RCIS case studies
RCIS · Put your knowledge to work in context.
The Registered Cardiovascular Invasive Specialist (RCIS) is a credential offered by Cardiovascular Credentialing International (CCI), a credentialing body for cardiovascular professionals. The RCIS designation is aimed at practitioners who work in the cardiac catheterization laboratory and other invasive cardiovascular settings, where they support diagnostic and interventional procedures, hemodynamic monitoring, and patient care before, during, and after cases. The RCIS case studies are 5 cases and about 2,591 words.
1Pressure Damping During PCI in a Patient With Aortic Stenosis
A 74-year-old man with severe aortic stenosis (valve area 0.8 cm², mean gradient 42 mmHg) is undergoing PCI of the LAD. A 6F femoral approach is used with a fluid-filled catheter connected to a transducer via a 180-cm line with two stopcocks and no continuous flush.
533 words, about 3 min2Right Heart Catheterization With a Wedge Pressure That Does Not Match the Image
A 61-year-old woman with dyspnea and a history of heart failure with preserved ejection fraction is in the cath lab for right heart catheterization. A 7F Swan-Ganz catheter is advanced from the right IJ.
570 words, about 3 min3Radial Access, Spasm, and a Rising Sheath in a Small Woman
A 58-year-old woman (height 152 cm, weight 52 kg) undergoes coronary angiography via right radial access. A 6F sheath is placed with difficulty; the radial artery is small and tortuous.
499 words, about 2 min4Contrast Volume and Renal Risk in a Patient With CKD and a Borderline Ejection Fraction
A 70-year-old man with chronic kidney disease (eGFR 28 mL/min/1.73 m²) and an ejection fraction of 35% is scheduled for coronary angiography and possible PCI. He weighs 95 kg and has a history of heart failure.
517 words, about 3 min5Fluoroscopy Time, Patient Dose, and Staff Protection During a Complex Intervention
A 68-year-old man (BMI 34) is undergoing a complex, calcified LAD PCI via femoral access. The procedure is prolonged, with multiple cine runs and steep LAO cranial views.
472 words, about 2 min