Every time I am fixing a pseudoaneurysm or AVF caused by someone gaining femoral access without ultrasound, a little piece inside of me dies. It’s like me riding no handed on my bike through a crowd: sure, I probably could pull it off, but it’s 2020, bikes come w/ handlebars now.
Kyle Cooper
3,300 posts
Associate Director of IR and IR/DR Residency Program Director, Loma Linda University (#irad), cat 1 cyclist, husband and father of two. My tweets are my own.
Loma Linda, CA
Joined September 2014
- Excited to announce that I have been selected as the new IR/DR Residency Program Director @LLUMedSchool. @IRDocFuji, you will be missed. Hoping to bring some more @MiamiVasc flavor to the program! Thank you to those that helped foster my career along my journey. @SIRRFS #irad
- When the ECMO team on standby in the room GASP with the first clot haul, vitals return to normal 5 min later, and the CT surgeon says “looks like you don’t need me anymore” you know you’re doing something right. This right heart was on the brink of failure. Another life saved!
- Hot take: there are no uncrossable venous occlusions. Don’t condemn patients to a lifetime of femoral tunneled catheters or debilitating face and arm swelling without referring first to centers with appropriate equipment and experience to get these vessels open. #irad @LLUHealth
- Replying to @KyleCooperMDCommon retort: need to know how to do this in emergency situations like codes! Disagree. Like a glidescope, an ultrasound unit is a must-locate piece of equipment for a code and you are going to get the a line or CVC in much more efficiently with US, especially with BP of 0.
- This is bloody brilliant. Thanks for sharing, awareness is obviously still needed since I’ve never seen or heard about this and I treat fistulas nearly every day.
- New book for aspiring IRs, particularly aimed at the #MedStudent crowd, focusing on clinical care and the “why” of IR. Easily digestible in a four week rotation. @SIRRFS @SIR_ECS #irad #clinical #whitecoat amazon.com/Pocketbook-Cli…
- Jim Benenati was the model of what an IR program director should strive for. He held us to a high standard, he pushed us constantly, he expected the impossible so we became our best selves and delivered amazing care. I am proud to count myself one of his former fellows. Congrats!
- Congratulations to my best friend and bro for life Shantanu Warhadpande for matching at his number one choice for Independent IR Residency - @MCW_VIR! I expect great things from you buddy. Congrats on nabbing this guy @paragpatel_IR 🎉
- Third @InariMedical #ClotTriever case in the last 3 wks. This thing is a game changer. 40ish yo F with worsening severe symptoms after a week of AC - pop access, 4 passes with the device from IVC to knee, PTA and 14mm VICI to tx classic MTS. No ICU stay, no tPA!
- Yesterday began my 2(ish) year journey to get my mouth back to normal. Braces to straighten the teeth out, orthognathic surgery in 8-12 months to re-break and rotate left mandible back into place, then bone grafts (prob 2-3 of those), then implants. Sigh. One day at a time.
- Replying to @KyleCooperMDEven worse when the pseudoaneurysm was caused by trying to gain femoral VEIN access without ultrasound - the equivalent of putting on a blindfold and having your friend stand next to a dartboard and yell in your direction so you know approximately where the bullseye is.
- Publication of sharp recan and #StentGraft reconstruction of surgically resected IVC - hardest but most rewarding case of my career thus far. rdcu.be/MON0 @VIRkhaja @CHICKVIR @medravi @Jordan_Fenlon @SIRspecialists @SIRRFS @SIR_ECS @CVIR_Journal #IRad #NoCavaNoProblem
- Finally, after 14 years, you losers on Grey’s Anatomy mentioned the name of my specialty (you know, the specialty that ACTUALLY does all those sweet image guided procedures you misappropriate to surgery???). Oh well, better late than never!! #InterventionalRadiology #IRAD @SIRRFS
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