Left+right coronary engagement for general fellows: step-by-step tips, diagrams, caveats (5 for RCA)
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- Опубліковано 11 чер 2024
- 0:00 Catheter sizes and shapes. Radial vs femoral. LAO vs RAO
09:15 LCA engagement, steps 0, 1, 2, 3A+3B. Detailed diagrams, tips+ cases. Value of deep breath (16:25, 24:01)
21:10 Troubleshooting: catheter pointing down: 4 options
21:10 Cases
32:25 Going from selective LCx to selective LAD and vice versa: 5 techniques
37:00 RCA engagement: basics, anatomy, radial vs femoral. **Additional note: RCA height above the valvular annulus is 1.1 to 2 cm based on TAVR studies
41:08 The 5 pitfalls of RCA engagement
55:26 Questions regarding RCA engagement- 6th and 7th pitfalls
High quality teaching... Addresses minor doubts in fellows mind.... You are awsome teacher sir
Thanks a lot for the kind words
Amazing as always Sir, thanks a lot 🙏
Another jewel!
Thanks a thousand Times
Thank you for always having kind words
Thank you and I love your lecture so much.. I'm radiographer and want to learn more what is the best angulations or views for coronary arteries
Amazing lecture, as always.
Sir can you please do a talk on radial artery spasm management during left heart cath? I try not to get to that point, but once spasm develops it's difficult for the patient and for us.
Thank you. Yes, it is a difficult situation and may occasionally need to convert to a different access, but it can be handled most often with deeper sedation, vasodilators (IA/SL/SQ), and smaller catheters. I will upload soon a talk on difficult radial anatomy; in it, I briefly discuss at the end severe spasm and catheter entrapment.
I always thanks you for your kind and great lecture.
But i can't understand the part that "to go from LCx to LAD"😢
How can counterclock rotation make JL catheter points more anterior? I think it may JL points more posterior, because it makes JL catheter clockwise rotation.
Hi sir kindly talk about ctos ptca etc sir thank you