#cathlabhack zoekresultaten
#CathLabHack: Switch to a bicarbonate-based Impella CP™ purge solution in a patient with haemothorax academic.oup.com/ehjcr/article/… #EHJCaseReports #YesCCT #ImageFirst #RadialFirst @KardiologieHH @aayshacader @ANazmiCalik @EHJCREiC @TJ_Yeo @cfcamm @FarhanaAra @HikmetKadi
Great lecture by @InariMedical and @Thomas_TuMD on a game changing device- FlowTriever. Here’s a great slide of the tools needed to get started. It’s time to change the game on treatment of #PE #PulmonaryEmbolism #CathLabHack #inari #ACCFIT #cardiology #cardiotwitter
Nifty #CathlabHack We use it too Or park torque tool on end of branch wire
Awesome technique to facilitate delivery of #Evolut #TAVR with angulated aortic roots or prosthetic valves Would also consider using this technique if worried about significant plaque on the greater curvature of the ascending aorta and arch #cathlabhack (er. . .#hybridORhack)
Big fan of snare lately for tough angulations like prosthetic valves or morbidly obese with horizontal aortas.
7/ #CathLabHack Go sheathless with the IVUS from the other side for imaging and also venography through the IVUS To help land the stent #DVT #MayThurner #VTE #Cardiotwitter #IRAD #VascTwitter
@PCRonline pcronline.com/Cases-resource… Any interventionalists ever try this? Makes me uneasy partially inflating the stent outside the body before implant. Any tips/tricks? #Cathlabhack @LuaySayed @HadyLichaaMD @Babar_Basir @BaoGTran @agtruesdell @ekgpdx @mirvatalasnag @willsuh76
Inject through the sideport flush syringe as you activate and flush through the guide. The sideport syringe creates a column of contrast distal to the stenosis and because it’s occlusive, you get a pullback. #cathlabhack
Did this a while ago maybe of public utility for IC friends dealing with coronary perforation. Covered stent guide catheter compatibility & guide extension compatibility PS: all the caution with possibility of stripping them when delivering through GE #ICFIT #cathlabhack
#CathLabHack 🫀 Impella RP would not advance into PA on 0.027 Impella wire, but we’re successful with railing RP in over an 0.035 Amplatz Super Stiff 💪🏼 @Abiomed @BSCCardiology @SCAI #ACCFIT
Excellent video! Here’s one I made to add to Hady’s! (Sorry for the spelling error)! #Cardiotwitter #Cathlabhack
Did two AS cases today. On mother daughter assessment one swan in Lv. Swan in LV wins it>>>> It’s crazy how we never thought of it. Tips- fill swan balloon with contrast instead of air in case of rupture. I exchange over 0.018 platinum plus (similar to impella). #CathLabHack
Severe AS by TEE (MG 60 mmHg). INR 1.9. Wasn’t planning on crossing the valve but JR popped across (luck). We don’t have 4F PIG. In age of no Langston made due with what I had! Right radial 6F MB1 guide with mother daughter 4F vert. MG on cath 52 mmHg. #CathLabHack #Cardiotwitter
#cathlabhack Easy but seems to be helpful, I'll try next time
#cathlabhack in #Minicrush if wire prolapses during ostial SB passage, angulated microcath are helpful @SCAI @TCTMD @PCRonline @CathLabDigest @incathlab @CCIJournal @EuroInterventio @ACCinTouch @escardio @InvasiveCardiol @radcliffeCARDIO #accic #scaifit #cardiotwitter #CRF
Little #cathlabhack for caudal views from LRA approach. Tuck the lead skirt just over the hub of the sheath. This will limit scatter☢️ to the 🤚 & still provide great protection to the upper body with ceiling mounted shield. Done with peekaboo technique preserving ergonomics
#CathLabHack: Jiggle the serrated #MicroPuncture #Needle back & forth on ur way in @prkothapalli @adityadoc1 @PCRonline @CNCFCardio @heartdoc45 @DrSethdb @BaoGTran @essadii @adnanalkhouli @kjkunkelmd @mirvatalasnag @piccoloraf @sbrugaletta @twj1974 @nolanjimradial @BaylorCardio
#Cathlabhack: #Radialfirst #XBRCA may be more suitable & supportive than #AL075 by laying on L sinus instead of diving in, hence ⬇️ dissection risk #ACCIC #Cardiotwitter #PCItwitter @DrAmirKaki @agtruesdell @DLBHATTMD @SCAI_Prez @adityadoc1 @BaoGTran @aspergian1 @ekgpdx
#CathLabHack In case of persistent hemodynamic compromise after valve deployment, inject epinephrine (200 to 300 mcg) directly into the aortic root via the pigtail catheter. This will rapidly stabilize the patient.
