#CathlabHacks #HowToCardiology 👵78yo, 160kg, NYHA III, suspected aortic valve stenosis...#NotSure with #echofirst (#SORRY but BMI 58 kg/m2) Solution = #BuildYourOwnCatheter: #rdTRA ⬇️ 4F pigtail in 6F MP (with SH) guide ⬇️ simultaneous pressure meassurement LV+Ao ⬇️ #TAVR

Many times hypertension and tachycardia in the cath lab can be cured with a urinal and successful micturition instead of antihypertensives or beta blockers. #cathlabhacks #TheMoreYouKnow

#radialfirst #CathLabhacks @mividovich awesome trick

2 balloons, 1 indeflator for simultaneous inflations. Picture courtesy @DrMauricioCohen #CathLabHacks

#CathLabHacks & #TipsAndTricks for defeating #Coronary #Tortuosity @BaoGTran @BGalperMD @GGadey @DrJayMohan @JayMathewsMD @kevinjamescroce @Pooh_Velagapudi @mmamas1973 @twj1974 @sbrugaletta @kaschenke @KardiologieHH @CNCFCardio @SimoneBiscaglia @dimitri_zappi @ekgpdx @RajTayalMD

For #RadialFirst from L arm try swapping out short sheath for long Glidesheath & leave 1/2 sheath out. Saves your back. #CathLabHacks

Before you stent try some nitro. RCA before and after 300 mcg intracoronary nitroglycerine. #CardioTwitter #cathlabhacks #ACCFIT

Connect your transit catheter to pressure to confirm distal intraluminal location h/t Dimitri Karmpaliotis #CathLabHacks #CTO2019 #ACCIC

Use a 5 Fr Halo One thin-walled hydrophilic sheath with a 4 Fr pigtail. Or in this case a 6 Fr Halo One thin-walled hydrophilic sheath with a 5 Fr Jacky (just for pressure measurement, no LV grams with end hole catheters!) Sheath tip in central Ao. #CathLabHacks #CardioTwitter

After Langston recall... 6 Fr Terumo Destination Slender sheath with 4 Fr MIV Pigtail @MeritMedical for AS hemodynamics #cathlabhacks #radialfirst @UIC_CathLab @SVRaoMD @rajivxgulati @KaulP @Radial_ICG @DrMauricioCohen @samirpancholy @ARS_MD2004

@rwyeh @KaulP See one. Improve one. #SoMe style. Use 4 French dilator inside 14G. No need to change from the .035" wire. #cathlabhacks

Bilateral coronary angio with single pump injector. Not perfect for sure. How would you do it? #CathLabHacks. Injecting trough the contralateral cath just until the end when ipsilateral 3 way stopcok also opened to the pump. Bilateral #dTRA #radialfirst access #CTO101

Pressure waveform analysis is crucial in knowing where you’re at in TRICKY cath courses & unusually big R hearts @iamritu @a_l_bailey @Dr_DanMD @hvanspall @DrJayMohan @yaqoub_lina @SCAI @ACCinTouch @TCTMD @CathLabDigest #cardiotwitter #cardioed #ACCFIT #scaifit #cathlabhacks

RHC on patient with pacer leads can be harder than a PCI. Catheter/wire selection is key. Work in RAO. Slow down and be careful with every move. #accifit #scaifit #TCT #cathlabhacks #crf @SCAI @AnkurKalraMD @mirvatalasnag @DrJayMohan #cardiotwitter @VuMediCardio @CathLabDigest

#CathLabHacks N=1 figure of 8 venous sheath stop-cock removal works perfectly! @DrSGoyal_EP @KaulP @spiritus_bah @UIC_CathLab

#NitroOnaStick Easy admin of NTG via wire introducer needle into tuohy #CathLabHacks See also https://t.co/FBXUBm1DSR @Kandzari @esbrilakis

Great talk by @duanepinto on: ➡️ Best practice in #PCI complicated by coronary perforation Nice #CathlabHacks! Thanks @duanepinto #ESCcongress @Steph_Achenbach @HolgerNef @mirvatalasnag @mmamas1973

I occasionally post #CathLabHacks, but yesterday I noticed a brilliant @MBSuperdome hack. Bring a baby stroller drink holder & attach to the seat in front of you. After spilling two Diet Cokes perched on the floor by our feet, @lindseydhoman and I wished we’d thought of this!

I pulled the pigtail to guide the wire over AR I into lv. Very eccentric as and aortic kinking. Worked well. #TAVR #TAVI @jedicath @cathlabpunk @CathLabHacks

@nayanagarwal85 @UjjwalRastogiMD @ShariqShamimMD @DLBHATTMD @adityadoc1 @AdityaMandawat @HarshGMD @SVRaoMD @NirmanBhatia @doconmoney @achat26 I got similar result with 6Fr. JR4 GC and 0.018 Quick cross. #Cathlabhacks