My Toolkit in Interventional Cardiovascular Medicine

The guiding catheter is necessary for guaranteeing the support and deliverability of additional devices. However, it's not always of the perfect length for several reasons, because it is not available at that moment in the cath-lab or it is not designed for the purpose you need....

Since increasing numbers of interventional procedures are performed, the incidence for a cardiologist to be faced with a PE has increased. This Toolkit displays a technique for a safe and controlled puncture of a PE/tamponade.

The cusp-overlay method aims to implant the self-expandable device higher than in former ways without device pop-out upon release and it reduces pacemaker rates significantly. 

Vascular complications dramatically impact patients outcome after TAVI. This technique is a helpful illustration of how to combine suture and plug based closure devices in order to manage access site successfully.

In this article, the authors describe (with video illustration) the step-by-step technique for resolution of an entrapped RA burr using a guide-catheter extension...

Using a standard syringe is a simple and cost-effective method to facilitate the loading of cath lab equipment onto a small gauge guidewire. This method has a fast learning curve and can be readily done...

Szabo’s technique, also known as “tail-wire” technique, is one of the few specific ostial intervention techniques that can be helpful to achieve precise coverage of the ostium without excessive protrusion into the aorta or the respective main vessel... Discover the tips and solutions proposed by Felix...

Population ageing is increasing. Therefore extensive coronary artery calcification is a frequent finding and results in complex coronary interventions. Despite the improvement of stent- and balloon- profile, delivery can be challenging due to vessel tortuosity and calcified plaque... Discover the tips and solutions proposed by Lucas...

Cardiac pacing during prosthesis deployment is a critical step to improve deployment accuracy and safety. Discover the tips and solutions proposed by Didier Tchétché and Saif Siddiqui.

Bending a wire for side branch access requires taking into account the geometry of the main vessel, the angulation of the side branch, the space for rotation of the wire, and the distribution of plaque, the presence of a stent etc. Discover the tips and solutions...