Eric Peterson

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Eric Peterson

Eric Peterson

@braincutter

Endovascular Neurosurgeon

Miami, FL Katılım Mart 2009
90 Takip Edilen2.9K Takipçiler
Eric Peterson
Eric Peterson@braincutter·
Used to say left vert interventions should be done by left radial. Very tough to get an interventional setup into distal left VA from a right radial approach Until RIST! #RadialFirst
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jack
jack@jackbutcher·
if everyone understands what you're doing, you're late
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Eric Peterson
Eric Peterson@braincutter·
Wow. I usually teach that if you run into Lusoria you should convert to femoral. But I guess that’s only true if you are using femoral tools! It seems that now that we have the RIST system that advice is outdated Amazing case #RadialFirst
Barts Health Interventional Neuroradiology@RLHINR

Next gen @Medtronic #RIST #TRA catheters make navigating difficult arches easy. PED placed through this vascular ring of an aberrant right subclavian with a rock solid platform. Great to have this kit in the UK for our patients @hldmak @Aggour @drpaulbhogal @klw88888

Paradise, NV 🇺🇸 English
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Eric Peterson
Eric Peterson@braincutter·
Want to kick back in Vegas while I spoon feed you how to do radial access? It’s going to cost you...oh wait no. It’s FREE. Fellows and attendings welcome! #RadialFirst Click here to register: bit.ly/3sYKW7m
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Miami Beach, FL 🇺🇸 English
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Cuong Nguyen
Cuong Nguyen@CuongNguyenMD·
Our first radial pipeline with RIST catheter. Trackable and stable system for pipeline. Kudos to Eric Peterson ⁦⁦@braincutter⁩ and his team for designing this awesome radial specific neuro catheter. ⁦@sudhakar_satti⁩ ⁦@MeckRad⁩ ⁦@NovantHealth
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Eric Peterson
Eric Peterson@braincutter·
Radial for Neuro just keeps getting more & more undeniable -Patients prefer it -Lower morbidity -Lower hospital stay -Lower costs @JNIS_BMJ This isn't going to go away guys How much longer are you going to wait to convert your practice? #RadialFirst jnis.bmj.com/content/early/…
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Eric Peterson
Eric Peterson@braincutter·
Agreed. I don’t have a PhD @JMDaviesMDPhD so there is just only so much insight my primitive brain can muster!
Jason Davies, MD,PhD@JMDaviesMDPhD

@braincutter @OmarChoudhri Dr @braincutter, as usual you've oversimplified. The list is as follows: #RightRadialFirst #RightUlnarSecond #LeftRadialThird #LeftUlnarFourth ... #OnlyThenFemoral #NeverBrachial Didn't even broach the subject of distal radial... So many _good_ options to avoid the groin.

Miami Beach, FL 🇺🇸 English
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Eric Peterson
Eric Peterson@braincutter·
Super important point by @OmarChoudhri Data on ulnar is good and is a great option for loops or small radials Especially for stroke you should just stick the biggest artery #RadialFirst #UlnarSecond #FemoralThird #NeverBrachial
Jason Davies, MD,PhD@JMDaviesMDPhD

@OmarChoudhri @braincutter @SandeepNathanMD @PennNSG @PennMedicine Ulnar is a great option when radial isn’t straightforward. Another tool in the toolbox to get the job done

Miami Beach, FL 🇺🇸 English
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Eric Peterson
Eric Peterson@braincutter·
Awesome. I had someone tell me once that only people that aren’t good at femoral do radial. Hilarious on so many levels Also embarrassing that they just don’t care — at all — about the patient experience. Just what is easy for themselves. #RadialFirst
Marios Psychogios@MPeyT1

Any reason you still puncture the groin or neck when doing venous stuff? not really right? #cubitalfirst transvenous embolization of an ethmoidal dAVF, check our vid ==> youtu.be/oxtI7CoGhXQ <== @DrPatchiz @Fie0815 @mobilestroke4U @braincutter @VladoKZg

Miami Beach, FL 🇺🇸 English
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Eric Peterson
Eric Peterson@braincutter·
Obesity + bilateral iliac occlusions Presents with right T occlusion & basilar occlusion NIH 22 If you don’t know how to do radial this guy dies Right radial 088 Infinity Clean RICA Then across the arch (RVA diminutive of course) to do basilar via LVA Not easy #RadialFirst
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Eric Peterson
Eric Peterson@braincutter·
CCF dx at OSH with femoral angio. As always, patient not pleased with experience. Good thing the repair doesn’t need any groin access! Radial artery + cubital vein super easy Both IPS occluded, ready to direct stick but was an easy burrow with the 038 DAC #RadialFirst
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Eric Peterson
Eric Peterson@braincutter·
@ikeafonso1 Luis this problem has been solved. Long radial sheath. Merit 23cm dropped our crossover rate due to RAS to zero. Never GA just conscious sedation. See my prior post on this topic last week! #RadialFirst
Luís H Castro-Afonso@ikeafonso1

@timbo_phillips @NeuroRadialist @RadialFirstBot @jildazz @braincutter @VladoKZg @SalomaoChodraui @AdamArthurMD @eytanraz @WBrinjikji @DrPatchiz I would also do it if I had an anesthesist all the time in the angio. The most of transitions from TR to TF access I had were due to spasm in women <40y, Even using hydrophilic caths.

Miami Beach, FL 🇺🇸 English
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Eric Peterson
Eric Peterson@braincutter·
The routine use of long radial sheaths has been a game changer for us Can place up to 7F 23cm sheath without a prob in most patients Parks you in brachial Basically eliminates spasm bc the radial artery is protected Here is how to do it: bit.ly/2QAdQty #RadialFirst
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Eric Peterson
Eric Peterson@braincutter·
Landmark paper in @JNIS_BMJ: Large multicenter study on Pipeline showing radial has not only lower access site complications but lower BRAIN complications than femoral There is nowhere to hide guys. This is how FD should be done. #RadialFirst jnis.bmj.com/content/early/…
Miami Beach, FL 🇺🇸 English
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Eric Peterson
Eric Peterson@braincutter·
6F flow radial flow diversion is just painful Here radial is 2mm, too small to jam 088 in sheathless Need 6F guide instead ➡️ no 058 Navien, only phenom plus fits which just isn’t enough. Here I have it to M1 & still can’t get pipe up➡️femoral😡 #RadialFirst #NeedBetterTools
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