Hemodialysis is: 👉 A treatment that filters waste, salt, and extra water from the blood when the kidneys can’t. To do this, patients need reliable vascular access. That’s where dialysis catheters come in.

Bifurcation lesions really pose a challenge. Do you perform a bifurcation stent technique upfront? Like kissing, DK or mini crush, T or V stenting? Or do you change the side branch with a Culotte only if it closes? #cathlab #pci #angioplasty #medicine #cardiox #meded #scrubtech

LIMA - LAD! #cardiosky #cardiotwitter #cathlab

I will take Mitral Regurgitation for 400 please! #cardiox #cardiosky #cathlab #valveclinic

“I am a new cath lab tech and I feel this book is going to help me tremendously! All of my coworkers when I showed them this said it’s a very good book and explains a lot. I am a visual leaner and this is perfect!” #cathlab #cardiology #scrubtech #radtech #nurse #respiratorytherapist #scrubnurse

Identifying a trifurcation; swing over to LAO CAUDAL! A: Left Anterior Descending B: Ramus Intermedius C: Circumflex #angiogram #cardiac #cardiology

Impella: In the inlet and out the outlet! 📌💡 you know most of the work and motor is in the aorta and not the left ventricle? #impella #cathlab #icu #ccu #nursing

Calling all #OCT experts - what is your opinion? ✅Stent from 2018 ✅Presents with chest pain ✅OCT shown of the LAD - Left Main Dissection? Hematoma? #oct #intravascularimaging #interventionalcardiology #cardiology #cathlab #cardiosky

Watch how to set up the CO2 for injections! youtu.be/0ZCXyIOiyuw?...

❤️A dual-chamber pacemaker maintains AV synchrony by sensing and pacing both the atrium and ventricle as needed. It typically operates in DDD mode, meaning: Senses & paced both the atrium and ventricle. #Epeeps #cathlab #cardiotwitter

Prepare the right way: dontmissabeat.store #cathlab #cardiosky

How many are using transcarotid access for #TAVR ? #cathlab #cardiology #cardiox

TRI CLIP! doi.org/10.24875/REC... #structuralheart #cathlab #triclip #regurgitation #cardiology #heartdisease #heartfailure

What vessel is it and where is it going? 💬⬇️ #CathLab #CardioSky #Angiogram #HeartDisease

Three new #RCIS out in the world! Congratulations 🥂🎉 dontmissabeat.store/products/the...

The Silverway 0.035 wire! A hybrid coating. Distal tip is silicone coated, middle shaft is hydrophilic and the proximal shaft is silicone - so you don’t lose your grip! #Cardiosky #CathLab asahi-inteccusa-medical.com/product/silv...

Ping Pong Technique for sealing a perforation! Thoughts? 💬 pmc.ncbi.nlm.nih.gov/articles/PMC... #cardiosky #cathlab

Understanding Aortic Stenosis 🔄 Aortic stenosis increases afterload, leading to LV hypertrophy and, over time, heart failure. Watch for syncope, angina, and dyspnea (SAD)—classic symptoms of severe AS. TAVR or SAVR is the definitive fix! #TAVR #cardiosky

Burnout vs. Normal Stress🔥 Stress is temporary and manageable with rest and coping strategies, while burnout is chronic, leading to exhaustion, detachment, and reduced performance. If stress feels never-ending, it’s time to step back, reassess, and seek support. #medicine #cardiology

Minima Stent: Grows WITH you! 🤏🏻 For pediatric aortic and pulmonary artery interventions, featuring a low-profile, high-expansion design to accommodate growth. Available in multiple sizes, can be redilated as the child grows, reducing the need for repeat interventions. #CardioSky

Neuroguard: Protection During Carotid Stenting 🧠 Neuroguard combines a micromesh-covered stent, filter, balloon, and delivery system to capture emboli and reduce stroke risk during carotid artery stenting. #Cardiosky

TAVR Access Options: Choosing the Best Route 🚪 TAVR can be performed via transfemoral (most common), transapical, transaxillary, transcarotid, or transcaval access. The choice depends on patient anatomy, vascular health, and surgical risk. Which have you been doing lately? #cardioSky

HDL vs. LDL: The Good & The Bad 🩸 HDL (high-density lipoprotein) helps remove cholesterol from arteries, while LDL (low-density lipoprotein) contributes to plaque buildup. Where does the HDL take cholesterol to?! 👀 #CardioSky #Medicine

Q: What is the appropriate table position to best protect the patient and staff? A. Table all the way up, Detector down B. Table all the way down, Detector down C. Table all the way up, Detector up D. Table all the way down, Detector up

What is the Circle of Willis? 🔄 An arterial structure at the base of the brain, ensures collateral circulation in case of blockages. Connects the internal carotid and vertebrobasilar arteries. Can help prevent ischemic strokes by redistributing blood when needed. #cardiosky

