Awesome tips best practical content. There may be a solution of every difficult engagement from RRA. But we keep im mind that further long attempts can increase radiation exposure and risk of relevant spasm, RAS. We should have low threshold for switching to femoral (US guided access). Mastering femoral access and closure remains vital.
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.
As I mentioned, counterclock torque points JL anteriorly if it has a hinge on the aorta (meaning, if the secondary curve is abutting the aorta). IF there is no hinge on the aorta, ie if the catheter if floating freely in the aorta like a JR, then clockwise torque will make it point anteriorly
Awesome tips best practical content. There may be a solution of every difficult engagement from RRA. But we keep im mind that further long attempts can increase radiation exposure and risk of relevant spasm, RAS.
We should have low threshold for switching to femoral (US guided access). Mastering femoral access and closure remains vital.
High quality teaching... Addresses minor doubts in fellows mind.... You are awsome teacher sir
Thanks a lot for the kind words
I am big fan of yours lecture.PLEASE make a video on stent and ballon size.
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
Another jewel!
Thanks a thousand Times
Thank you for always having kind words
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.
Amazing as always Sir, thanks a lot 🙏
Thank you prof hanna from German ic fellow
Thank you teacher. Good lecture!!!
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.
As I mentioned, counterclock torque points JL anteriorly if it has a hinge on the aorta (meaning, if the secondary curve is abutting the aorta). IF there is no hinge on the aorta, ie if the catheter if floating freely in the aorta like a JR, then clockwise torque will make it point anteriorly
TKS from Brazil!!
Hi sir kindly talk about ctos ptca etc sir thank you
Thanks a lot