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Tips and tricks

Case Report
02/01/2019

Nicholas Ierovante, DO, Kintur Sanghvi, MD, Vincent Varghese, DO

Division of Interventional Cardiology and Endovascular Medicine,

Deborah Heart and Lung Center, Browns Mills, New Jersey

Nicholas Ierovante, DO, Kintur Sanghv...
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 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
11/27/2018

Richard Casazza, MAS, RT(R)(CI), Brooklyn, New York

Richard Casazza, MAS, RT(R)(CI), Broo...
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 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
11/04/2018

Judit Karacsonyi, MD1,2;  Viktor Sasi, MD2;  Imre Ungi, MD2;  Emmanouil S. Brilakis, MD, PhD1,3

Judit Karacsonyi, MD1,2;  Viktor Sasi...
Balloon shaft fracture can potentially have serious consequences, such as embolization, urgent surgery, or even death.
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
09/03/2018

Takeshi Yamada, MD, Akihiko Takahashi, MD, PhD, Yukio Mizuguchi, MD, Sho Hashimoto MD, Tetsuya Hata, MD, PhD, Norimasa Taniguchi, MD, PhD, Shunsuke Nakajima, MD, PhD, Department of Cardiology, Sakurakai Takahashi Hospital, Hyogo, Japan

Takeshi Yamada, MD, Akihiko Takahashi...
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 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
07/08/2018

Vijaykumar S. Kasi1, MD, PhD, Jennifer Kinaga2, MD, David Bello1, MD

Vijaykumar S. Kasi1, MD, PhD, Jennife...
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 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
04/05/2018

Vikas Bhalla, MD, MSc, MBA, Damien Marycz, MD, Ryan E. Wilson, MD, John Gurley, MD, MBA, Division of Cardiovascular Medicine, 

University of Kentucky, Lexington, Kentucky

Vikas Bhalla, MD, MSc, MBA, Damien Ma...
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 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
04/05/2018

Jered Cook, MD, Ehab Eltahawy, MD, FACC, FSCAI, FSVM, Division of Cardiovascular Medicine, University of Toledo Medical Center, Toledo, Ohio

Jered Cook, MD, Ehab Eltahawy, MD, FA...
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 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
04/03/2018

Adam Stys1, MD, Filip Oleszak2, Maheedhar Gedela3, MD, Jeffrey Wilson3, MD, Tomasz Stys1, MD

Adam Stys1, MD, Filip Oleszak2, Mahee...
Unfavorable coronary anatomy, especially involving bifurcations, can preclude guidewire passage even when there is flow distal to the stenosis.1
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
07/31/2017

Bernadette Speiser, BSN, MSN, CCRN, RCIS, Bethany Eytchison-Fung, BSN, CCRN, Kent Essman, BSN, MSN, CCRN, Palo Alto Health Care System, Department of Veteran’s Affairs, Palo Alto, California 

Bernadette Speiser, BSN, MSN, CCRN, R...
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 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
03/06/2017

Adam T. Stys MD, FACC, Muhammad A. Khan, MD, Naveen Rajpurohit, MD, Tomasz P. Stys, MD, FACC, Sanford Cardiovascular Institute, University of South Dakota, Sanford School of Medicine, Sioux Falls, South Dakota

Adam T. Stys MD, FACC, Muhammad A. Kh...
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 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