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6 in the A
United States
Registrace 31. 01. 2021
6-in-the-A is a channel about interventional cardiology and coronary artery disease.
We talk about typical cath lab cases from a typical interventional cardiologist at a typical community hospital. Nothing fancy, just cases you could very well see on your next call.
Cath lab RTs, RNs, midlevels, interventional cardiology fellows, and practicing interventional cardiologists in the community may find the content useful.
Some videos are geared more towards patients.
There may even be a few nuggets to keep my more academically-inclined colleagues entertained!
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Channel Link: www.youtube.com/@6intheA
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All contents are for entertainment purposes only. No medical advice is intended or provided. Clinical vignettes do not reflect actual patient scenarios. Any resemblance is purely coincidental. Opinions are my own, and I reserve the right to change my opinion at any time, without notice, and for any reason.
We talk about typical cath lab cases from a typical interventional cardiologist at a typical community hospital. Nothing fancy, just cases you could very well see on your next call.
Cath lab RTs, RNs, midlevels, interventional cardiology fellows, and practicing interventional cardiologists in the community may find the content useful.
Some videos are geared more towards patients.
There may even be a few nuggets to keep my more academically-inclined colleagues entertained!
===
Channel Link: www.youtube.com/@6intheA
===
All contents are for entertainment purposes only. No medical advice is intended or provided. Clinical vignettes do not reflect actual patient scenarios. Any resemblance is purely coincidental. Opinions are my own, and I reserve the right to change my opinion at any time, without notice, and for any reason.
DK Crush: Step by step
We go over how to perform the DK Crush stenting technique (double kissing crush) step by step for non-provisional bifurcation PCI in a LAD/Diagonal bifurcation case.
Other bifurcation videos you might be interested in:
TAP stenting (LAD/Diagonal bifurcation): czcams.com/video/YC2WlbKAR4g/video.html
TAP stenting (LCX/OM bifurcation): czcams.com/video/TZUb6IRRwvA/video.html
Culotte stenting: czcams.com/video/47VBWNZtd7k/video.html
Double bifurcation (TAP+Culotte): czcams.com/video/jmDvE-gVS_U/video.html
Trifurcation stenting (Unprotected Left Main trifurcation): czcams.com/video/k4NgExpciaI/video.html
Chao-Wei Hwang, M.D., Ph.D.
Johns Hopkins University School of Medicine
Cardiac Cath Lab, Frederick Health Hospital
Other bifurcation videos you might be interested in:
TAP stenting (LAD/Diagonal bifurcation): czcams.com/video/YC2WlbKAR4g/video.html
TAP stenting (LCX/OM bifurcation): czcams.com/video/TZUb6IRRwvA/video.html
Culotte stenting: czcams.com/video/47VBWNZtd7k/video.html
Double bifurcation (TAP+Culotte): czcams.com/video/jmDvE-gVS_U/video.html
Trifurcation stenting (Unprotected Left Main trifurcation): czcams.com/video/k4NgExpciaI/video.html
Chao-Wei Hwang, M.D., Ph.D.
Johns Hopkins University School of Medicine
Cardiac Cath Lab, Frederick Health Hospital
zhlédnutí: 2 557
Video
PCI of Septal Perforator in Isolated Septal STEMI
zhlédnutí 2,2KPřed měsícem
We discuss septal branch PCI in an unusual case of an isolated septal STEMI without LAD involvement. Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
How to size kissing balloons and POT balloons
zhlédnutí 2,7KPřed 2 měsíci
We discuss Finet's Law (2/3 rule), Murray's Law, and Mitsudo's Proposal for how to size kissing balloons and POT balloons in bifurcation PCI. We also give specific example for how to use these rules in PCI cases. Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
Wellens T waves & de Winter T waves
zhlédnutí 2,5KPřed 2 měsíci
We review two ominous T wave abnormalities that are important to recognize early: the de Winter T waves (STEMI-equivalent indicating acute LAD occlusion) and the better known Wellens T waves (suggesting severe LAD stenosis). We discussed diagnostic criteria and management. Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
STEMI from SCAD
zhlédnutí 2,4KPřed 3 měsíci
We discuss a case of SCAD (spontaneous coronary artery dissection) that resulted in a STEMI. We go over PCI techniques for SCAD, which are often opposite for what we normally do for PCI. We also review the mechanism for SCAD formation as well as strategies for medical management and SCAD prevention. Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Freder...
How to Switch P2Y12 Inhibitors
zhlédnutí 1,2KPřed 3 měsíci
We discuss expert recommendations on how to switch between oral P2Y12 inhibitors (clopidogrel, ticagrelor, prasugrel) as well as the intravenous P2Y12 inhibitor cangrelor. Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
Recovering a Lost Side Branch
zhlédnutí 3,3KPřed 4 měsíci
Bifurcation PCI cases become especially challenging when the side branch becomes flush occluded. In this video, we discuss different techniques to recover the side branch, including the use of angled and dual-lumen microcatheters as well as the use of IVUS-guided techniques. Links to videos on Culotte bifurcation PCI technique: How to Perform Culotte Stenting - czcams.com/video/47VBWNZtd7k/vide...
