Congrats to @DavidTrewern and the team at @fliteboard on their recent acquisition by Brunswick. Ever since I bought my fliteboard 3 years ago, I’ve been telling people it’s the best piece of tech I’ve ever owned. Nothing else even comes close! #efoil instagram.com/reel/CwlVQ0_Mi…

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

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 It seems that now that we have the RIST system that advice is outdated Amazing case #RadialFirst – at Paradise, NV

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 – at Miami Beach, FL

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/2…

Agreed. I don’t have a PhD @JMDaviesMDPhD so there is just only so much insight my primitive brain can muster! – at Miami Beach, FL

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 – at Miami Beach, FL

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 – at Miami Beach, FL

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 – at Miami, FL

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 – at Miami, FL

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 – at Miami, FL

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/2… – at Miami Beach, FL

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 – at Miami, FL

Want a quick summary of everything I’ve learned about doing a radial diagnostic? Here is 3 years of learning condensed into 10 minutes. Enjoy... #RadialFirst jnis.bmj.com/content/early/2… – at Wyoming, USA

Great day combining 3 of my favorite things 1) Neurosurgery 2) Teaching 3) Trading quotes from my mentors with people that know them Aneurysm clipping w/ Kahn while trading @AdamArthurMD stories Followed by carotid stent with Josh while trading @DrMichaelLevitt & LJK stories – at Miami, FL