- Видео 28
- Просмотров 186 345
Rob Attaran
США
Добавлен 25 ноя 2011
The acronyms CART, reverse CART, STAR & LAST described in 2 minutes.
Chronic total occlusions are challenging to cross and are frequently encountered in both coronary and peripheral vascular disease. Several key techniques, some of which require subintimal wiring, are described here.
Просмотров: 6 037
Видео
Do This to Take your Peripheral Interventions to the Next Level.
Просмотров 3402 года назад
Peripheral vascular interventions have become the gold standard procedure in many settings. There are many tools available to perform them, from drug-coated balloons to atherectomy devices. These procedures are typically guided by angiography. However, angiography alone has limitations and utilizing IVUS can improve outcomes.
DVT and PE. Treatment Options. When & What.
Просмотров 10 тыс.2 года назад
Venous thromboembolism is common and may recur. Several key case scenarios are discussed and CHEST 2021 Guidelines presented.
How to Get up and running with the Pioneer Reentry Device!
Просмотров 9262 года назад
There are several ways to cross and treat chronic total occlusions. The Pioneer device utilizes IVUS to regain access into the true lumen from the subintimal space. This video demonstrates all the steps and provides tips to get you going.
Distal Radial Artery Access
Просмотров 1,5 тыс.3 года назад
Distal radial (anatomical snuffbox) access is an alternative and in many ways better way to perform coronary angiography and intervention. The technique is introduced and demonstrated here.
The New Perclose Prostyle closure device, compared to original Proglide.
Просмотров 6 тыс.3 года назад
The Perclose Proglide is a suture-based closure device. In this video the newer version, the ProStyle, is described and compared.
Easy way to load Balloon or Stent
Просмотров 1,2 тыс.3 года назад
Loading a balloon or stent onto a guide wire is not always easy. Instead of struggling against with their tips against your fingertips, use this simple old trick.
The Esprit bioresorbable stent - show n tell
Просмотров 7293 года назад
The idea of a stent or scaffold that disappears over time remains very attractive in cardiovascular medicine. Here is the Esprit stent, which will be trialed for below-the-knee PAD.
CVI 2020 Vein Case - One of my most memorable vein cases. Why venous return matters.
Просмотров 1093 года назад
CVI 2020 Vein Case - One of my most memorable vein cases. Why venous return matters.
Interesting angiograms
Просмотров 2873 года назад
Several unusual and interesting angiograms and imaging from the cath lab. Watching these will further enhance your understanding of invasive cardiology, vascular medicine and sharpen to angio interpretation skills.
Access Site Complications 1
Просмотров 2893 года назад
Intro to radial and femoral access complications. Several representative videos and angio are shown.
Deadly Pilot Errors. Lessons for the Cath Lab
Просмотров 3893 года назад
Interventional Cardiology, like flight, carries risk and requires training, planning, situational awareness and communication, to name a few. There are numerous parallels between the causes of air disasters and cath lab complications. Awareness of these route causes can make you a better interventionalist.
8 Rules for Vascular Access!
Просмотров 1,3 тыс.3 года назад
Well-executed vascular access is the hallmark of a top notch operator. Here are several rules for both beginners and more advanced interventionists, alike.
Sheath Flush
Просмотров 1,2 тыс.4 года назад
You can flush a sheath in under 2 seconds, using this simple and reliable technique that leaves the sheath side arm filled with clear saline.
Ultrasound-guided Access. How to avoid the Commonest Mistakes.
Просмотров 1,3 тыс.4 года назад
US-guided access proficiency is absolutely vital for an invasive specialist. In this introduction, the "in plane" and "out of plane" techniques are demonstrated, along with tips for success. The commonest beginner mistakes are shown to highlight ways to improve.
Introduction to the Manifold. The key is in the valve.
Просмотров 2,1 тыс.4 года назад
Introduction to the Manifold. The key is in the valve.
Loop Method to get RHC into pulmonary artery.
