Рет қаралды 20,094
**May also review my other talks related to coronary engagement and catheter manipulations**
0:00 Ascending aorta access and left coronary engagement:
0:00 Get from descending to ascending aorta (R or L radial). Next steps?
06:06 and 18:03 Catheter flips out onto the ascending aorta. Next steps?
08:25 Too sharp ascending aortic angle. Next steps?
12:50 Review of general LCA engagement (case illustrations)
15:39 Critical point in LCA engagement
21:30 Advanced case of sharp innominate-to-aorta angulation. Next steps?
25:25 LCA maneuvers in difficult cases: above vs below
31:00 Go from LCx to LAD. Which maneuver?
33:41 Catheter disengages with each injection. Next steps?
35:38 Guide engagement and switching between various techniques of LCA engagement
37:20 Four additional tips
42:48 RCA engagement troubleshooting. Next steps? Standard takeoff and anterior takeoff (48:28)
52:20 Left subclavian/LIMA troubleshooting. Next step if you cannot engage the subclavian? Next steps if you cannot advance a wire in the subclavian?
58:29 LV access
1:02:08 Radial wire goes into the right carotid. Next steps?