Fail Safe Guide to Access Routes and Guide Catheters in Acutely Unwell Patients - Dr. Amarjit Sethi

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Summary

Amarjit Sethi outlines options for vascular access and guiding catheters in specific situations in ACS patients

  • How to deal with complex and high-risk patients
    • Cariogenic shock
    • Multi vessel disease
    • Last remaining coronary artery
    • Large area of myocardium at risk
    • Impaired systolic function
  • How to prepare your access with regards to specific considerations
    • Central venous access - delivery of inotropes, temporary pacing wires
    • Multiple arterial access - circulatory support devices such as IABP
    • Radial versus femoral access
  • How to limit access-related complications
  • How to choose your guide catheter for specific situations
    • Femoral or radial
    • French size (5F guides helpful with small radial arteries but limits the amount of equipment that can be used - i.e thrombus aspiration, rotablation)
    • Aortic width
    • Lesion location and characteristics (distal lesion, tortuously, calcification)
    • Side holes or not
    • Fitting for the coronary
    • Special scenarios - IMA for LIMA PCI, MPA for vein-graft
  • Get comfortable with your choice of guide catheter for most situations ("workhorse guide catheter")

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Target Audience

  • Interventional cardiology trainees
  • Cardiology trainees
  • General practitioners with specialist interest in cardiology
  • Clinical fellows
  • Physiologists
  • Cath lab staff
  • Aspiring cardiology trainees

The 'Simple Essential Guide to Catheter Laboratory Diagnostic, Procedure and Therapeutics' course is designed for all busy Cardiology trainees, Clinical Fellows, Interventional Fellows, aspiring cardiologists and consultants looking for a rapid and simple update in this expanding field.

Each module of the 4 modules is designed to cover topics that will be encountered by all cardiologists regardless of specialisation and are therefore designed to provide the definitive update in the management of patients with coronary artery and structural heart disease for the practicing clinical cardiologist regardless of sub-specialty. So, if you want to be more confident in the catheter lab - this is the course for you!

Learning Objectives

  • Diagnosis of NSTEMI/STEMI
  • Pre catheter laboratory planning (Drugs, patient selection etc.)
  • Evidence behind choosing the correct anti platelet agents
  • Familarise yourself with Emergencies 
  • Learn about different catheters for emergency patients
  • Watch live case practical demonstrations
  • Post PCI management (Drugs, rehab etc.)
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