Left+right coronary engagement for general fellows: step-by-step tips, diagrams, caveats (5 for RCA)

0:00 Catheter sizes and shapes. Radial vs femoral. LAO vs RAO
09:15 LCA engagement, steps 0, 1, 2, 3A+3B. Detailed diagrams, tips+ cases. Value of deep breath (16:25, 24:01)
21:10 Troubleshooting: catheter pointing down: 4 options
21:10 Cases
32:25 Going from selective LCx to selective LAD and vice versa: 5 techniques
37:00 RCA engagement: basics, anatomy, radial vs femoral. **Additional note: RCA height above the valvular annulus is 1.1 to 2 cm based on TAVR studies
41:08 The 5 pitfalls of RCA engagement
55:26 Questions regarding RCA engagement- 6th and 7th pitfalls

[@thippeswamygs7436]

High quality teaching... Addresses minor doubts in fellows mind.... You are awsome teacher sir

[@eliashanna8248]

Thanks a lot for the kind words

[@Nikesnipe]

Another jewel! Thanks a thousand Times

[@eliashanna8248]

Thank you for always having kind words

[@dramymagdy]

Amazing as always Sir, thanks a lot 🙏

[@ahmeddaoud9901]

Thanks a lot

[@wilmermalinao1759]

Thank you and I love your lecture so much.. I'm radiographer and want to learn more what is the best angulations or views for coronary arteries

[@kashifali7742]

Amazing lecture, as always. Sir can you please do a talk on radial artery spasm management during left heart cath? I try not to get to that point, but once spasm develops it's difficult for the patient and for us.

[@eliashanna8248]

Thank you. Yes, it is a difficult situation and may occasionally need to convert to a different access, but it can be handled most often with deeper sedation, vasodilators (IA/SL/SQ), and smaller catheters. I will upload soon a talk on difficult radial anatomy; in it, I briefly discuss at the end severe spasm and catheter entrapment.

[@user-eh1lt3im8l]

I always thanks you for your kind and great lecture. But i can't understand the part that "to go from LCx to LAD"😢 How can counterclock rotation make JL catheter points more anterior? I think it may JL points more posterior, because it makes JL catheter clockwise rotation.

[@drarunheart]

Hi sir kindly talk about ctos ptca etc sir thank you