Dr. Amir Kaki: Tips, Tricks & Techniques

October 12, 2017

Dr. Amir Kaki, Medical Director of the Cardiac Catheterization Lab at the Detroit Medical Center joins us to discuss tips, tricks and techniques for high-risk PCI. In chapter 1, Dr. Kaki draws on his experience at one of the busiest centers in the country to address groin management, common challenge for high-risk intervention patients. Learn his techniques in a didactic, step-by-step format. He also outlines the DMC access technique protocol, which the team institutionalized for large bore sheath insertion, removal and complication management.

In chapter 2, Dr. Kaki shares his decision-making strategies for Impella explantation, including the DMC protocol to explant large bore access sheaths. Dr. Kaki also shares the strategies that he uses in the cath lab to ensure hemostasis after explantation.

In chapters 3 and 4 of this 4-chapter series, Dr. Amir Kaki addresses decision-making strategies for management of complications at the groin access point, including management of perforation and handling of thrombotic complications. He outlines how the DMC team maintains safe hemostasis. In chapter 4, Dr. Kaki outlines his strategies on how to handle sheath management in patients who are hemodynamically dependent on the Impella device, but the sheath is occlusive and the patient has lower limb ischemia. Dr. Kaki walks through his strategy in handling these challenges.

Video Chapters:

Dr. Amir Kaki: Access & Implant (Part 1 of 4)
Dr. Amir Kaki: Explantation & Closure (Part 2 of 4)
Dr. Amir Kaki: Complications Management (Part 3 of 4)
Dr. Amir Kaki: Occlusive Sheath Management (Part 4 of 4)

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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: www.protectedpci.com/hcp/information/isi