Episode # 410 • 25 Jan 2024
True Lumen Re-Entry with Pioneer Plus
In this episode of BackTable Podcast, host Dr. Ally Baheti invites interventional cardiologist Dr. Thomas Davis, Director of the Cardiac Catheterization Lab at St. John Hospital and Medical Center, to discuss re-entry devices, with a focus on the Pioneer Plus Catheter.
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Timestamps
00:00 - Introduction
02:09 - Dr. Davis’ Practice in CLI Treatment
04:18 - The Decision to Use the Pioneer Plus Catheter
07:31 - The Reorientation Technique for Staying in the True Lumen
11:49 - Using Intravascular Ultrasound to Guide Your Wire
17:33 - Learning and Troubleshooting with IVUS
21:48 - Preparing for Subintimal Work
28:26 - Post-Procedural Management and Imaging
30:12 - Advice for Proceduralists in the CLI Space
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More about this episode
Dr. Davis shares his experience in using the Pioneer Plus, an intravascular ultrasound (IVUS) guided re-entry catheter in treating critical limb ischemia (CLI), especially in cases where it is difficult to stay intraluminal. He explains a novel ‘reorientation technique’, which allows proceduralists to remain in the true lumen while treating a chronic total occlusion. Dr. Davis also describes his workflow and decision points about when to reach for the catheter. To finish the episode, he covers post-procedure patient management, imaging follow up, and opportunities to learn more about treatment of peripheral vascular disease.
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