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@johnwilson7660 6 күн бұрын
I like to use u/s to find the arteriotomy and place the middle of the window right on top of it. I like being able to scan and see if there's active bleeding outside the vessel, especially on high, deep ulnar sticks. I suppose an angiogram would be able to give you an idea of where to put the band, too. It is not uncommon for the skin entrance site to not be covered by the band at all when I'm centered on an ulnar arteriotomy, unless it was a very distal stick. If there is a leak, it is more common than not, in my experience, for the leak to travel proximally and form a hematoma closer to the elbow in the forearm, which might be harder to notice on some people. I'll generally apply the band relatively tight, aspirate blood into the sheath, add 20ml air, pull the sheath, pull out air until it flashes blood, add back 2 ml of air for radials and 6-8 ml of air for ulnars. The extra air is needed for ulnar arteriotomies that don't have any bony structures under them to provide the needed resistance as is the case for radials.
@suryadharmamdphd9744 5 күн бұрын
Thanks for sharing your experience. It is also important to apply a patent and early hemostasis to prevent radial/ulnar artery occlusion. Will show the case later.
@bakrelfahham3459 7 күн бұрын
I think you would better have stopped and started Glycoprotien 2b/3a in ccu for 24 hrs then 2nd look You put the stent proximally at a site full of thrombi high risk of no reflow + i think it’s undersized proximally
@suryadharmamdphd9744 6 күн бұрын
@@bakrelfahham3459 That is another option If there is no cost issue although the timing is still controversial and complications may occur in the following days. Furthermore, do not put stent in thrombus area. RAO view shows acceptable opposed stent.
@suryadharmamdphd9744 7 күн бұрын
It is a 6F catheter. You can use any type
@andrisuwagiyo 7 күн бұрын
Excuse me Prof SD. What is the name suction catheter are you using this procedure..? Thanks
@Docsammy 14 күн бұрын
Plz share if this patient comes with stent thrombosis.
@suryadharmamdphd9744 11 күн бұрын
Hopefully there will be no re-infarction
@jamshaidahmad5586 17 күн бұрын
It would be better option to cover Residual disease at inlet and outlet of the stent..was't it?
@suryadharmamdphd9744 17 күн бұрын
RAO view shows that distal RCA has a borderline lesion, and thrombus containing lesion proximal to the stent.
@rogeriomoura6557 19 күн бұрын
GREAT, BUT HAVE A DISSECTION AFTER STENT.
@suryadharmamdphd9744 19 күн бұрын
Caudal view angio shows no dissection
@miftalutfiatul2367 20 күн бұрын
Nice work
@Docsammy 22 күн бұрын
Not very impressive technique sir. Your guide is not coaxial. Burr coming out that way can dissect your LM. Also you start burr at the lesion. Too fast of movements rather than nice pecking. Stent is under expanded. Also stenting the ostium, good idea to protect the circ.
@Docsammy 22 күн бұрын
Also watch the movement of your rota wire as you burr and then the distal location of the wire after burr. It's in a small branch around the apex.
@suryadharmamdphd9744 21 күн бұрын
During rotational the guide was well enganged, the rota was done before the lesion with a standard speed for rota, post dilation was well performed. And I think no need to protect the LCX
@suryadharmamdphd9744 21 күн бұрын
@@Docsammy During rota it is advisable to put the wire distally and the operator should control it during the procedure.
@user-nr1ls3le8t 23 күн бұрын
Good results
@suryadharmamdphd9744 Ай бұрын
JR 3.5 6F Guide Catheter
@shortvideo-fc6ed Ай бұрын
What is this product
@suryadharmamdphd9744 Ай бұрын
Its TR Band from Terumo
@suryadharmamdphd9744 Ай бұрын
Its TR Band from Terumo
@jontrembley8913 Ай бұрын
How did you manage the patient. He also has coronary cameral fistula
@suryadharmamdphd9744 Ай бұрын
Due to the ectatic pattern at mid LAD, LIMA to LAD is preferred over PCI, with fistula ligation
@user-ze5zt1wp5s Ай бұрын
Nice work sir
@suryadharmamdphd9744 Ай бұрын
In that case, guide wire should be in the guiding catheter (GC) when pulling out the guiding catheter to prevent kinking of the GC
@jontrembley8913 Ай бұрын
Should’ve done rota here Also, did you remove the guide without the wire outside of the lumen?
@afrozamoin7877 5 ай бұрын
Which guiding catheter or guide extensor? Catheter frenz?
@suryadharmamdphd9744 11 күн бұрын
JR 3.5 6F
@kashifalikhan2535 6 ай бұрын
Would appreciate some commentary on the steps. thank you 🙏
@holmes0087 7 ай бұрын
AL .75 CATHETER?
@brahimmhamdi6537 Жыл бұрын
Thanks a lot
@ishika2767 4 жыл бұрын
evidence-based lecture. Excellent!
@ishanisukhjeev8516 7 жыл бұрын
hii