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      Fail Safe Guide to Access Routes and Guide Catheters in Acutely Unwell Patients - Dr. Amarjit Sethi

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      Summary


      Amarjit Sethi outlines options for vascular access and guiding catheters in specific situations in ACS patients

      • How to deal with complex and high-risk patients
        • Cariogenic shock
        • Multi vessel disease
        • Last remaining coronary artery
        • Large area of myocardium at risk
        • Impaired systolic function
      • How to prepare your access with regards to specific considerations
        • Central venous access - delivery of inotropes, temporary pacing wires
        • Multiple arterial access - circulatory support devices such as IABP
        • Radial versus femoral access
      • How to limit access-related complications
      • How to choose your guide catheter for specific situations
        • Femoral or radial
        • French size (5F guides helpful with small radial arteries but limits the amount of equipment that can be used - i.e thrombus aspiration, rotablation)
        • Aortic width
        • Lesion location and characteristics (distal lesion, tortuously, calcification)
        • Side holes or not
        • Fitting for the coronary
        • Special scenarios - IMA for LIMA PCI, MPA for vein-graft
      • Get comfortable with your choice of guide catheter for most situations ("workhorse guide catheter")


      Simple Education
      1,191 videos

      Simple Education, is a leading provider of coronary physiology and intracoronary imaging courses to aid treatment of complex coronary artery disease.

      Speakers

      1. User Amarjit Sethi uploaded avatar

        Amarjit Sethi

        Speaker

        A consultant cardiologist at Ealing Hospital, London, UK. Features in 5 videos on Wondr Medical....

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