@GreggWStone We use Radial Pigtail in LV connected to suction syringe to unload it during stenting .We place two wires across lesion one with Ballon and another with Stent waiting in ascending Aorta to be quickly positioned after Balloon removal . Speed is the key .
@DealsDhamaka@airindia Why ? You didn't know it before ? Air India was handled by an IAS officer from Tripura for 20 yrs . Tata has ordered new flights . They are being made. Try AirIndia after 3 years .
@ShariqShamimMD In such poor LV pts, I simultaneously monitor Ao and PA pressures. If SBP is more than double the PASP, I m comfortable. Whenever gap between the SBP and PASP traces start to narrow, I pause, give Intra Pul NTG 100ucg, & Sytemic NE. Once the gap widens, I resume the case.
To prove Thanjavur Sandwich is of low profile and works we have connected an IV set with contrast mixed saline at 120 mmhg to EBU A puncture was made in IV set whose caliber is similar to lad 3.5 -4 mm Pads were placed on both sides for easy disposal