Tomasz P. Stys, MD, FACC, FSCAI

Case & Technique

How to Wire a Complex Coronary Trifurcation: A Novel Guidewire Contrast Surfing Technique

04/03/2018

Unfavorable coronary anatomy, especially involving bifurcations, can preclude guidewire passage even when there is flow distal to the stenosis.1

Unfavorable coronary anatomy,...

04/03/2018

Cath Lab Digest

Suggested Technique

Challenging Anatomy: Sneak Attack, Triple Telescopic System Guide Extension, and Balloon Anchoring Solve the Problem

02/03/2022

Adam T. Stys , MD, FACC;

Zoltan Varga , MD, PhD;

Jeffrey Wilson , MD;

Tomasz P. Stys , MD, FACC, FSCAI;

In the last two decades, interventional cardiology has seen an unprecedented boom in development of more and more advanced endovascular equipment, broadening the horizon of possibilities for percutaneous treatment of complex coronary lesions.

In the last two decades,...

02/03/2022

Cath Lab Digest

A New Technique for Coronary Guide Catheter Exchange Over Coronary Guidewire Using GuideLiner Catheter

05/20/2014

Naveen Rajpurohit , MD;

Adam T. Stys , MD, FACC;

Tomasz P. Stys , MD, FACC, FSCAI;

Muhammad Ali Khan , MD;

Guide catheter exchange over coronary guidewire can be challenging, yet is necessary in certain clinical scenarios. We present a technique of guide catheter exchange over a coronary guidewire with GuideLiner support.

Guide catheter exchange over...

05/20/2014

Journal of Invasive Cardiology

Case Report

Transseptal Access Using Balloon-Assisted Tracking Technique

11/22/2022

Ninad Nadkarni , MD;

Fouad Khalil , MBBCh;

Tomasz P. Stys , MD, FACC, FSCAI;

Naveen Rajpurohit , MD;

Adam T. Stys , MD, FACC;

An 80-year-old female with a history of heart failure with reduced ejection fraction, hypertension, and chronic kidney disease presented with worsening dyspnea and fatigue for 6 months despite being on optimal guideline-directed medical...

An 80-year-old female with a...

11/22/2022

Cath Lab Digest

Original Contribution

Reduction in Contrast Nephropathy From Coronary Angiography and Percutaneous Coronary Intervention With Ultra-Low Contrast Delivery Using an Automated Contrast Injector System

07/15/2016

Tomasz P. Stys , MD, FACC, FSCAI;

Shenjing Li , MD;

Shawn C. Kelly , MD;

Paul A. Thompson , PhD;

Adam T. Stys , MD, FACC;

An evaluation of the incidence of contrast-induced nephropathy following coronary angiography and PCI utilizing a novel ultra-low contrast delivery technique.

An evaluation of the incidence...

07/15/2016

Journal of Invasive Cardiology

New Techniques

Guidewire Hydroglide Technique ‘Booster’

07/07/2014

Tomasz P. Stys , MD, FACC, FSCAI;

Marian S. Petrasko , MD, PhD;

Muhammad Ali Khan , MD;

Naveen Rajpurohit , MD;

Adam T. Stys , MD, FACC;

OTW systems can be retrieved without the use of guide wire extension by utilizing the “hydroglide” technique.

OTW systems can be retrieved...

07/07/2014

Cath Lab Digest

Case Study

Anomalous Left Circumflex Artery Originating from Right Coronary Artery (RCA) with Wire Knuckle Push of RCA: A Novel Technique for PCI

12/28/2017

Adam T. Stys , MD, FACC;

Tomasz P. Stys , MD, FACC, FSCAI;

Prince Sethi , MD;

Shenjing Li , MD;

Here, we present a case of acute coronary syndrome with a severely diseased anomalous LCX, successfully managed with a novel PCI technique.

Here, we present a case of acute...

12/28/2017

Cath Lab Digest

Case Report

Pushing Equipment to the Limits: Guidewire Fracture

01/01/2024

Adam T. Stys , MD, FACC;

Tomasz P. Stys , MD, FACC, FSCAI;

Filip Oleszak ;

Andrii Maryniak , MD;

The authors present a case of guidewire fracture during angioplasty of a right coronary artery chronic total occlusion due to instent restenosis.

The authors present a case of...

01/01/2024

Cath Lab Digest

A Single Operator, Final Kissing Balloons Technique Using a Stopcock-Dependent Indeflator Setup

04/05/2016

Tomasz P. Stys , MD, FACC, FSCAI;

Amol Raizada , MD;

Shawn C. Kelly , MD;

We describe a technique using one indeflator and a 4-way stopcock that ensures both pressure equalization and synchronization of balloon inflation when performed by a single operator

We describe a technique using...

04/05/2016

Cath Lab Digest

Sanford USD Medical Center Cardiac Cath Lab

09/03/2013

Tomasz P. Stys , MD, FACC, FSCAI;

Stacy Handshumaker , RCIS;

Danielle Schievelbein , MSN, RN;

Jenn Klawitter , BSN, RN;

John Wagner , MHA, RN;

Cath lab technologists are required to pass the RCIS exam before they can start working in the cath lab and must continue to keep their RCIS credential current.

Cath lab technologists are...

09/03/2013

Cath Lab Digest