Просмотров 2304 года назад
Loop Method to get RHC into pulmonary artery.
Perclose closure device - how does it work & how to deploy.
Просмотров 59 тыс.4 года назад
Perclose closure device - how does it work & how to deploy.
Right Heart Catheterization - an introduction
Просмотров 33 тыс.4 года назад
Right Heart Catheterization - an introduction
Left Heart Catheterization - an introduction.
Просмотров 27 тыс.4 года назад
Left Heart Catheterization - an introduction.
AngioSeal closure device. How to deploy.
Просмотров 1,1 тыс.4 года назад
AngioSeal closure device. How to deploy.
The Indeflator - Cath lab intro for absolute beginners
Просмотров 7 тыс.4 года назад
The Indeflator - Cath lab intro for absolute beginners
Great video. Your ability to anticipate the questions of the student (especially with regard to the stopcocks having different T-junctions between their different applications) is incredible. You are truly an artist.
Saw a patient with the cardiomems heart failure sensor today, couldn't work out what it was from the fluoro. Now I know.
Great video!! Do you know where can I buy this suture cutter?
I had the Perclose Prostyle closure system used for my recent catheterization and let me tell you IT HURT LIKE HELL! I'm having a 2nd catheterization with stent placement in two weeks and I'm NOT looking forward to having the Perclose Prostyle used on me again! I couldn't talk my cardiologist into using a different (less painful) closure system because in his opinion "the Perclose does such a great job at closing the femoral artery". Why does this closure system have to hurt so darn much when it's used? 😢
Thank you sir, this is excellent
It's garbage in comparison with FemoSeal, and I don’t know why everybody has only positive experinces with it.. I used a lot of suture devices and the best by far ist FemoSeal.. this one is truly garbage..
thank you
Manta is easier
Violin! ❤
Outstanding!
I'm here because I'm doing TAVI as my thesis and wanted to understand more about Perclose ... gotta admit I've never watched a video I fanboyed that much because it was done with so much dedication to the cause ("with a violin move"...) Lovit - thanks a lot!
Thanks
Good Lecture and very helpful.
So, I guess,s unlike a RH catheriziation, in the LH heart, you do not enter the atriuam or the ventricle, but only assess the coronary arteries which are epicardially placed. ? We do not take direct pressure measurement of the Left side of the heart, correct ?
You can advance a catheter through the aortic valve into the LV and measure LV pressure. But typically no other chamber pressures are measured.
excellent video!!
thanks 10/10
❤❤❤❤❤❤❤❤❤❤❤
This is absolutely amazing video really appreciated it ❤
this was excellent, I really like the physical depiction of the arteries
Hi am also having DVT & PE i gone through surgery and having stent in my vascular vein now am ok
Thanks!
What is DOAC?
Direct Oral Anti Coagulent
CART reverse CART confluent balloon technique STAR LAST
nobody is telling that you need a very good preparation of the access site by enlarging the puncture hole with a hemostat to widen the skin first. Without this step you can't advance the tamper. Please beware, i have failed deploying few of these because of that. Another problem that i encountered with this dervice is that the wires keep snapping and i don't know why...
Garbage, maybe on 30 year old pacients with healthy vessels, i tryed 2 devices on a 7Fr puncture in the common femoral artery and it was still bleeding
Agree. If the hole is small, a slight enlargement with a hemostat can help advance your equipment. If your sutures are snapping, it might relate to the degree of tension applied.
Thanks for the helpful tips. One thing I found most useful that my trainers have never mentioned is not inserting too adjacent or too close to the probe when the vessel is deep. I always struggled with losing visualization of my needle tip right at skin puncture....as a new practitioner to US guided vascular access, it is nerve wracking not to see your needle tip as you enter .
I didn’t know the main idea was to let contrast to the balloon. I thought it was to get the air out?
