#safefemoral
#Fellowbootcamp- Vascular Access! My goals in the Cath lab for a first year: 🛑Safety 🟢Access 😎Getting the RCA In the first couple of months of your training focus on these important concepts. Understand both #RadialFirst and #SafeFemoral ..ultrasound and micro puncture! Keys to access 🔑 Don’t get frustrated 🔑 Understand the anatomy and how to troubleshoot location of vessel 🔑 Don’t rush! 🔑 Don’t be ashamed to ask for help/give up the needle Equipment needed ⭐️ Use a 21G (micro puncture) needle for any access. ⭐️ 21G needle works with an 0.018 wire. Can consider micro wire, nitrex, or platinum plus among others ⭐️ 6F sheath usually used (sheath size is by inner diameter vs guide is outer) hemostasis As a fellow spend at least the first month not only learning access but also HEMOSTASIS Put the radial hemostasis band on yourself. Understand patent hemostasis! Pull the groin sheath yourself. Realize why closure devices don’t always work! all the vascular pros out there (#IC #Vascular, #IRAD) share any advice in regards to access to the residents/fellows out there stepping into the endovascular world #FellowBootCamp #Cardiotwitter #Cardiology
Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI35,153 views • 2 years ago
70sF w AMICS (SCAI E—>D) w LM trifurcation disease sp LM-LAD-Ramus Minicrush + POBA to LCX. Despite #SafeFemoral and cinching pre-closed sutures w good sheath angle still BARC3 groin bleed. Still absolutely needs MCS. WTD?! “Side-Close” it. @jason_wollmuth Ethan Korngold, MD Adv Biomed Abbott Cardiovascular Tom Wilson Umair Khalid Antonious Attallah, MD, FACC, FSCAI Allison Dupont, MD Alex Truesdell Babar Basir Musa A. Sharkawi Nyal Borges Aditya Bharadwaj Osama Bisht Christian McNeely David J. Cohen, MD, MSc Shariq Shamim @DeepBlueDoc21 Evandro Martins F. MD Sam Ghali, M.D. Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI Timir Paul, MD, PhD, FACC, FSCAI, FAHA MyJSCAI #SideCloseIt #ACCFIT #ACCEarlyCareer #SCAIshock
Jeffrey Wilson, MD32,918 views • 2 years ago
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