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. --- 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. --- TIMESTAMPS 00:00 - Introduction01:46 - Large-bore Access Adoption 08:00 - Micropuncture Technique for Initial Access11:30 - Challenges of Getting Antegrade Access17:20 - Practicing Emergent Scenarios in Non Emergent Settings 22:09 - Managing Calcified or Tortuous Arteries44:00 - Limb Ischemia Mitigation54:46 - The Sideclose Technique01:01:00 - Single Access Closure Method01:09:00 - Using Axillary Access Instead of Femoral --- 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