Access site management

Suggested Technique

A Novel, Atraumatic Technique of Maintaining Access Site While Removing Impella

03/31/2019

We describe the first atraumatic technique where the use of a micropuncture kit and supportive wire is all that is needed to exchange or upsize the support. Our technique does not damage the Impella catheter and is safer, as it does not...

We describe the first atraumatic...

03/31/2019

Cath Lab Digest

Journal Club

Article Highlight: “Hand Dysfunction After Transradial Artery Catheterization for Coronary Procedures”

03/03/2019

Marshall W. Ritchey , MS, MBA, RCIS;

Complications are uncomfortable and scary for our patients. Now is the time to focus on how to avoid radial artery complications in the future, and how to quickly respond and treat complications appropriately when they do occur.

Complications are uncomfortable...

03/03/2019

Cath Lab Digest

Radial Images

Hand Hematoma After Cardiac Catheterization Via Distal Radial Artery

01/31/2019

Andreas Tassopoulos , MD;

Michael J. Koutouzis , MD, PhD;

Eleftherios Kontopodis , MD;

Ioannis Tsiafoutis , MD;

Efstathios Lazaris , MD;

This is the first reported case of severe hand hematoma after cardiac catheterization through the distal radial artery, with the hematoma extending distally to the sheath insertion site.

This is the first reported case...

01/31/2019

Cath Lab Digest

You Went Ulnar When Radial was Not Suitable. Now How Do You Close the Punctures?

10/06/2017

Paul S. Teirstein , MD, FACC;

Neal S. Kleiman , MD;

Bonnie H. Weiner , MD, MBA, FSCAI, FACC;

Morton J. Kern , MD, MSCAI, FACC, FAHA;

Ajay J. Kirtane , MD, SM;

Lloyd W. Klein , MD;

Samuel M. Butman , MD;

Gregory J. Dehmer , MD;

Kirk N. Garrett ;

Barry Borlaug , MD;

Having advocated the use of the ulnar artery when the radial artery is not suitable1, we did exactly what we talked about and placed an ulnar sheath using ultrasound guidance after encountering a radial loop on the left arm in a patient...

Having advocated the use of the...

10/06/2017

Cath Lab Digest

Interview

An Update on the RESCUE In-stent Restenosis Trial With Dheeraj Rajan, MD

05/22/2016

Jennifer Ford ;

Dheeraj K. Rajan, MD, FRCPC, FSIR, discusses 12- and 24-month follow-up data from the Fluency Plus Endovascular Stent Graft for In-stent Restenosis (RESCUE) study.

Dheeraj K. Rajan, MD, FRCPC,...

05/22/2016

Vascular Disease Management

Feasibility and Safety of Radial Artery Re-Puncture in Same-Day PCI for Transferred Patients

03/03/2016

Ahmad Daraghmeh , MD;

Marc T. Zughaib , BSc, MPH;

Navneet Kumar , MD;

Modar Alom , MD;

Marcel E. Zughaib , MD, FACC;

We screened two tertiary care hospitals’ National Cardiovascular Data Registry for any patient that was transferred for a same-day PCI procedure from the (satellite) hospital to the catheterization lab at the second hospital over a 3-year...

We screened two tertiary care...

03/03/2016

Cath Lab Digest

A Novel Vascular Closure Device for Heart Transplant Patients

12/07/2015

Neel Khanna , MD, MPH;

Alan Gass , MD;

The Vascade Vascular Closure System appears to be a useful addition to the collection of vascular closure devices, particularly in patients who are expected to undergo repeated coronary angiograms such as cardiac transplant recipients. Its...

The Vascade Vascular Closure...

12/07/2015

Cath Lab Digest

CLI Perspectives

ISET and the Exciting Developments in CLI Therapy

12/07/2015

Barry T. Katzen , MD, FACC, FACR, FSIR;

Jihad A. Mustapha , MD, FACC, FSCAI;

This month, Dr. Mustapha interviews Barry T. Katzen MD, FACR, FACC, FSIR, Founder and Medical Director, Miami Cardiac & Vascular Institute, Miami, Florida.

This month, Dr. Mustapha...

12/07/2015

Cath Lab Digest

True Femoral Arterial Puncture Site vs Perceived Arterial Puncture Site

10/28/2015

Gurinder Rana , MD;

Muhammad Khakwani , MD;

Zeshan Rana , MD;

Marc S. Cohen , MD;

Vadim Spektor , MD;

Najam Wasty , MD;

Daniel Tsyvine , MD;

Commonly used techniques for isolating the true arterial puncture site are often imprecise. The authors present a useful indicator of the true arterial puncture site following a presentation of data on perceived vs true puncture sites.

Commonly used techniques for...

10/28/2015

Vascular Disease Management

Clinical Editor's Corner

Reducing Access-Site Complications

10/28/2015

Pradeep K. Nair , MD, FACC, FSCAI;

Interventionalists should closely monitor access-site complications in their own facilities and adjust their techniques where appropriate.

Interventionalists should...

10/28/2015

Vascular Disease Management