Microcatheter Entrapment
zhlédnutí 2,9KPřed 5 měsíci
We discuss a case of microcatheter entrapment, an extremely unusual complication involving a Turnpike Gold microcatheter that became stuck in a coronary artery. We discuss several strategies to free an entrapped microcatheter. Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
LIMA Dissection
zhlédnutí 2,9KPřed 5 měsíci
We discuss a case of iatrogenic catheter dissection of the LIMA. We review an important early angiographic sign of dissection, and go over stenting techniques as well as pitfalls to avoid when stenting dissected vessels. You might also be interested in the Left-Main Dissection Video: czcams.com/video/xNxfx6OOfxg/video.html Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine ...
Coronary Wire Fracture Algorithm
zhlédnutí 1,4KPřed 6 měsíci
Flowchart for Cath Lab Emergencies - Approach to Coronary Wire Fracture Full Video at: czcams.com/video/TXIippsck6k/video.html Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
Stent Loss Algorithm
zhlédnutí 828Před 6 měsíci
Flowchart for Cath Lab Emergencies - Approach to Stent Loss Full Video at: czcams.com/video/qw-kauQ_AO0/video.html Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
No-Reflow Algorithm
zhlédnutí 1,7KPřed 6 měsíci
Flowchart for Cath Lab Emergencies - Approach to No-Reflow Full Video at: czcams.com/video/jTL L2dqUI/video.html Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
Coronary Perforation Algorithm
zhlédnutí 1,1KPřed 6 měsíci
Flowchart for Cath Lab Emergencies - Approach to Coronary Perforation. Full Video at: czcams.com/video/xTNQq8FJ7XY/video.html Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Frederick Health Hospital
Top 3 Videos from 2023
zhlédnutí 553Před 6 měsíci
Countdown of the top 3 most popular videos on 6-in-the-A from 2023! #3 - Stent stripped off Balloon! Now what? czcams.com/video/qw-kauQ_AO0/video.html #2 - How to nail the ostium czcams.com/video/GxVW1V0N02Y/video.html #1 - Rough STEMI, then balloon malfunctioned czcams.com/video/_QAc69E6UO4/video.html Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab, Fre...
LBBB + MI: Sgarbossa and Modified Sgarbossa Criteria
zhlédnutí 3,3KPřed 6 měsíci
Patients with pre-existing Left Bundle Branch Block are a challenge when they present with chest pain. The Sgarbossa criteria are often cited, but are frequently used incorrectly. We look at the original Sgarbossa criteria as well as the Smith-modified Sgarbossa criteria and go over how they should be used. Chao-Wei Hwang, M.D., Ph.D. Johns Hopkins University School of Medicine Cardiac Cath Lab...
Stent Stripped Off Balloon During STEMI
zhlédnutí 4,4KPřed 6 měsíci
Stent Stripped Off Balloon During STEMI
PCI in the elderly: Should Great Grandma go to the cath lab?
zhlédnutí 2,3KPřed 7 měsíci
PCI in the elderly: Should Great Grandma go to the cath lab?
Rough STEMI then balloon could not deflate!
zhlédnutí 4,2KPřed 8 měsíci
Rough STEMI then balloon could not deflate!
When should you wire the side branch?
zhlédnutí 3,4KPřed 9 měsíci
When should you wire the side branch?
ECG after ROSC: How long do you wait?
zhlédnutí 2,3KPřed 11 měsíci
ECG after ROSC: How long do you wait?
OCT of SCAD (Spontaneous Coronary Artery Dissection)
zhlédnutí 3,5KPřed rokem
OCT of SCAD (Spontaneous Coronary Artery Dissection)
Wire-induced Spiral Dissection of the RCA
zhlédnutí 9KPřed 2 lety
Wire-induced Spiral Dissection of the RCA
Prinzmetal's Angina causing Cardiac Arrest
zhlédnutí 7KPřed 2 lety
Prinzmetal's Angina causing Cardiac Arrest
Erratum: In "Step 9" / Slide 20 / 14:40 mark, re-wiring the side branch again should be through 2 stent layers, not 3.
One of our astute viewers thought that the IVUS image actually showed that the IVUS catheter was in false lumen, and that the true lumen was to the right of the dissection flap. I thought we were true lumen throughout, but I must admit that sometimes I still have trouble telling things apart. Color doppler might have helped. In this case, we principally wanted to make sure that we ended in true lumen. This was clear in the full IVUS run (which I don't show). Fortunately for us, there are no branches to worry about in the LIMA, so it's less critical if part of the stent was in false lumen as long as the ends are in true lumen.... What I am sure of is this: The more I do this, the more I realize how much I still have yet to learn.