SCAI Class E cardiogenic shock bi ventricular secondary to fulminant myocarditis. Successfully treated with bi Pella. Prohibitive femoral access so PercAx for Impella CP and RP Flex via RIJ. Pt able to sit up and ambulate. Alternative Access life saving and increases mobility.
2025 ACC/AHA/ACEP/NAEMSP/SCAI
Guideline for the Management of Patients
With Acute Coronary Syndromes: @CircAHA@JACCJournals
🥸Here are class 1 recommendations from the document; Massive effort - congratulations to the authors: @SVRaoMD
😱 Below
👇👇👇
🏥New to the CCU? Not sure how to manage temporary mechanical circulatory support?
⭐️Check out our new @CardioNerds infographic on using TMCS in cardiogenic shock! Explore their mechanisms, management, and waveforms you need to know!
About 2 in 5 adults in the U.S. have high cholesterol.
Use ACC's #CardioSmart tools and resources to educate your patients on all aspects of cholesterol. https://t.co/pNpWXtonk8 #CholesterolEducationMonth
I still hear some say that ultrasound guidance for femoral arterial access isn't necessary & doesn't reduce complications.
This @CircIntv meta-analysis suggests otherwise. You need to develop proficiency with U/S to get the best results
https://t.co/FOQymdXG9T
Excellent @AMPSymposium in Chicago, wonderfully done to dedicate a whole day on the newest techniques and evidence with regard to DVA. A joy to learn from the world renowned experts and be with passionate, multidisciplinary colleagues these past few days. #AMPCLI2024@FadiSaab17
@abadkhan2002 I agree, wire in for all femoral groin shots post pci to help avoid injection related dissection. I would monitor overnight and duplex in the AM to see what’s going on. If any concerns on duplex would bring back for up and over angio, possibly intervene.
🆕 2024 ACC/AHA/Multisociety Guideline for the Management of Lower
Extremity PAD provides recommendations to guide clinicians in the Tx of patients with lower extremity PAD across its multiple clinical presentation subsets. https://t.co/LC17H0SFi3
#JACC#cvPAD@heatherlgornik