To shorten a guide catheter: Trim 10–15 cm from the guide’s proximal end. Use a femoral sheath 1 Fr smaller than the guide. Cut a 2 cm sheath piece as adapter, flare both ends and slide adapter over the cut ends of the guide. #CathLabHack #InterventionalCardiology
💡 Quick #CathLabHack from @TheNarulaSeries! Aortic valve stuck? 👉 Just a touch of chest compressions to cross the valve & get that LVEDP in a non-pulsatile ECMO patient. #CardioTwitter
A wonderful #CathLabHack from @HadyLichaaMD on keeping your Perclose Sutures around a large bore sheath clean! What is your method? #CardioTwitter
#CathLabHack by the #HackMaster aka @HadyLichaaMD
#ReverseWiringTechnique ↩️through a #DualLumenMC #ShorteningAGuide for distal reach when a specific 90 cm #CoronaryGuide is unavailable @PCRonline @SCAI @MyJSCAI @AGoldsweig @mmamas1973 @BagaiJayant @jaygirimd @EricSecemskyMD @sahilparikhmd @MichaelMegalyMD @AntoniousAttall
How do you keep your Perclose Sutures around large bore sheath clean? @HadyLichaaMD shared his #CathLabHack on MurmurMD! #CardioTwitter
Quick #CathLabHack from @TheNarulaSeries! Aortic valve won't open. A touch of chest compressions to cross valve for LVEDP in non-pulsation ECMO Patient. #CardioTwitter
#CathLabHack: #Balloon assisted narrow neck multi-lobed #PseudoAneurysm #ThrombinInjection w distal #EPD docwirenews.com/post/practice-… @DNFeldmanMD @Kristen_BrownMD @Pooh_Velagapudi @SVRaoMD @PCRonline @AmitGoyalMD @AnkurKalraMD @SanChris999 @sealtin1 @Allison_Dupont @SripalBangalore
💡Improving technique for sterile maintenance of #PercloseSutures in the CCU @UCC_CHNavarra (using a wire to 🔀 the sideport) #impella #cathLabhack Info: youtu.be/tz-dLQ2CO9I @HadyLichaaMD @pablo_bazal @arantxaechavar @HemodinamicaC @PCRonline @vruizquevedo @Abiomed
7/ #CathLabHack Go sheathless with the IVUS from the other side for imaging and also venography through the IVUS To help land the stent #DVT #MayThurner #VTE #Cardiotwitter #IRAD #VascTwitter
Guter #cathlabhack ⬇️ Lange Schleusen bei schwer verkalkten und torquierten Gefäßen mit re-platziertem Dilatator ziehen.
#CathLabHack 🫀 Impella RP would not advance into PA on 0.027 Impella wire, but we’re successful with railing RP in over an 0.035 Amplatz Super Stiff 💪🏼 @Abiomed @BSCCardiology @SCAI #ACCFIT
#CathLabHack: Switch to a bicarbonate-based Impella CP™ purge solution in a patient with haemothorax academic.oup.com/ehjcr/article/… #EHJCaseReports #YesCCT #ImageFirst #RadialFirst @KardiologieHH @aayshacader @ANazmiCalik @EHJCREiC @TJ_Yeo @cfcamm @FarhanaAra @HikmetKadi
#CathLabHack: Switch to a bicarbonate-based Impella CP™ purge solution in a patient with haemothorax academic.oup.com/ehjcr/article/… #EHJCaseReports #YesCCT #ImageFirst #RadialFirst @KardiologieHH @aayshacader @ANazmiCalik @EHJCREiC @TJ_Yeo @cfcamm @FarhanaAra @HikmetKadi
Power went out citywide this morning…I offered to hook the cath lab up to my @Ford Lightning. Thankfully it didn’t come to that but I was inspired by @ChrisYangMD’s story of powering a vasectomy with his @Rivian. #cathlabhack 😂
I performed what is likely the world's first @Rivian powered vasectomy today. Power in clinic went out, patient didn't want to reschedule cause he already had time off. Electrocautery was normal, procedure went great! #rivianstories #rivian
#CatRx not working on #MassiveThrombus? Try this handmade #CoronaryInfusionCatheter for #PharmacoMechanicalThrombectomy. #SprayTPA_Fragment_Immerse then #Aspirate with much higher effectiveness. doi.org/10.1016/j.jsca…
MINI #cathlabhack. For RRA slightly withdraw sheath & angle towards body & secure w tegaderm . Keeps catheter moving towards pt table. This gives more surface area 2work on. 🔴arrow is conventional angle laterally, 🟡arrow shows augmented catheter pathway 4better ergonomics.
