Advice for Interventional Fellows from Dr. Abdulkareem Sharaf
Be Familiar with All Cath Lab Tools
Dr. Chadri Alraies interviews Dr. Abdulkareem Sharaf at a SCAI Large Bore Access workshop. Dr. Sharaf is an interventional fellow at St. John Oakland-Macomb.
When asked about the challenges interventional cardiology fellows face as they try to learn all that they need to learn in 1 year of training, Dr. Sharaf emphasizes the need to be familiar with the system and the cath lab tools at each hospital. He describes the need to be trusted when you are in a new environment with new physicians and the importance of leaving a good impression. “Try to be familiar with all available tools.” Dr. Sharaf states. “Every place uses different tools. Try to read about them, watch some videos. I’ve seen many nice videos on YouTube.”
Dr. Sharaf also mentions the challenge of learning femoral skills when 70% of the cases he does are radial access. He explains that while most interventional cardiology fellows are familiar with femoral access, their radial skills tend to be better. Yet it is very important to understand femoral access, especially for left main stenting and for large bore access procedures, such as those involving Impella®. Dr. Sharaf emphasizes that it is important to know how to deal with complications and how to close large bore access. He says it is important for fellows to get familiar with closure tools such as the Perclose ProGlide® vascular closure system during their training. “Impella is 14 Fr sheath and you need to use Perclose,” Dr. Sharaf states. “You don’t want, in the middle of the case, to have bleeding from large bore access.”
Dr. Sharaf tells Dr. Alraies that he learned a lot of valuable and important new information at the SCAI Large Bore Access workshop. He mentions the simulation models and discussions on how to use ultrasound, which he says he already uses in certain types of cases.
- Large Bore Femoral and Axillary Closure with Dr. Amir Kaki
- Interventional Fellowship: Overcoming Challenges
- Cardiology Fellows Resources
To learn more about the Impella® platform of heart pumps, including important risk and safety information associated with the use of the devices, please visit: abiomed.com/important-safety-information