A privileged rendezvous with experience!
TIPS AND TRICKS SESSION with Jan Gralla
The essentials of SLICE is to be “hands on”… to effectively treat your patient requires the slightest gesture be understood as part of a finely tuned orchestration of clinical movements, gestures and knowledge.
Have you ever wondered what is the difference between a balloon-guided catheter and an aspiration catheter?
Both can block flow, but balloon-guided catheters have much more of an ability to reverse flow than an aspiration catheter, which is where Jan Gralla of the Inselspital, University of Bern, Switzerland begins his tips and tricks session by recommending them…but why does he think they can make a difference?
Learn more as we explore embolic complications in our attempt to recanalize and understand how we prevent embolic events to previously unaffected territory. What are the necessary techniques in terms of balloon catheter placement to ensure a minimum loss of thrombus during aspiration and excellent recanalization? Learn how to employ the “anchor” technique or how to recognize and avoid the “accordion effect”
Beginning with illustrations from actual cases, Jan Gralla moves on to a “silico” model, where he carefully spotlights those tips and tricks that can have an immediate impact on your practice. Questioned by Course Director Vincent Costalat to ensure that every step is clarified, the procedure develops before the live SLICE audience who are invited to ask questions as the silico case develops into a “true bifurcation thrombus”.
• What are the best techniques to prevent perforations?
• Is a blunt tip catheter preferable?
• Where do we pass the thrombus and what is the “bypass effect”?
• What are the best techniques for aspiration?
• When you have a bifurcation occlusion, what is the best strategy to begin the procedure and does choosing one branch over another make a difference?
• How does the clinical situation of the patient impact the strategy?
• Who is in the cathlab during the procedure; what is the role of the neurologist at this point?
Audience questions after the procedure concern further aspects of Jan Gralla’s technique such as advice on using the balloon catheters in the carotid or the the danger of clot fragmentation when the clot is crossed – there is so much more, join us here….