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Large Bore Access: Tools, Techniques & Tips with Dr. Jason Wollmuth, Dr. Hady Lichaa on the BackTable Cardiology Podcast
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BackTable Cardiology

Episode # 1  •  16 Sept 2025

Large Bore Access: Tools, Techniques & Tips

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.

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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More about this episode

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.

The Materials available on BackTable are provided for informational and educational purposes only and are not a substitute for the independent professional judgment of a qualified healthcare professional in diagnosing or treating patients. Any opinions, statements, or views expressed are those of the individual contributors and do not necessarily reflect those of the publisher, platform, or any affiliated organization.

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