Rotations

Cath

Rotations · Cath · Clinical Guide

Not the official Cath curriculum, and not a substitute for local protocol or bedside attending judgement. These are the modules the program listed as belonging here. §10 is explicit that diagrams and formulas have to be reviewed by cath faculty before anything on this page can be marked verified.

Vascular access5 areasUnverified

What belongs here

  • Radial and femoral anatomy
  • Ultrasound guidance
  • Micropuncture
  • Complications
  • Closure and hemostasis

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

Coronary anatomy & views4 areasUnverified

What belongs here

  • Normal and variant anatomy
  • Standard angiographic views
  • Vessel overlap and foreshortening
  • Graft anatomy

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

Diagnostic catheters4 areasUnverified

What belongs here

  • Common shapes
  • Selection logic
  • Engagement principles
  • Pressure damping and safety

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

Right heart cath6 areasUnverified

What belongs here

  • Waveforms
  • Zeroing and leveling
  • Pressure sequence
  • Cardiac output
  • Saturation runs
  • Shunts

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

Hemodynamics10 areasUnverified

What belongs here

  • Acquisition — zero and level the transducer correctly
  • Acquisition — RA, RV, PA and PCWP waveforms, and respiratory variation
  • Acquisition — when the wedge is unreliable, and how to troubleshoot it
  • Acquisition — thermodilution versus Fick cardiac output
  • Acquisition — when to obtain saturation runs, and recognising shunts
  • Interpretation — preload, afterload and contractility
  • Interpretation — pulmonary hypertension: the mPAP, PVR and PCWP framework
  • Interpretation — constrictive versus restrictive patterns
  • Interpretation — tamponade and equalization
  • Interpretation — valve gradients and simultaneous pressures

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

Coronary physiology3 areasUnverified

What belongs here

  • FFR and iFR principles
  • Pressure-wire basics
  • Limitations and interpretation

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

Intravascular imaging3 areasUnverified

What belongs here

  • IVUS and OCT indications
  • Basic image interpretation
  • How findings change management

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

Radiation & contrast5 areasUnverified

What belongs here

  • ALARA
  • Dose monitoring
  • Contrast reactions
  • Renal-risk mitigation
  • Contrast minimization

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

Complications8 areasUnverified

What belongs here

  • Access bleeding
  • Perforation
  • Dissection
  • No-reflow
  • Arrhythmia
  • Stroke
  • AKI
  • Vasovagal events

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

Mechanical support3 areasUnverified

What belongs here

  • IABP and Impella concepts
  • Indications
  • What a general fellow should recognize and escalate

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

Structural / peripheral exposure3 areasUnverified

What belongs here

  • TAVR and MitraClip observation expectations
  • Peripheral angiography principles
  • Appropriate use

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

Post-cath management4 areasUnverified

What belongs here

  • Access-site monitoring
  • Complications
  • Medication changes
  • Discharge and follow-up logic

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

Last updated 2026-09-19 · Program, Cath Work Guide specification, 2026-09-19

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Last updated 2026-09-19 · Program specification