Note that the torque done while advancing the JL catheter toward the aortic valve (step 2 at 14:14, and at 47:04) is only a slight clockwise torque (usually), less than 30 degrees usually. do not overclock during that maneuver.
0:00 Diagrams of catheter shapes and elongations from radial vs femoral access, left and right coronary. Which catheters for radial vs femoral? Catheter pointing up, next step? pointing down, next step? Brief description of Amplatz (1:06:56)
09:35 Detailed diagrams and descriptions of steps 0 to 3A+3B in LCA engagement. + Recorded case illustrations (simple and complex). Jump then: Engage from above vs from below
30:09 Guiding catheter specifics with diagrams and cases. What size guiding catheter in relation to JL size, from radial vs femoral?
43:35 How to go from descending to ascending aorta
47:04 Cases of difficult aortic angulations. Role of deep inspiration (diagram 50:20)
55:05: Elongated catheter and fallen catheter. Next steps? (Diagram 56:30)
57:44 How to go from LCx to LAD, and vice versa. 5 techniques with diagrams and cases.
Негізгі бет Left coronary engagement (radial focus): detailed steps, diagrams, tips, and case videos-Elias Hanna
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