#CathLabHack In case of persistent hemodynamic compromise after valve deployment, inject epinephrine (200 to 300 mcg) directly into the aortic root via the pigtail catheter. This will rapidly stabilize the patient.
To shorten a guide catheter: Trim 10–15 cm from the guide’s proximal end. Use a femoral sheath 1 Fr smaller than the guide. Cut a 2 cm sheath piece as adapter, flare both ends and slide adapter over the cut ends of the guide.
#CathLabHack#InterventionalCardiology
ALT These simple & cost-effective techniques with equipment that is widely available in most #Cathlab (s) allow adequate sterile maintenance of #PercloseSutures around #indwelling #LargeBoreSheath (s) in the CCU/ICU, while cinching down on the #Arteriotomy site to minimize #PeriSheathOozing.
#CathLabHack 🫀 Impella RP would not advance into PA on 0.027 Impella wire, but we’re successful with railing RP in over an 0.035 Amplatz Super Stiff 💪🏼 @Abiomed@BSCCardiology@SCAI#ACCFIT
Power went out citywide this morning…I offered to hook the cath lab up to my @Ford Lightning. Thankfully it didn’t come to that but I was inspired by @ChrisYangMD’s story of powering a vasectomy with his @Rivian.
#cathlabhack 😂
I performed what is likely the world's first @Rivian powered vasectomy today. Power in clinic went out, patient didn't want to reschedule cause he already had time off. Electrocautery was normal, procedure went great! #rivianstories#rivian
MINI #cathlabhack.
For RRA slightly withdraw sheath & angle towards body & secure w tegaderm . Keeps catheter moving towards pt table. This gives more surface area 2work on. 🔴arrow is conventional angle laterally, 🟡arrow shows augmented catheter pathway 4better ergonomics.
Little #cathlabhack for caudal views from LRA approach.
Tuck the lead skirt just over the hub of the sheath. This will limit scatter☢️ to the 🤚 & still provide great protection to the upper body with ceiling mounted shield. Done with peekaboo technique preserving ergonomics