Tips and tricks

Case Report

Emergent Distal Vessel Re-Entry Technique for Iatrogenic Coronary Artery Dissection

02/01/2019

We present a case of acute inferior wall myocardial infarction with complicating right coronary artery dissection, leading to complete vessel occlusion.

We present a case of acute...

02/01/2019

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

Suggested Technique

Management of a Balloon Shaft Fracture During Subintimal Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention Due to In-stent Restenosis

11/04/2018

Emmanouil S. Brilakis , MD, PhD, FACC, FAHA, FESC, FSCAI;

Judit Karacsonyi , MD, PhD;

Imre Ungi , MD, PhD;

Viktor Sasi , MD;

Balloon shaft fracture can potentially have serious consequences, such as embolization, urgent surgery, or even death.

Balloon shaft fracture can...

11/04/2018

Cath Lab Digest

A Novel Method for Achieving Patent Hemostasis in Patients Undergoing Percutaneous Coronary Intervention Through the Distal Radial Artery

09/03/2018

Akihiko Takahashi , MD, PhD;

Norimasa Taniguchi , MD, PhD;

Yukio Mizuguchi , MD;

Takeshi Yamada , MD;

Shunsuke Nakajima , MD, PhD;

Tetsuya Hata , MD;

Sho Hashimoto , MD;

The distal radial approach from the anatomical snuff box on the dorsal side of the hand was first described to open occluded ipsilateral radial arteries.1 This new vascular access site has recently been introduced for percutaneous coronary...

The distal radial approach from...

09/03/2018

Cath Lab Digest

Case Report

Successful Percutaneous Retrieval of a Leadless Pacemaker From the Pulmonary Artery

07/08/2018

David Bello , MD;

Vijaykumar S. Kasi , MD, PhD;

Jennifer Kinaga , MD;

We report a case of a leadless pacemaker embolization to the pulmonary artery and the potential difficulties with successful retrieval. Combining the theorized retrieval instructions with the experience of this case, we propose a retrieval...

We report a case of a leadless...

07/08/2018

Cath Lab Digest

Case & Technique

A Novel Technique for Impella Removal From Non-Preclosed Arteries Using Perclose ProGlide Closure Device

04/05/2018

Ryan E. Wilson , MD;

John C. Gurley , MD, MBA;

Vikas Bhalla , MD, MSc, MBA;

Damien Marycz , MD;

Usually the Impella arterial access site (14 French) is preclosed with a Perclose ProGlide vascular closure device (Abbott Vascular). The problem lies in cases of emergency, if the access site is not preclosed, and/or if there is a failure of...

Usually the Impella arterial...

04/05/2018

Cath Lab Digest

Case & Technique

Mother-and-Child Technique for Diagnostic Angiography in a Dilated Ascending Aorta With an Inner Multipurpose Catheter

04/05/2018

Jered Cook , MD;

Ehab A. Eltahawy , MD, MPH, FACC, FSCAI;

Utilizing a stiffer, more directional catheter allows for controlled engagement of the left main in patients with difficult anatomy, especially dilated ascending aortas.

Utilizing a stiffer, more...

04/05/2018

Cath Lab Digest

Case & Technique

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

04/03/2018

Filip Oleszak ;

Maheedhar Gedela , MD;

Adam T. Stys , MD, FACC;

Jeffrey Wilson , MD;

Tomasz P. Stys , MD, FACC, FSCAI;

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

Case Report

TAVR: Valve-in-Valve Challenges and a Unique Approach with an EN Snare Device

07/31/2017

Bernadette S. Speiser , BSN, MSN, CCRN, RCIS;

Bethany Eytchison-Fung , BSN, CCRN;

Kent Essman , BSN, MSN, CCRN;

There is a specialized group of clients who present an increased challenge to TAVR teams: valve-in-valve cases. Valve-in-valve procedures are best suited for patient who present with regurgitation and/or stenosis of the aortic bioprosthetic...

There is a specialized group of...

07/31/2017

Cath Lab Digest

Case Report

Novel Extreme Triple Telescopic Support for Percutaneous Coronary Intervention

03/06/2017

Adam T. Stys , MD, FACC;

Tomasz P. Stys , MD, FACC, FSCAI;

Muhammad Ali Khan , MD;

Naveen Rajpurohit , MD;

We present a novel technique of extreme PCI support, as depicted in our case series, which allowed completion of PCI otherwise not possible by using conventional means. We describe a triple telescopic system, involving a smaller in a larger...

We present a novel technique of...

03/06/2017

Cath Lab Digest