PCI Manual podcast: Recent Episodes
Emmanouil S. Brilakis
When you encounter a significant challenge or complication during cardiac catheterization and PCI calling one or more experienced operators can help find the best possible solution.
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Why measuring LVEDP can literally save your patient's life!
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How to make the cath lab activation an inspirational experience.
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Why being in the cath lab is never boring!
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Why you should look at the pressure waveform before and after every injection.
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Every catheterization case is an experiment. How to maximize the likelihood of success.
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Looking at the various inputs during cardiac catheterization and PCI should not merely mean directing our eyes towards them. Looking should be the precursor of seeing, i.e. understanding what these inputs (ECG, pressure waveform, angiogram, etc) mean and what (if anything) should be done about them.
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Efficient PCI can improve the success and safety of the procedure.
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Failure is not the opposite of success - in contrast, failure is often a requirement for success.
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Cardiac catheterization and PCI is a team effort.
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How do you know that you are practicing interventional cardiology in the best possible way?
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Sometimes the simplest part of the procedure may become the most complex.
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The importance of communication
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Fixing small problems before they become more difficult to manage.
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What was the effect of the COVID-19 pandemic on the creation of the PCI Manual?
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This podcast describes the 14 steps involved in performing percutaneous coronary intervention: 1. Planning 2. Monitoring 3. Medications 4. Access 5. Engagement 6. Angiography (with the exception of the “zero contrast PCI”, although the latter still requires a prior angiogram) 7. Determine target lesion(s) 8. Wiring 9. Lesion preparation 10 Stenting 11. Vascular closure 12. Coronary physiology 13. Intracoronary imaging 14. Hemodynamic support The following steps are not always performed: • Lesion preparation (sometimes direct stenting is performed without predilation, although this is generally discouraged) (Chapter 9). • Stenting (sometimes balloon angioplasty, including drug-coated balloons, or thrombectomy only are performed) (Chapter 10). • Physiology (Chapter 12). • Imaging (Chapter 13). • Hemodynamic support (Chapter 14).
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