Dr Rahul Sharma discusses basic instruction on a seemingly forgotten technique of pulling a sheath and manually holding the pressure for arteriotomies. He also shares when a femoral angiography is needed and which basic algorithms can be applied. Tweet this, subscribe or find an Impella training course near you.
Here’s an effective online resource to gain a better understanding of cardiac physiology. Watch this video to learn how physiology terms like end-systolic, end-diastolic, pulse pressure, stroke volume, and ejection fraction, can be easily figured out using the pressure-volume loop. Tweet this or subscribe to our blog to learn more about cardiac physiology.
The talk entitled “Tips and Tricks: Access and Patient Management” was given by Dr. Mark Grise, Medical Director of the Cardiac Catheterization Laboratory at Sacred Heart Hospital in Pensacola, Florida at the 26th annual 2015 Scripps Cardiovascular Interventions Conference on Tuesday, October 27, 2015. Dr. Grise’s talk was part of the pre-conference session titled “A New Procedure in the Cath Lab: Protected PCI Treating Complex and Higher-Risk Indicated Patients (CHIP).”Before PCI—percutaneous coronary intervention—Dr. Grise recommends always doing a femoral angiogram to assess the tortuosity, stenosis, calcification, and size of the common femoral artery, which needs to be > 4.6 cm. The target zone for entry is the middle of the femoral head on the common femoral artery, which is seen under fluoroscopy in the anteroposterior projection. Before proceeding, Dr. Grise obtains access on the other side and takes a picture of the planned Impella side.Continue readingDr. Mark Grise Shares Advice on Access and Patient Management at Scripps 2015