Re: Cath Lab Crisis Playbook by Morton Kern, MD

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Re: Cath Lab Crisis Playbook: A Brief Discussion of What to Do First, Who to Call, and How to Communicate Under Pressure

Hi Mort! 

Great work on the “Cath Lab Crisis Playbook” article.

Two thoughts:

The number four recommendation for coronary perforation may be controversial. I know many operators who strongly advise against reversing heparin — even with a coronary perforation — due to concern about thrombosing whatever equipment is still in the coronary.

Manos [Brilakis] does a great job on his videos. There is also a series of videos on YouTube by Chao-Wei Hwang that are outstanding and incredibly well done. I would say they are a must-view for every interventional fellow — and even an experienced interventionist will learn something!

Thanks as always for all you’re doing for CLD and for those of us still learning from you!

Peter L. Duffy, MD, MMM

Grand Rounds With Morton Kern, MD

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