Category: Tips & Tricks


Techniques to Reduce Bleeding with Large Bore Access Devices

Dr. Amir Kaki Discusses Techniques to Reduce Bleeding Dr. Amir Kaki outlines the factors that have led to reductions in bleeding and complications with large-bore access devices, including Impella, over the past decade, and discusses techniques and best practices for access and closure. Dr. Kaki is the director of mechanical circulatory support and complex PCI … Continue reading “Techniques to Reduce Bleeding with Large Bore Access Devices”

SmartAssist in Protected PCI

Facilitating Impella® Weaning and Explant Decision Making Dr. Rajan Patel discusses how SmartAssist technology has helped him make decisions about explanting and weaning in his high-risk PCI cases. Dr. Patel is an interventional cardiologist at Ochsner Medical Center. Dr. Patel describes a subset of protected PCI patients, including those with acute coronary syndromes or very low … Continue reading “SmartAssist in Protected PCI”

Planning for Large Bore Access

Standardize Your Approach to Limit Bleeding Paul D. Mahoney, MD, describes the standardized approach for large bore femoral access at Sentara Heart Hospital in Norfolk, Virginia, where he is the director of the structural heart program. His institution has a large program that performed more than 400 TAVR procedures, 100 MitraClip™ procedures, 100 Watchman™ procedures, … Continue reading “Planning for Large Bore Access”

Alternative Access Sites for Large Bore Procedures with Dr. Raj Tayal

Technical Skills for Advanced Operators Raj Tayal MD, MPH, FACC, FSCAI discusses axillary access and other alternative access site techniques for large bore procedures. Dr. Tayal is the director of the cardiac cath lab at Overlook Medical Center. Dr. Tayal explains that percutaneous axillary implant volume is increasing with very favorable data from the axillary … Continue reading “Alternative Access Sites for Large Bore Procedures with Dr. Raj Tayal”

Large Bore Access Critical Skills with Dr. Adhir Shroff

Using Multimodality Approach for Femoral Access Adhir Shroff, MD, MPH, presents data supporting a multimodal approach to femoral access. Dr. Shroff is Associate Professor of Medicine at the University of Illinois, Chicago and Jesse Brown VA Medical Center Co-Chair of the Vascular Access Working Group. He also recently co-authored a free SCAI Best Practices for … Continue reading “Large Bore Access Critical Skills with Dr. Adhir Shroff”

Managing and Troubleshooting Femoral Access and Closure with Dr. Raj Patel

Femoral Access and Closure Strategies and Best Practices Rajan Patel, MD, FACC, FAHA, FSCAI, interventional cardiologist at Ochsner Clinic, presents a series of case studies highlighting management and troubleshooting techniques for femoral artery access and closure. Dr. Patel emphasizes that “getting access is technique dependent, not technology dependent.” To illustrate access strategies, he presents a … Continue reading “Managing and Troubleshooting Femoral Access and Closure with Dr. Raj Patel”