A healthy vessel vs a diseased vessel! #IVUS #CardioSky #Cardiology #PCI

The Coronary Intervention Visual Manual is BACK IN STOCK! 📚📖✨ Shop Now ➡️ dontmissabeat.store #cardiosky

IVUS labeling! #cardiosky

Temporary Pacemaker Use During Atherectomy ⚡️ When performing coronary atherectomy, especially in right coronary or dominant left circumflex lesions, temporary pacing helps manage bradycardia from AV block. #CardioSky

What are all the key findings? 💬⬇️ #Medical #CardioSky #Cardiology

Runthrough 0.014” Wire: Flexibility Meets Control 🏹 Balances torque control and trackability, making it ideal for complex and tortuous lesions. Use the soft tip for delicate navigation while leveraging its supportive body for device delivery. - What’s your workhorse? #CardioSky

Jetstream Atherectomy: Dual-Action Debulking 🌪️ The Jetstream system combines atherectomy + aspiration for treating mixed plaque morphologies. Avoid distal embolization by using aspiration, and remember to withdraw slowly to clear residual debris. #CardioSky #PTCA

Shockwave Javelin: The Power of IVL in Peripheral Arteries ⚡️ First intravascular lithotripsy (IVL) catheter designed for peripheral calcium. Trials for CTOs in progress! Above & below the knee! #CardioSky

A little #motivation for 2025! www.instagram.com/p/DFa4AAsv0u...

Can you name everything in this image? Hints: ⚡️⚡️ ⛽️🫀 🦮 #CardioSky #cathlab #nurse #tech

Restock of the Coronary Intervention Manual coming soon! 📧 Subscribe to emails on our website for a FREE #hemodynamic example download and to be notified of #restock dontmissabeat.store #cathlab #pci #cardiosky

Cutting Balloon: Prepare Like a Pro ✂️ For fibrotic or resistant lesions, cutting balloons cut into plaques to enhance subsequent dilations. 💡TIP Inflate slow and deflate slow to prevent dissections and use imaging guidance to confirm optimal lesion preparation. #CardioSky

Spiral Dissection LESSONS ✅Check the pressure before you inject ✅Do not inject if you’re damped or Ventricularized ✅Change out to a catheter that is not deep seated! #cathlab #cardiac #vascularsurgery #nurse #tech #CareerGrowth

Agent DCB: Delivering Drug with Precision 🎯 The Agent DCB (Drug-Coated Balloon) provides targeted therapy without leaving behind hardware. Use in lesions with ISR (in stent restenosis) so avoid a second layer of stent! #CardioSky

Simplify Calcium Management with Shockwave 🌊 Lithotripsy with Shockwave uses sound waves to fracture intravascular calcium. Key tip: Position the emitters precisely within the calcium arc for optimal fragmentation, and watch for improved compliance with balloon inflation. #CardioSky

Maximize OCT Imaging 📸 Optical Coherence Tomography provides detailed vessel imaging for stent apposition and plaque characterization. Ensure saline (now being tested) or contrast clearance for high-resolution imaging, and interpret cross-sectional views accurately for better outcomes. #CardioSky

How many clips are too many? 🙃🙃 #CardioSky

Learn the Landmarks 🔍 Septal perforators matter. These small arteries are essential: you’ll find them branching from the LAD (left anterior descending) and the PDA (posterior descending artery). Take time to understand their anatomy. #CardioSky

My husband wonders where I got the habit of eating a spoonful of peanut butter when I’m starving… and I realize maybe it’s not a normal thing for non healthcare workers? 🤣 #healthcare

Optimize Stent Placement 🎯 In complex interventions, tools like CLEAR stent, stent VIZ, and stent boost can be invaluable for precise stent placement and expansion. Familiarize yourself with these technologies to enhance your procedural outcomes. #cardiosky

Anticoagulants vs. Antiplatelets 🩸 Anticoagulants (like heparin) work to slow the clotting process, while antiplatelets (like aspirin) prevent platelets from sticking together. Know the difference☝🏼 #cardiosky

Speed of Safety 🚦 Efficiency in the cath lab is key, but safety always comes first. Build a routine and gradually increase your speed. Take your time now so you don’t have to retrace mistakes later. #CardioSky

Keep It Clean ✋ Sterility matters. Keep your hands where you can see them. Always grab over, not under, to avoid contaminating yourself. Turn your body to grab items instead of reaching blindly behind you. Visibility keeps things safe and sterile.

Steady Hands 🫡 Walking out over the wire takes focus. Pin the wire with your right hand and meet your left hand to the right. This keeps the wire in place with your right hand while your left hand moves the catheter out smoothly. Precision beats rushing!

What is this? The three radiopaque dots inside or near the femoral artery and vein. The physician had a difficult time achieving access as you can see from the sheath insertion. #cardiosky #vascular #medicaldevice