-LVOT Fistula, Julius Jelisejevas, MD
• 01:02:25 Whatever It Is I Think I See.. Becomes A Tootsie Roll To Me!, Mahmoud Salem, MD
• 01:14:55 Foreign Body Removal After Mitral Clip Placement, Iad Alhallak, MD

Challenging Case Competition Finals

Structural Finals

• 00:00:03 Whatever It Is I Think I See.. Becomes A Tootsie Roll To Me!, Mahmoud Salem, MD
• 00:11:14 Multivalvular Shock and Aortic Disruption: Repair, Rest, and Replace, Hafez Golzarian, DO, MBA

Peripheral Finals

• 00:21:19 Entrapped by Shear Stress, Elizabeth Bruno, MD
• 00:33:56 Residual Popliteal Dissection After CTO Intervention: A Delayed Cause of Acute Limb Ischemia, Issa Kutkut, MD

Coronary Finals

• 00:42:44 Wizard of Os: An Ostial Left Circumflex Artery Chronic Total Occlusion, Balakrishnan Pillai, MD
• 00:51:48 Looking into the Mirror, Ahmad Samir, Abdelhamid, MD (presenting for Ahmed Kamal, MD)
• 01:02:26 Navigating Cardiac “Catch”-22, Ahmed Kolkailah MD, MSc
• 01:13:21 Multiple Complex Issues, search for the Priority, Ahmad M. Hassaan, MD

01:20:37 Awards Presentation