Richard Casazza, MAS, RT(R)(CI)

Clinical Images

Rare Case of Myocardial “Milking” in a Diagonal Branch Artery

07/26/2024

;

David J. Epstein , MD;

Nicole DeLeon , MD;

;

Isa Sarro ;

Arsalan Hashmi , MD;

The authors present a 54-year-old woman with a past medical history of opioid addiction, anxiety disorder, and current cigarette smoker who presented to the hospital via Emergency Medical Service after an episode of syncope at home.

The authors present a...

07/26/2024

Journal of Invasive Cardiology

Case Report

A Rare Case of Bilateral Coronary Artery Fistula to Pulmonary Artery

02/03/2022

Arsalan Hashmi , MD;

Jamie Meng , MD;

Adil Pervaiz , MD;

Richard Casazza , MAS, RT(R)(CI);

Coronary artery fistula is an abnormal vascular communication of coronary artery with cardiac chambers or any segment of the systemic or pulmonary circulation.

Coronary artery fistula is an...

02/03/2022

Cath Lab Digest

CLD Casazza Right Distal Radial Artery Access

Clinical Update

Right Distal Radial Artery Access for Cardiac Cath: Just a Fad?

10/27/2022

Richard Casazza , MAS, RT(R)(CI);

While the right distal radial artery approach is still teetering on the verge of popularity (or obscurity), it remains to be seen if operators will take up this approach as a primary access point.

While the right distal radial...

10/27/2022

Cath Lab Digest

Technical Review

Crossing Stenotic Aortic Valves During TAVR: Technical Review and Thoughts

01/01/2024

Richard Casazza , MAS, RT(R)(CI);

Even though crossing aortic valves isn’t a lost art, crossing may be more difficult for novice operators because of a lack of everyday practice in the cath lab.

Even though crossing aortic...

01/01/2024

Cath Lab Digest

Distal Left Radial Artery Approach for Cardiac Catheterization: Advancements in Ergonomics With Techniques and Technologies

01/08/2019

Richard Casazza , MAS, RT(R)(CI);

Pioneered by Dr. Ferdinand Kiemeneij, the distal radial artery approach is proving to be a game-changer for left radial artery cases.

Pioneered by Dr. Ferdinand...

01/08/2019

Cath Lab Digest

Clinical Images

Successful Treatment of Early Bioprosthetic Mitral Valve Fusion in a Patient on VA ECMO With Balloon Valvuloplasty Via Direct Cannulation of Pulmonary Vein

01/12/2024

Adnan Sadiq , MD;

Bilal A. Malik , MD, FACC;

Gregory Crooke , MD;

Richard Casazza , MAS, RT(R)(CI);

Paul Saunders , MD;

Arsalan Hashmi , MD;

Mazin Khalid , MD;

Robert Frankel , MD;

The authors present a case of a 57-year-old male who underwent bioprosthetic mitral valve replacement (MVR) and developed postoperative cardiogenic shock requiring venoarterial extracorporeal membrane oxygenation (VA ECMO) and Impella 5.5...

The authors present a case of a...

01/12/2024

Journal of Invasive Cardiology

Tools

The One-of-a-Kind “Radial Access Sleeve” Finally, an Answer to the Left Radial Prep: “The Black Swan of Radials”

01/10/2017

Richard Casazza , MAS, RT(R)(CI);

With the “Transradial Revolution” in full swing, cath lab staff have also looked for new and innovative ways to contribute to this paradigm shift. One of these innovations is the Radial Access Sleeve (RAS) (Tesslagra Design Solutions, Staten...

With the “Transradial...

01/10/2017

Cath Lab Digest

Tips and Techniques

“Blowout” Technique: Deep Expiration for Wire Navigation Into the Ascending Aorta With Severe Subclavian Tortuosity From the Right Radial Approach

11/27/2018

Richard Casazza , MAS, RT(R)(CI);

Prior to bailing out to an alternative approach, we hypothesized that doing the exact opposite might gain us access to the AA. After several minutes of fluoroscopy and extensive deep inspirations disallowed navigation, a single deep...

Prior to bailing out to an...

11/27/2018

Cath Lab Digest

Radial Access Technique

Distal Radial Sheath Extension Technique to Reduce Operator Radiation Exposure and Promote Ergonomics for Cardiac Catheterization

09/04/2023

Richard Casazza , MAS, RT(R)(CI);

The distal radial sheath extension technique is used to optimize ergonomics and increase the distance between the operator and the primary scatter radiation source.

The distal radial sheath...

09/04/2023

Cath Lab Digest

A Cath Lab Technologist’s Story During COVID-19

06/08/2020

Richard Casazza , MAS, RT(R)(CI);

The first quarter of 2020 has been less than stellar, to say the least. The COVID-19 pandemic has completely turned the lives of healthcare workers upside down. In the United States, there has been over 831K cases with 46K deaths attributable...

The first quarter of 2020 has...

06/08/2020

Cath Lab Digest