Little #cathlabhack for caudal views from LRA approach. Tuck the lead skirt just over the hub of the sheath. This will limit scatter☢️ to the 🤚 & still provide great protection to the upper body with ceiling mounted shield. Done with peekaboo technique preserving ergonomics
#CathLabHack: Switch to a bicarbonate-based Impella CP™ purge solution in a patient with haemothorax academic.oup.com/ehjcr/article/… #EHJCaseReports #YesCCT #ImageFirst #RadialFirst @KardiologieHH @aayshacader @ANazmiCalik @EHJCREiC @TJ_Yeo @cfcamm @FarhanaAra @HikmetKadi
#CathLabHack 🫀 Impella RP would not advance into PA on 0.027 Impella wire, but we’re successful with railing RP in over an 0.035 Amplatz Super Stiff 💪🏼 @Abiomed @BSCCardiology @SCAI #ACCFIT
Another option for distal perfusion when needed during Impella placement #cardiotwitter #cardiogenicshock #cathlabhack #impella @HadyLichaaMD @kerrigjl @agtruesdell @Babar_Basir @DrAmirKaki @ChomskyDon @bbiglane @Jeanietn @AGoldsweig
Little #cathlabhack for caudal views from LRA approach. Tuck the lead skirt just over the hub of the sheath. This will limit scatter☢️ to the 🤚 & still provide great protection to the upper body with ceiling mounted shield. Done with peekaboo technique preserving ergonomics
Severe AS by TEE (MG 60 mmHg). INR 1.9. Wasn’t planning on crossing the valve but JR popped across (luck). We don’t have 4F PIG. In age of no Langston made due with what I had! Right radial 6F MB1 guide with mother daughter 4F vert. MG on cath 52 mmHg. #CathLabHack #Cardiotwitter
7/ #CathLabHack Go sheathless with the IVUS from the other side for imaging and also venography through the IVUS To help land the stent #DVT #MayThurner #VTE #Cardiotwitter #IRAD #VascTwitter
MINI #cathlabhack. For RRA slightly withdraw sheath & angle towards body & secure w tegaderm . Keeps catheter moving towards pt table. This gives more surface area 2work on. 🔴arrow is conventional angle laterally, 🟡arrow shows augmented catheter pathway 4better ergonomics.
Great lecture by @InariMedical and @Thomas_TuMD on a game changing device- FlowTriever. Here’s a great slide of the tools needed to get started. It’s time to change the game on treatment of #PE #PulmonaryEmbolism #CathLabHack #inari #ACCFIT #cardiology #cardiotwitter
#Cathlabhack-Another advantage of the #Wiggle #wire for #radialists: No more need for long wires to exchange, Just pull out MC & short wiggle doesn’t move #ACCIC #cardiotwitter @nickaram @Allison_Dupont @kerrigjl @Pooh_Velagapudi @RajTayalMD @DLBHATTMD @lorenzo2509 @DrJayMohan
Did this a while ago maybe of public utility for IC friends dealing with coronary perforation. Covered stent guide catheter compatibility & guide extension compatibility PS: all the caution with possibility of stripping them when delivering through GE #ICFIT #cathlabhack
#cathlabhack remember where this small, seemingly meaningless male luer lock is located in ur lab (i keep 1 in my coat pocket 4 backup) coz it will save a leg thru ext bypass in a CS patient with #impella. Wont work w/o it #ncsi #shock #savealimb
To shorten a guide catheter: Trim 10–15 cm from the guide’s proximal end. Use a femoral sheath 1 Fr smaller than the guide. Cut a 2 cm sheath piece as adapter, flare both ends and slide adapter over the cut ends of the guide. #CathLabHack #InterventionalCardiology
Slick #Cathlabhack: Innovative technique by @TuftsMedicalCtr to close #impella access w/o pre-closure during CS. Less delay for #door_2_unload time & no more need to worry about the sterility of preclose sutures in ICU! #ICTweeters #NCSI #ACCIC #cardiotwitter @ACCinTouch @SCAI
#Cathlabhack: #Radialfirst #XBRCA may be more suitable & supportive than #AL075 by laying on L sinus instead of diving in, hence ⬇️ dissection risk #ACCIC #Cardiotwitter #PCItwitter @DrAmirKaki @agtruesdell @DLBHATTMD @SCAI_Prez @adityadoc1 @BaoGTran @aspergian1 @ekgpdx
6’4 patient, guidecath turns out just short. Used scalpel to make an incision and peel off cover at the prox end to get another 5-6cm which worked great! @md_SsAhmad @FahdWaqar @SabeehSiddiqui3 @chadialraies #cathlabhack #cardiotwitter
#CathLabHack in @CCIJournal: #LiveIVUS technique in #UltraLowContrastPCI or #ZeroContrastPCI onlinelibrary.wiley.com/doi/10.1002/cc… @kerrigjl @agtruesdell @timir_paul @RajTayalMD @adityadoc1 @KardiologieHH @Michel_CorbanMD @aelsab @DrAmirKaki @mirvatalasnag @Pooh_Velagapudi @Umair2017
#Cathlabhack: When dual lumen cath can’t be delivered through distal #tortuosity in #NoReflow cases, consider this #ACCIC #ACCFIT #cardiotwitter @SriPittaMD @MarqPatton @sabeedak1 @AGIKinterv @CNCFCardio @DKarmpaliotis @DougDrachmanMD @Babar_Basir @DocSavageTJU @evandrofilhobr
#CathLabHack: #Balloon assisted narrow neck multi-lobed #PseudoAneurysm #ThrombinInjection w distal #EPD docwirenews.com/post/practice-… @DNFeldmanMD @Kristen_BrownMD @Pooh_Velagapudi @SVRaoMD @PCRonline @AmitGoyalMD @AnkurKalraMD @SanChris999 @sealtin1 @Allison_Dupont @SripalBangalore
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