Top Tweets for #ldTRa
Drive-by LIMA angio on a patient that needs CABG.
Cardiac surgeon, do you find these helpful?
Easy for me to do since I am default left snuff box
#RadialFirst #ldTRA π
@Tesslagra @lamelaspablo Ultrasound guidance is a must for distal radial access.
Itβs important to puncture over the trapezium or scaphoid for best hemostasis.
#ldtra #snuffbox #RadialFirst
Important to puncture #ldTRA over trapezium or scaphoid to prevent hand hematoma. Trapezium colored green and can be seen with ultrasound before puncture. #RadialFirst
Photo credit to https://t.co/gomcjmaD3N

βRoller Coasterβ!, no problemβstill Radial is 1st choice β¦, especially for STEMI and ACS @RadialFirstBotβ© β¦@HviUpmcβ© β¦@UPMCPhysicianEdβ© β¦@UPMCnewsβ©
#CardioTwitter #CardioX #LdTRA #DRA #SnuffBoxer Final version of the DOSE trial is now available in #JACCINT
https://t.co/1vENso3X29
@transradial @JACCJournals
π§πΌ77 . #ischaemicheartdisease at @UMAEMid_CathLab . Severe πΏProx #RCA . Access by #LDtra β‘οΈ#rotacut 1.75 burr. Short-Cut as #TCT2025 . Polaris π· @BSCI. Synergy 3.5 x28 and POT 4.0. #rotamonster .
@BSCI #CHIP #CardioTwitter #PCI
@evandrofilhobr tips ππΌ @mornei2011 @CiticMexico @solaci_online @SOCiME_
Ready to become a #SNUFFBOXER ?!
The #DOSETrial is coming #TCT2025? πͺβ stay tuned for interesting results! π
#LdTRA #RdTRA #RadialFirst #Cardiology @ACCinTouch @JACCJournals @uziyahya46 @transradial @mmamas1973 @mirvatalasnag

@adrianocaixeta @hosp_einstein #ldtra π also my default radial approach #RadialFirst
I also was inspired by Ferdinandβs YouTube video which I am posting here
https://t.co/DmsR34O426
@DocSavageTJU @SVRaoMD @djc795 @rwyeh @EricSecemskyMD @mmamas1973 @Radial_ICG @SripalBangalore @mirvatalasnag @aymanka @Hragy @SandeepNathanMD @realarainmd @SABOURETCardio @DrMarthaGulati @fischman_david Letβs now make it left distal radial #ldtra #snuffbox π
#RadialFirst
@mmamas1973 @mirvatalasnag @APSIC6 @SCAI @PCRonline @sbrugaletta @HadyLichaaMD @AntoniousAttall @DocSavageTJU @fischman_david @atunuguntla1 @Hragy @IndahSP_MD @saia_francesco Ergonomic benefits in #ldtra for the #IC and better comfort for the patient
https://t.co/7BJStJ0dJI
Overall DRA site outcomes via DRA were more common in women than in men, but no major bleeding was observed in either men or women. #AHAJournals https://t.co/3RcXgF3R94

#cardiotwitter #LdTRA #Radialfirst #Snuffboxer #dTRA Distal Radial Access and Women: Implications for Access Site Outcomes in Coronary Procedures https://t.co/fXNyvvvagn
DRA is extremely safe for Women!
@Tesslagra @nolanjimradial @fischman_david @DocSavageTJU @SVRaoMD @mmamas1973 @arsalan_talib1 @ChiragAgarwalMD @hhchera Here is pic with the rad pad in place to block scatter.
#RadialFirst #ldTRA π

@Tesslagra @nolanjimradial @fischman_david @DocSavageTJU @SVRaoMD @mmamas1973 @arsalan_talib1 @ChiragAgarwalMD @hhchera This is how I set up my snuff box #ldTRA cases.
Rad pad over right groin to block scatter.
Here is our #ldTRA prep with patient doing the Al Bundy. Using the left groin fenestration for left hand. Cath Lab techs no longer groan when I say we are doing left radial. #RadialFirst

@fischman_david @DocSavageTJU @SVRaoMD @mmamas1973 @Tesslagra @arsalan_talib1 @ChiragAgarwalMD @hhchera Iβm doing most of my #RadialFirst cases via left snuff box #ldTRA.
1. Use standard Judkins catheters
2. Avoid right innominate tortuosity and arteria lusoria
3. Patient comfort
Now I can add
4. Less radiation to me

@DrJayMohan @Radial_ICG #ldTRA is my default approach.
6F glidesheath slender with micro needle.
Ultrasound guidance a must. Puncture over trapezium bone.
Closure with StatSeal and Coban wrap.
#RadialFirst
@KPujdak @jl35wilsonMD @SVRaoMD @SripalBangalore @realarainmd @TWilsonMD @LAzzaliniMD @Obisht @BrianLi_MD @_backtable @djc795 @nadig_cardio @kevinjamescroce @DrJayMohan @ShariqShamimMD Typically option #5 for me: #LDTRA no back painπβ¦
#CardioX #CardioTwitter #SNUFFBOXER #DRA #dTRA #LdTRA
Feasibility of Distal Radial Access in High Bleeding Risk Patients Who Underwent Percutaneous Coronary Intervention https://t.co/o0CzXaNMpW

Hey #RadialFirst snuffboxers. I am still using #StatSeal and coban wrap for hemostasis with #ldtra π
But I am curious what others are doing?
Please post in reply what you are doing for snuff box hemostasis.
Pushing the boundaries of hemostasis time
5F glidesheath slender for diagnostic cath via #ldTRA.
#StatSeal, 3 min manual compression, 1 folded 4x4 and Coban wrap. Bam!
#RadialFirst @ferdikiem

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