Topic
Large Bore Access
5 Podcasts • 1 Course on BackTable
Hear how experienced physicians approach Large Bore Access on BackTable. Learn from podcasts, cases, and courses curated by physician content creators, covering patient selection, workup, and procedure technique. Get the BackTable app to follow this Topic and hear more of the conversations that matter to your practice.
Episode # 9 • 10 Jul 2026
Proctor Playbook - Percutaneous Transaxillary Access & Closure: State-of-the-Art Technique
Using a simulated case of Impella-supported high-risk PCI in a patient with severe bilateral iliofemoral PAD, the team walks through a step-by-step proctor playbook: pre-procedural CTA planning, laterality selection, room and arm setup, axillary artery anatomy, ultrasound-guided access technique, safety wire strategy, pre-closure with suture-mediated vascular closure devices, dry closure with balloon tamponade, and a bailout algorithm for failed hemostasis. This episode translates the 2022 SCAI Position Statement on Best Practices for Percutaneous Axillary Arterial Access into actionable, cath-lab-ready technique.
Episode 8 reviews the evidence base for this technique in the “Data-to-Delivery” discussion and Episode 10 will tackle vascular complication management with transaxillary access in the “Crisis Control” discussion.
More on Large Bore Access
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CathMasters # 9
Jul 9, 2026
with Dr. Nazli Okumus, Dr. Rajiv Tayal, Dr. Li Pang, Dr. Amit Goyal
Using a simulated case of Impella-supported high-risk PCI in a patient with severe bilateral iliofemoral PAD, the team...
CathMasters # 3
Jun 15, 2026
with Dr. Nazli Okumus, Dr. Ann Gage, Dr. Marwan Jumean, Dr. Daniel Ambinder
CathMasters tackle the management of limb ischemia — one of the most feared complications of peripheral VA-ECMO...
Vascular & IR # 191
Mar 4, 2022
with Dr. S. Jay Mathews, Dr. Sabeen Dhand
In this episode, Interventional Radiologist Sabeen Dhand talks with Interventional Cardiologist S. Jay Mathews about...
3,700+ listens
CathMasters # 8
Jul 5, 2026
with Dr. Li Pang, Dr. Nazli Okumus, Dr. Rajiv Tayal, Dr. Amit Goyal
Approximately 5% of US TAVR cases require alternative access despite lower-profile devices, and with expanding...
Cardiology # 1
Sep 15, 2025
with Dr. Jason Wollmuth, Dr. Hady Lichaa
What are the biggest challenges in large bore access and closure? In our inaugural episode of the BackTable Cardiology...
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