RadialFirstBot retweeted
For those doing left distal radial access

Anybody tried using StatSeal with Merit PreludeSYNC Distal band?

#RadialFirst #ldTRA
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RadialFirstBot retweeted
Replying to @Tesslagra
@Tesslagra @lamelaspablo Ultrasound guidance is a must for distal radial access.
It’s important to puncture over the trapezium or scaphoid for best hemostasis.
#ldtra #snuffbox #RadialFirst
Important to puncture #ldTRA over trapezium or scaphoid to prevent hand hematoma. Trapezium colored green and can be seen with ultrasound before puncture. #RadialFirst
Photo credit to kenhub.com
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RadialFirstBot retweeted
Optimization of Distal Radial Access Into Clinical Routine Practice Through Ultrasound Guidance: A Review and Technical Guide imrpress.com/journal/RCM/27…
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RadialFirstBot retweeted
Comparison of ☢️ Exposure to X-Ray Between Left and Right Radial Approach During Coronary Procedures: A Meta-Analysis Based on Randomized Controlled Trials 11/20/2025

The LRA was associated with a significant⤵️ in FT, DAP & the operator's rad exposure .

pubmed.ncbi.nlm.nih.gov/41264788/
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RadialFirstBot retweeted
Thx @SVRaoMD for this #AngioHistory memory. I created our Radial Center (ptca.org/radial/) 18 yr ago after I saw my 1st TRA. I'd worked w/Simon Stertzer & knew the brachial cut-down approach had certain advantages over femoral for catheter advancement, but TRA offered those in a simpler, safer method. Thru articles, interviews, posting of training courses, and a radial hospital locator for patients, we promoted this exciting new approach on our site, hoping to aid in some small way in getting the U.S. in line with other countries (only 1.2% radial in the U.S. in 2007). Thx to your work & that of so many others, TRA is now the dominant approach in the U.S.#RadialFirst #CardioTwitter
16 years ago…

#RadialFirst
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RadialFirstBot retweeted
16 years ago…

#RadialFirst
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RadialFirstBot retweeted
Replying to @willsuh76
@djc795 @SandeepNathanMD @SVRaoMD @Radial_ICG @SrihariNaiduMD @rajivxgulati @fischman_david @agtruesdell @cardiojaydoc02 @cardioPCImom @SripalBangalore @EricSecemskyMD @DrMarthaGulati @HeartOTXHeartMD @Pooh_Velagapudi @timir_paul @AGoldsweig @Babar_Basir Poll results! 1608 votes and 40% thought $100K. Here is the bill. Over $250K!!!
And yet, the hospital probably only got $11K.

Anybody know why hospitals bill such outrageous amounts?
#CardioTwitter #RadialFirst
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RadialFirstBot retweeted
A patient showed me her itemized hospital bill for an outpatient LAD PCI.
What is your guess the amount was?
#CardioTwitter #RadialFirst
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RadialFirstBot retweeted
Reminds me of the good old days of #CardioTwitter b4 X. Robust participation in poll & great expert commentary #RadialFirst @Radial_ICG @djc795 @nolanjimradial @SVRaoMD @mmamas1973 @SandeepNathanMD @EricSecemskyMD @Hragy @willsuh76 @DrSaririan @MGtberg @aspergian1 @DrWhyWho
70 yo👱🏼‍♂️for diagnostic cath for TAVR/SAVR eval s/p prior PCI. He took Cialis yesterday. How would you proceed? #CardioTwitter @mmamas1973 @djc795 @mirvatalasnag @SandeepNathanMD @SVRaoMD @Radial_ICG @Hragy @aymanka @BinitaShahMD @SrihariNaiduMD @rajivxgulati @fischman_david
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RadialFirstBot retweeted
Congratulations @DrTejasPatel1! A pioneer who taught many of us the nuances of #RadialFirst.
I am beyond thankful to share that I have been honored with the prestigious 'Padma Bhushan' award by the Government of India, presented to me by the Honorable President, Smt. Droupadi Murmu, at Rashtrapati Bhavan, New Delhi, on 22/04/2024.
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RadialFirstBot retweeted
Hey #RadialFirst snuffboxers. I am still using #StatSeal and coban wrap for hemostasis with #ldtra 👍

But I am curious what others are doing?

Please post in reply what you are doing for snuff box hemostasis.
Pushing the boundaries of hemostasis time

5F glidesheath slender for diagnostic cath via #ldTRA.

#StatSeal, 3 min manual compression, 1 folded 4x4 and Coban wrap. Bam!

#RadialFirst @ferdikiem
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RadialFirstBot retweeted
Friend’s daughter got accepted into NYU medical school (free tuition) and also Yale medical school (no scholarship).
Where should she go to med school?
Please leave the rationale for your choice to help her make a decision.
#MedTwitter #CardioTwitter
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Thanks for the mention! Check out new #RadialFirst tweet by @cardiowiis
x.com/cardiowiis/sta…
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Thanks for the mention! Check out new #RadialFirst tweet by @DrJayMohan
x.com/DrJayMohan/sta…
7/ Before doing that we decided to place cerebral protection as obvious high risk of embolization and acute neurologic event

#LAAC #Watchman #echofirst #cardiotwitter #cardiology @TAVRBot @RadialFirstBot
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Thanks for the mention! Check out new #RadialFirst tweet by @DrJayMohan
x.com/DrJayMohan/sta…
3/ Due to recurrent Right heart failure and development of pulmonary HTN the decision was made to attempt endovascular closure of the graft with coils. #Cardiotwitter #IRAD @RadialFirstBot @BotPci
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Thanks for the mention! Check out new #RadialFirst tweet by @Radial_ICG
x.com/Radial_ICG/sta…
@nolanjimradial @richardbogle @evandrofilhobr @DrAsifQasim @mirvatalasnag @RadialFirstBot @aspergian1 @mmamas1973 Use either a power injector or an 8cc syringe to inject contrast and 4f will work on any artery. Can even do FFR with them although OCI not possible at least in USA. Reduces contrast load and trauma to radial or dorsal radial.
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