Top Tweets for #Ulnarsecond
Sometimes the #ulnar artery is much larger than the #radial artery
Any words of wisdom for trans-ulnar access? Identical to trans-radial?
#RadialFirst #UlnarSecond
@SandeepNathanMD @JReinerMD @mmamas1973 @djc795 @MSampleMD @GianTorre610 @georgedangas @LAzzaliniMD @SCAI @VictorDayan1 @pomyers @SVRaoMD @MRAkid @ptca5fr @transradial @GregorySgueglia @DocSavageTJU Great discussion. Haven’t really used age or height as a cutoff in deciding side.
Use RR for majority unless bypass grafts or weak pulse. Prefer to exhaust opp side options before #Ulnarsecond
Our plan= option #3 of poll, “other” i.e. right ulnar. #RadialFirst #UlnarSecond #CardioTwitter @nolanjimradial @mmamas1973 @mirvatalasnag @Pooh_Velagapudi @KrishnaDrT @willsuh76 @SVRaoMD @SandeepNathanMD @RodrigoBagur @SABOURETCardio @aymanka @FaroucJaffer @rwyeh @agtruesdell
👨🏻🦳w ACS s/p CABG with left radial used as graft. PCI of RCA done via right #RadialFirst caused much arm pain due to loop⤵️ even w 5 FR guide. How would you access for staged PCI of LCx? RP to poll on RT #CardioTwitter @mmamas1973 @fischman_david @SVRaoMD @mirvatalasnag @djc795
@PerksterVT @DocSavageTJU @mmamas1973 @fischman_david @SVRaoMD @mirvatalasnag @djc795 @willsuh76 @drandrewsharp @nolanjimradial @AGoldsweig @aymanka @BinitaShahMD @CastlTrAstonDrs @MyJSCAI #RadialFirst #UlnarSecond #SafeFemoral options all OK. Depends on: initial mode of failure, sedation, BMI, bedside Arm (and Femoral) US findings, patient preference (after perhaps uncomfortable index procedure). And agree: document anatomical “issues” in writing (and pictures)…
For coronary procedures, 'radiation exposure between transradial and transfemoral accesses continues to decrease overtime and is becoming clinically nonsignificant'
https://t.co/CYgORryUEO
@ccijournal
Be gentle with your forearm access so they will forgive you 😉.
Accessory radial, impossible crossover.
Ipsilateral ulnar to bailout and allow complete cor angiogram.
Hand compression for hemostasis & final US doppler
#radialfirst #ulnarsecond
Do you get worried when you come across a CABG patient? There is always a way, as with everything, in the end it's a matter of learning curve and materials. Tips and tricks for #dTRA #RadialFirst #UlnarSecond in CABG pts from @ferdikiem et al
Basics, Tips, Tricks again and remind, it’a worth to offer the better experience! #RadialFirst #dTRA #UlnarSecond #dTRAFirst #ldTRA #rdTRA
Want to convert your practice to #radialfirst but don’t know where to start? Here is a summary of the tips and tricks to make it happen! Special thanks to Josh Burks for posing for the camera! @VaidyaGovind15 #radialAccess #neuroIR
The Transulnar Approach to Coronary Angiography and Intervention: Assessing the Anatomy of the Ulnar Artery Using Angiography
#radialfirst #ulnarsecond
https://t.co/ITifYTCWyi
@DrMAbdurRauf1 @Tesslagra For what reason, no pulse? No flow on ultrasound? RAO? Or puncture failure?
For me:
- if RAO and Distal pulse: #DRA puncture and try to advance PCI wire.
- if RAO and no distal pulse : left radial
- if puncture failure: #ulnarsecond
- if no other option: #safefemoral
There is a radial artery high take-off and then there is a high take-off. When is it inappropriate not to switch? Btw: does right-sided high take-off mean very high probability for the left side to have the same anatomy? My ”limited experience “ says no. #RadialFirst #UlnarSecond
High take-off/anatomical variations of RA.Maybe the most usual cause of #RadialFirst access “pseudo” failure and crossover.Take it easy, you will not need to crossover.@mirvatalasnag @KardiologieHH @HadyLichaaMD @Tesslagra @kaschenke @naderjo @gjalvarezv @DrJayMohan @agtruesdell
6-7F Slender from #ulnarsecond and MP 7F for visceral intervention 👌🏻
Wallstent nailed & IVUS Opticross PV for stent selection and optimization.
@Updock My default approach if there is a #RadialFirst loop is US guided ipsilateral #UlnarSecond. Typically happens maybe 2-4 x per year for me. I use a single hemostasis band with a second balloon cut from another band and placed under the first. See also: https://t.co/SxgVEc7Dsz
@NavinNakraMD @Jeddacath @md_sample @willsuh76 @sanjum @SVRaoMD @DrMauricioCohen https://t.co/mFKvL18tsf
#Radialfirst people. You find yourself faced w a radial loop you cannot traverse. How often do you access ipsilateral #ulnarsecond ?
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