Top Tweets for #ulnarFIRST
Combined ulnar artery and ulnar vein access, heparin 5000 U given 40 minutes earlier - single #VasoStat achieves hemostasis following removal of 5F sheaths, successful #VasoStat removal 30 minutes later enabling #samedaydischarge #ulnarfirst #radialfirst
Took 10 seconds for a forearm US scan to simply dodge a small radial artery and going #ulnarfirst
Uneventful angiogram.
Canโt count how many times I did this and the amount of time spared avoiding vascular access crossovers due spasms or other complications
@w_jyg @radialfirst @mate2k @marcosdanilloMD @drgianma @kaschenke @SVRaoMD @ferdikiem @Tesslagra @nolanjimradial @visishs @dimitri_zappi @rajivxgulati @HadyLichaaMD @KambisMashayek1 @KPujdak @PCRonline @SriPittaMD @andresnavarrol @APSIC6 @ekgpdx @naderjo @Radial_ICG There is another forearm artery - UA #ulnarfirst
Not rarely I see this doing all my access with US. An ulnar artery double size the radial and more superficial.
This time went for #ulnarfirst
Itโs Friday: letโs start a discussion to keep us all busy over the weekend. What is the safest place to puncture the Ulnar artery ๐. #ulnarfirst #radialfirst @NeuroRadialist @Starkeneurosurg @PascalJabbourMD @ikeafonso1 @VladoKZg @MRAkid @braincutter @nolanjimradial @mmamas1973
hemostasis after transulnar intervention requires more caution as the ulnar artery is deeper and bleeding is usually intramuscular and less apparent than radial. #ulnarfirst #radialfirst #cardiotwitter
Female, BMI 46 (125 kg/1.64m). Sometimes Radials are smaller than Ulnars, if the radial looks tiny, itโs worth to feel ulnar artery, maybe #UlnarSecond may become #UlnarFirst
what is more frustrating than crossing the TO but failed to cross balloon after 2 hours because of the weak guide. Finally retrograde took 30 minutes to finish the case. #R2P 0 vs tibial 1. #RadialFirst #UlnarFirst @RadialFirstBot #PADRadialFirst #PAD @CUHKMedicine
Left Ulnar artery used due to small caliber radial patent but <1 mm angle of the SMA off aorta; use of long 6 Fr sheath to stent; s/p bilateral CFA endarterectomy and heavy calcifications distal aorta #radialfirst #ulnarfirst @matheenkhuddus @ferdikiem @RealKushAgrawal ๐
1/2
From arm to persistent hypoglossal a. : one of the persistent carotid-vertebrobasilar anastomoses (can also be described from CT or MR scans)
#anatomy #radiology @Radiopaedia @radiology_rsna
Distal #radialfirst occluded so ๐ #Ulnarfirst #Ulnar4Neuro
Interested in unprotected LM PCI? #RadialFirst #UlnarFirst? Come join us in Vegas (buy donโt criticize what I did or didnโt๐ @SCAI @SVRaoMD @duanepinto @saraceciliamtz @drdevireddy @DrMauricioCohen @Radial_ICG @mmamas1973 @DocSavageTJU @fischman_david @rajivxgulati @rwyeh
Happy Easter!
60๐ต๐ผ NSTEMI and refractory angina. Multivessel PCI RCA + LAD + Ramus -> with TIGER 6F Guide! US access for #ulnarfirst in a pulseless forearm
Long SFA TO recanalized with R2P system ('U' in this case). Patient ambulatory immediately after procedure and potentially day case discharged. This is amazing! #RadialFirst #Ulnarfirst #R2P #PADRadialFirst @CUHKMedicine @terumobct @krosenfieldMD
@CardiacConsult @lblitzmd @willsuh76 @philgenereux @SVRaoMD @fischman_david @DocSavageTJU @mmamas1973 @agtruesdell @CMichaelGibson @JReinerMD Youโre not alone my friend I do this not so infrequently, no hand ischemia so far. This is a case of #ulnarFIRST is a pt without radial pulse. Angio showing an occluded radial.
@nephondemand @fischman_david @SripalBangalore @SVRaoMD @willsuh76 @mmamas1973 @Radial_ICG @DrMauricioCohen @DLBHATTMD @duanepinto @mirvatalasnag @rajivxgulati @jaygirimd @DrQuinnCapers4 @HeartOTXHeartMD @DocSavageTJU @ArieBlitzMD @kidneydoc101 @JenniferLees85 @xaviervel @JASN_News I read some studies where OCT was performed on RA after radial access angios: radial lesions weren't limited to puncture site. IMO razor effect is a major issue for "radial health", I use BAT systematically for those patients when PCI is needed and consider #Ulnarfirst for angios
Damn, shoulda done a survey ๐
pt has a LIMA
70 yo ACS/CHF. 2 CABGs, bil #radialfirst not an option. #ulnarfirst anyone or #femoral? All femoral in the past without issues. Any data on this? @SVRaoMD @ferdikiem @mmamas1973 @mobitz @willsuh76 @rwyeh @CardiacConsult
70 yo ACS/CHF. 2 CABGs, bilateral #radialfirst not an option. #ulnarfirst anyone or #femoral? All femoral in the past without issues. Any data on this? @SVRaoMD @ferdikiem @mmamas1973 @mobitz @willsuh76 @rwyeh @CardiacConsult
65 y old man ,Crescendo angina Peripheral vascular disease,failed bilateral femoral access in another hospital,referred to our center for radial cath, very faint both radials,right ulnar access ,PCI to LAD.
#Ulnarfirst
@CardiacConsult @rajivxgulati @willsuh76 @SVRaoMD @HeartOTXHeartMD @rwyeh @mmamas1973 @jedicath @mirvatalasnag @Radial_ICG @CMichaelGibson @ethanjweiss @JReinerMD I had some cases who had radial access PCI discharged at the same day .
#RadialFirst
#Ulnarfirst
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