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BackTable / Cardiology / Podcast / Episode #1
Large Bore Access: Tools, Techniques & 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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BackTable, LLC (Producer). (2025, September 16). Ep. 1 – Large Bore Access: Tools, Techniques & Tips [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Synopsis
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 - 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
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
The Materials available on BackTable are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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