Dr. Amit Goyal
Interventional Cardiologist
7 Podcasts on BackTable
Dr. Amit Goyal is an interventional cardiologist, the editor in chief of US Cardiology Review, and a co-founder of the CardioNerds podcast.
Learn from the experiences and expertise of Dr. Amit Goyal and other leading voices in your specialty on the BackTable app.
Episode # 10 • 02 Aug 2026
Crisis Control - Bailout Management for Failed Percutaneous Axillary Artery Closure
Building on the Data-to-Delivery and Proctor Playbook episodes, this Crisis Control episode walks through a scenario of wide-open extravasation after Perclose failure during right axillary access TAVR. The team covers a stepwise escalation algorithm — from repeat Perclose deployment and serial balloon tamponade with protamine reversal, to hybrid closure with AngioSeal, to covered stent placement with the Viabahn endoprosthesis — and discusses when to call vascular surgery. This episode translates the 2022 SCAI Position Statement bailout recommendations into a practical, cath-lab-ready crisis management framework.
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About
Amit Goyal, MD MAS is an interventional/structural cardiologist and director of the CICU at the Dallas VA Medical Center, Editor-in-Chief of US Cardiology Review, and co-founder of CardioNerds. In the latter capacity, he leads the overarching curriculum and has designed the CardioNerds Clinical Trials Network, CardioNerds Academy, and Medical Journalism programs. He completed his medical school and obtained a master’s degree in clinical research at the University of California, San Diego and went on to enjoy internal medicine residency training in the Osler Program at Johns Hopkins University, where he served as the Assistant Chief of Service of the Barker Firm. He completed general cardiology as well as interventional and structural cardiology fellowships at the Cleveland Clinic.
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