- Видео 86
- Просмотров 430 339
6 in the A
США
Добавлен 31 янв 2021
6-in-the-A is a channel about interventional cardiology and coronary artery disease.
We talk about typical cath lab cases from a typical interventional cardiologist at a typical community hospital. Nothing fancy, just cases you could very well see on your next call.
Cath lab RTs, RNs, midlevels, interventional cardiology fellows, and practicing interventional cardiologists in the community may find the content useful.
Some videos are geared more towards patients.
There may even be a few nuggets to keep my more academically-inclined colleagues entertained!
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Channel Link: www.youtube.com/@6intheA
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All contents are for entertainment purposes only. No medical advice is intended or provided. Clinical vignettes do not reflect actual patient scenarios. Any resemblance is purely coincidental. Opinions are my own, and I reserve the right to change my opinion at any time, without notice, and for any reason.
We talk about typical cath lab cases from a typical interventional cardiologist at a typical community hospital. Nothing fancy, just cases you could very well see on your next call.
Cath lab RTs, RNs, midlevels, interventional cardiology fellows, and practicing interventional cardiologists in the community may find the content useful.
Some videos are geared more towards patients.
There may even be a few nuggets to keep my more academically-inclined colleagues entertained!
===
Channel Link: www.youtube.com/@6intheA
===
All contents are for entertainment purposes only. No medical advice is intended or provided. Clinical vignettes do not reflect actual patient scenarios. Any resemblance is purely coincidental. Opinions are my own, and I reserve the right to change my opinion at any time, without notice, and for any reason.
DK Crush: Step by step
We go over how to perform the DK Crush stenting technique (double kissing crush) step by step for non-provisional bifurcation PCI in a LAD/Diagonal bifurcation case.
Other bifurcation videos you might be interested in:
TAP stenting (LAD/Diagonal bifurcation): ruclips.net/video/YC2WlbKAR4g/видео.html
TAP stenting (LCX/OM bifurcation): ruclips.net/video/TZUb6IRRwvA/видео.html
Culotte stenting: ruclips.net/video/47VBWNZtd7k/видео.html
Double bifurcation (TAP+Culotte): ruclips.net/video/jmDvE-gVS_U/видео.html
Trifurcation stenting (Unprotected Left Main trifurcation): ruclips.net/video/k4NgExpciaI/видео.html
Chao-Wei Hwang, M.D., Ph.D.
Johns Hopkins University School of Medicine
Cardiac Cath Lab, Fred...
Other bifurcation videos you might be interested in:
TAP stenting (LAD/Diagonal bifurcation): ruclips.net/video/YC2WlbKAR4g/видео.html
TAP stenting (LCX/OM bifurcation): ruclips.net/video/TZUb6IRRwvA/видео.html
Culotte stenting: ruclips.net/video/47VBWNZtd7k/видео.html
Double bifurcation (TAP+Culotte): ruclips.net/video/jmDvE-gVS_U/видео.html
Trifurcation stenting (Unprotected Left Main trifurcation): ruclips.net/video/k4NgExpciaI/видео.html
Chao-Wei Hwang, M.D., Ph.D.
Johns Hopkins University School of Medicine
Cardiac Cath Lab, Fred...
Просмотров: 2 614
Видео
PCI of Septal Perforator in Isolated Septal STEMI
Просмотров 2,2 тыс.Месяц назад
We discuss septal branch PCI in an unusual case of an isolated septal STEMI without LAD involvement. Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
How to size kissing balloons and POT balloons
Просмотров 2,7 тыс.2 месяца назад
We discuss Finet's Law (2/3 rule), Murray's Law, and Mitsudo's Proposal for how to size kissing balloons and POT balloons in bifurcation PCI. We also give specific example for how to use these rules in PCI cases. Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
Wellens T waves & de Winter T waves
Просмотров 2,5 тыс.2 месяца назад
We review two ominous T wave abnormalities that are important to recognize early: the de Winter T waves (STEMI-equivalent indicating acute LAD occlusion) and the better known Wellens T waves (suggesting severe LAD stenosis). We discussed diagnostic criteria and management. Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
STEMI from SCAD
Просмотров 2,4 тыс.3 месяца назад
We discuss a case of SCAD (spontaneous coronary artery dissection) that resulted in a STEMI. We go over PCI techniques for SCAD, which are often opposite for what we normally do for PCI. We also review the mechanism for SCAD formation as well as strategies for medical management and SCAD prevention. Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Freder...
How to Switch P2Y12 Inhibitors
Просмотров 1,2 тыс.4 месяца назад
We discuss expert recommendations on how to switch between oral P2Y12 inhibitors (clopidogrel, ticagrelor, prasugrel) as well as the intravenous P2Y12 inhibitor cangrelor. Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
Recovering a Lost Side Branch
Просмотров 3,3 тыс.4 месяца назад
Bifurcation PCI cases become especially challenging when the side branch becomes flush occluded. In this video, we discuss different techniques to recover the side branch, including the use of angled and dual-lumen microcatheters as well as the use of IVUS-guided techniques. Links to videos on Culotte bifurcation PCI technique: How to Perform Culotte Stenting - ruclips.net/video/47VBWNZtd7k/вид...
