Dr. Li Pang
Interventional Cardiology Fellow
6 Podcasts on BackTable
Dr. Li Pang is an interventional cardiology fellow with West Virgina University Heart and Vascular Institute in Morgantown, West Virginia.
Learn from the experiences and expertise of Dr. Li Pang and other leading voices in your specialty on the BackTable app.
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.
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