New techniques

Case Report

Novel Technique for Antegrade Wire Following Retrograde Wire and Microcatheter Crossing CTO

01/08/2019

Philip Carson, MD, Adam Stys, MD, Sanford Cardiovascular Institute, Sioux Falls, South Dakota

Philip Carson, MD, Adam Stys, MD, San...

The bamboleo technique is a novel approach for antegrade wire crossing that was successful in this case and maintained true lumen access.

The bamboleo technique is a...

01/08/2019

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), Brooklyn, New York

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

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

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), 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...

11/27/2018

Cath Lab Digest

Case & Technique

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

04/03/2018

Cath Lab Digest

Case Study

Achieving Hemostasis with Angio-Seal Closure Device After Removal of Inadvertently Placed Triple Lumen Central Venous Catheter from Bifurcation of Innominate Artery

12/28/2017

Lina Todorova, DO, Sumit Ringwala, MD, Kingston Okrah, MD
Affinity Medical Group, Mercy Medical Center, Oshkosh, Wisconsin

Lina Todorova, DO, Sumit Ringwala, MD...

This case demonstrates one method of managing a central venous catheter removal from the innominate artery without complications.

This case demonstrates one...

12/28/2017

Cath Lab Digest

Case Study

Achieving Hemostasis with Angio-Seal Closure Device After Removal of Inadvertently Placed Triple Lumen Central Venous Catheter from Bifurcation of Innominate Artery

12/28/2017

Lina Todorova, DO, Sumit Ringwala, MD, Kingston Okrah, MD
Affinity Medical Group, Mercy Medical Center, Oshkosh, Wisconsin

Lina Todorova, DO, Sumit Ringwala, MD...

This case demonstrates one method of managing a central venous catheter removal from the innominate artery without complications.

This case demonstrates one...

12/28/2017

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

Prince Sethi,¹ MD, Shenjing Li,² MD, Tomasz Stys,³ MD, Adam Stys,³ MD

Prince Sethi,1 MD, Shenjing Li,2 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 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

Prince Sethi,¹ MD, Shenjing Li,² MD, Tomasz Stys,³ MD, Adam Stys,³ MD

Prince Sethi,1 MD, Shenjing Li,2 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

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

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...

07/31/2017

Cath Lab Digest

CLI Perspectives

Update on the Novel AV Reversal Therapy for End-Stage CLI

04/10/2017

CLI Perspectives is headed by section editor J.A. Mustapha, MD, Metro Health Hospital, Wyoming, Michigan.

Dr. Mustapha interviews Steven Kum, MBBS, FRCS, Novena Vascular & Varicose Vein Centre, Mount Elizabeth Hospital; Director of Vascular Services, Department of Surgery, Changi General Hospital, Singapore.

CLI Perspectives is headed by section...

Dr. Steven Kum of Singapore believes that patients with end-stage disease can still benefit from a unique procedure called arterial venous flow reversal. Dr. Kum, a vascular surgeon, developed an endovascular procedure to not only create the...

Dr. Steven Kum of Singapore...

04/10/2017

Cath Lab Digest