Microcatheter Entrapment
Просмотров 2,9 тыс.5 месяцев назад
We discuss a case of microcatheter entrapment, an extremely unusual complication involving a Turnpike Gold microcatheter that became stuck in a coronary artery. We discuss several strategies to free an entrapped microcatheter. Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
LIMA Dissection
Просмотров 2,9 тыс.5 месяцев назад
We discuss a case of iatrogenic catheter dissection of the LIMA. We review an important early angiographic sign of dissection, and go over stenting techniques as well as pitfalls to avoid when stenting dissected vessels. You might also be interested in the Left-Main Dissection Video: ruclips.net/video/xNxfx6OOfxg/видео.html Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine...
Coronary Wire Fracture Algorithm
Просмотров 1,4 тыс.6 месяцев назад
Flowchart for Cath Lab Emergencies - Approach to Coronary Wire Fracture Full Video at: ruclips.net/video/TXIippsck6k/видео.html Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
Stent Loss Algorithm
Просмотров 8296 месяцев назад
Flowchart for Cath Lab Emergencies - Approach to Stent Loss Full Video at: ruclips.net/video/qw-kauQ_AO0/видео.html Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
No-Reflow Algorithm
Просмотров 1,7 тыс.6 месяцев назад
Flowchart for Cath Lab Emergencies - Approach to No-Reflow Full Video at: ruclips.net/video/jTL L2dqUI/видео.html Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
Coronary Perforation Algorithm
Просмотров 1,1 тыс.6 месяцев назад
Flowchart for Cath Lab Emergencies - Approach to Coronary Perforation. Full Video at: ruclips.net/video/xTNQq8FJ7XY/видео.html Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
Top 3 Videos from 2023
Просмотров 5536 месяцев назад
Countdown of the top 3 most popular videos on 6-in-the-A from 2023! #3 - Stent stripped off Balloon! Now what? ruclips.net/video/qw-kauQ_AO0/видео.html #2 - How to nail the ostium ruclips.net/video/GxVW1V0N02Y/видео.html #1 - Rough STEMI, then balloon malfunctioned ruclips.net/video/_QAc69E6UO4/видео.html Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, ...
LBBB + MI: Sgarbossa and Modified Sgarbossa Criteria
Просмотров 3,3 тыс.6 месяцев назад
Patients with pre-existing Left Bundle Branch Block are a challenge when they present with chest pain. The Sgarbossa criteria are often cited, but are frequently used incorrectly. We look at the original Sgarbossa criteria as well as the Smith-modified Sgarbossa criteria and go over how they should be used. Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab...
Stent Stripped Off Balloon During STEMI
Просмотров 4,4 тыс.6 месяцев назад
Stent Stripped Off Balloon During STEMI
PCI in the elderly: Should Great Grandma go to the cath lab?
Просмотров 2,3 тыс.7 месяцев назад
PCI in the elderly: Should Great Grandma go to the cath lab?
Rough STEMI then balloon could not deflate!
Просмотров 4,2 тыс.8 месяцев назад
Rough STEMI then balloon could not deflate!
DAPT in 2023: How low can you go?
Просмотров 2,5 тыс.8 месяцев назад
DAPT in 2023: How low can you go?
Post-TAVR PCI: Tips and Techniques
Просмотров 1,8 тыс.9 месяцев назад
Post-TAVR PCI: Tips and Techniques
When should you wire the side branch?
Просмотров 3,4 тыс.9 месяцев назад
When should you wire the side branch?
ECG after ROSC: How long do you wait?
Просмотров 2,3 тыс.11 месяцев назад
ECG after ROSC: How long do you wait?
OCT of SCAD (Spontaneous Coronary Artery Dissection)
Просмотров 3,5 тыс.Год назад
OCT of SCAD (Spontaneous Coronary Artery Dissection)
Wire-induced Spiral Dissection of the RCA
Просмотров 9 тыс.2 года назад
Wire-induced Spiral Dissection of the RCA
Prinzmetal's Angina causing Cardiac Arrest
Просмотров 7 тыс.2 года назад
Prinzmetal's Angina causing Cardiac Arrest
Erratum: In "Step 9" / Slide 20 / 14:40 mark, re-wiring the side branch again should be through 2 stent layers, not 3.
One of our astute viewers thought that the IVUS image actually showed that the IVUS catheter was in false lumen, and that the true lumen was to the right of the dissection flap. I thought we were true lumen throughout, but I must admit that sometimes I still have trouble telling things apart. Color doppler might have helped. In this case, we principally wanted to make sure that we ended in true lumen. This was clear in the full IVUS run (which I don't show). Fortunately for us, there are no branches to worry about in the LIMA, so it's less critical if part of the stent was in false lumen as long as the ends are in true lumen.... What I am sure of is this: The more I do this, the more I realize how much I still have yet to learn.