I think that prostyle is 8.5 Fr and proglide is 6Fr in diameter
Hi I need to knw if you have blood clots n your leg swelling how long does it take to have normal leg Please get back to me
this is even better than abbott's demonstration! great job
Thank you so much!!! I’m nurse that just in the Cath Lab - this video was explained perfectly 👏👏👏
👍
*bc of drug rebound fx. taper betr @ 3 months.* indefinite. indeed. _JC
ربنا لا تزغ قلوبنا بعد اذ هديتنا
Beautiful. Such details hard to find. Thanks
Dear Dr robert may I please you to explain antegrade dissection reentry technique with microcatheter with cartoon and in a real world. Thanks
Beautiful lecture!! Thank you very much!
Excellent dr robert
it was great
I'm writing this for the next patient searching for answers. I'm not a surgeon, a doctor or a radiologist. I am currently in my 5th week suffering from Chronic DVTs and have 5 blocked veins from a fall on the ice and I cannot walk without crutches. No broken bones or torn ligaments. I've have lots of time to read and familiar myself with my condition. What wasn't mentioned in this video was chronic DVT. Chronic means the clot as changed from acute (soft and flexible) to Chronic (harder and stiffer). Starts hardening ~7days after the clot forms. Obviously each case is different, and I am not a doctor, but surgery is better in the first weeks then later. Sucking out jello is easier then a gummy bear. Your veins will scar over time with the stretching of a chronic dvt and will lead to PTS (Post thrombolysis syndrome) aka chronic pain for the rest of your life. No research stating PTS won't be there with surgery or without. Only your body. I was told it could take a month to 6 months for "the body to dissolve the clots on their own" But I was never given the option for surgery until I starting doing some research. Also was told not to have compression stockings. And I'm finding that different doctors use different treatments for their patients. I can say if you are having a hard time moving around get some custom stocking (they need to measure you, and 20-30 compression is what I received) With the stockings now I'm able to have more mobility and less time with my leg elevated. I made the decision to get the surgery, with the inari clotretriever system. As even after a month of this, I'm done, I can't imagine 2 years with some of the patients cases I'm reading. When I was in the hospital, there were two others with DVTs. Old lady and her foot was swollen and could move around, the other was a men who just had knee surgery. Their vascular ultrasound report showed 4(male) 2(female) veins blocked, mine was 6! (1 has dissolved since) Again I'm not a surgeon, a doctor or a radiologist. Form your own conclusion with your doctor(s).
Thank you for this video. Any idea as to when Abbott will start coronary trial of this absorbable stent?
Hi Dr Attaran Thanks for your fascinating video I am interventional Cardiologist in trainee from IRAN My I please you to send me your PowerPoint presentation? I may notice you that I would just use them for educational purposes and all time mention you as reference. Thanks
Hello sir I have DVT four years ago... Can it was treated?
Hi. If you still have symptoms of post thrombotic syndrome, yes it may be treatable.
Thank you very much for your kindly instructions
Great Video - thanks for slowing down the process and showing it in detail.
👌
how do you make the model??
Hi. Those are Pipe cleaners twisted into shape
Hi DR ROB ATTARAN my ejection fraction ; calculated left ventricular EF was 41% Echo conclusion ; LVEF 55-60 % , trace MR/TR can you tell i need to do heart cat. thank you
Hi. Great video. Would like to ask. What is the use of the stopcock if you use one? Because i saw sometime there are centres that dont connect a stopcock to ballon. Some centres do that. Tia
Hi Muhammad. That's a good question. In the modern setting the best place to use a stop cock is to prep a balloon that has already been inflated. Modern stents and balloons rarely need to be prepped with a stop-cock the way they were some years ago.
@@robattaran4680 Sorry my late reply. Didn't get notification. Thanks for you reply. Do you have a video to show the preparation of balloon with stop cock?
Hi Muhammad, the stop cock has less utility in modern balloons. If you are re-using a large balloon, it could help you repress it. It also can help remove air bubbles from the system
Great illustration, Thanks a lot
Fantastic video thank you Dr Attaran! Looking forwards to next videos!