Ep. 1 Large Bore Access: Tools, Techniques, and Tips with Dr. Jason Wollmuth

What are the biggest challenges in large bore access and closure? In our inaugural episode of the BackTable Cardiology Podcast, Dr. Hady Lichaa hosts Dr. Jason Wollmuth, an interventional cardiologist renowned for his expertise in large bore access techniques.

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SYNPOSIS

Dr. Wollmuth shares his journey in interventional cardiology, detailing his early experiences managing complex PCI cases and CTOs. They delve into the specifics of large bore access, including preparation and imaging, access techniques, managing complications, and the use of single access for complex cases. The discussion also covers equipment preferences, handling vascular disease, mitigating limb ischemia, and alternative access strategies such as axillary and carotid approaches. Dr. Wollmuth highlights the importance of procedural practice, interdisciplinary collaboration, and continued learning from experienced colleagues.

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TIMESTAMPS

00:00 - Introduction
01:46 - Large-bore Access Adoption
08:00 - Micropuncture Technique for Initial Access
11:30 - Challenges of Getting Antegrade Access
17:20 - Practicing Emergent Scenarios in Non Emergent Settings
22:09 - Managing Calcified or Tortuous Arteries
44:00 - Limb Ischemia Mitigation
54:46 - The Sideclose Technique
01:01:00 - Single Access Closure Method
01:09:00 - Using Axillary Access Instead of Femoral

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RESOURCES

Dr. Jason Wollmuth’s Provider Profile:
https://www.providence.org/doctors/interventional-cardiology/or/portland/jason-wollmuth-1164498499

Dr. Hady Lichaa’s Provider Profile:
https://healthcare.ascension.org/find-care/provider/1336267533/hady-lichaa

The Sideclose Technique: A Novel Method for Achieving Hemostasis With an Indwelling Impella CP:
https://www.jscai.org/article/S2772-9303(24)01363-2/pdf