Not all vascular closure devices are created equal—and this conversation proves it. Dr. Kenneth Rosenfield joins Blue Collar ICs for an honest discussion on femoral access, radial access, carotid stenting, and what really works in the cath lab.

Fresh off receiving the TCT Lifetime Achievement Award, Dr. Kenneth Rosenfield joins Jordy Colada, Dr. Bill Dixon, Dr. Brian Brown, Todd Flor, and special guest David Gunther for an unfiltered conversation about vascular closure. The discussion covers real-world experience with femoral versus radial access, carotid artery stenting, Shockwave IVL, CELT Closure, Perclose, Angio-Seal, manual compression, large-bore access, and why operator experience still matters more than marketing.

Whether you're an interventional cardiologist, vascular specialist, cath lab professional, fellow, or simply interested in modern cardiovascular medicine, this episode delivers practical insights from physicians performing these procedures every day.

Topics include:

• Carotid stenting techniques

• NeuroGuard system

• Shockwave IVL for carotid disease

• Femoral vs radial access

• Snuffbox radial access

• Vascular closure devices compared

• CELT vs Perclose vs Angio-Seal

• Manual compression techniques

• Large bore access and Impella closure

• Cath lab workflow and efficiency

If you enjoy real conversations from physicians doing the work every day, subscribe to Blue Collar ICs, leave a review, and share this episode with your cath lab team.

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The Blue Collar ICs crew takes on one of the hottest debates in cardiology: should every PCI be guided by intracoronary imaging?

From IVUS and OCT to AI-assisted decision making, the team discusses where imaging helps, where it doesn't, and whether operator experience still matters most.

This episode opens with reflections from NCVH in New Orleans, where the team discusses the conference's impact, live case demonstrations, and the relationships that continue to shape interventional cardiology. Guest Dr. Aaron Gopal joins the conversation, sharing how training under Dr. Craig Walker and working alongside Dr. Brian Brown influenced his approach to patient care.

The discussion then shifts into a deep dive on intracoronary imaging, specifically IVUS and OCT. The panel examines how different generations of operators were trained, how imaging has evolved over time, and whether routine use truly leads to better outcomes. The debate highlights the tension between evidence-based medicine, operator experience, and industry influence.

The conversation expands into AI-assisted imaging, coronary physiology, pressure-wire assessment, and the future of PCI. The group explores whether modern technology is improving clinical decision-making or creating dependence that could weaken future physician training. As always, the discussion remains candid, practical, and grounded in real-world experience.

Hosted on Acast. See acast.com/privacy for more information.

In this episode of Blue Collar ICs, the conversation shifts from the cath lab to the journey that creates physicians in the first place.

From handwritten medical school applications and 36-hour call shifts to Zoom interviews, gap years, and pass/fail boards, the crew compares what medical education looked like decades ago versus today.

Joined by future physician Eva, family medicine resident Dr. Ann Marie Brown, and veteran cardiologists Dr. Bill Dixon and Dr. Brian Brown, the discussion explores how training, expectations, and physician culture have evolved across generations.

The episode dives into:

• The reality of residency work hours
• Whether today’s training is better or softer
• How difficult it’s become to get into medical school
• The rise of gap years and application pressure
• Burnout, sacrifice, and continuity of care
• Why medicine is still ultimately about passion and purpose
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It’s a candid, funny, and surprisingly personal conversation about the making of a doctor—and whether the system is preparing the next generation the right way.

Hosted on Acast. See acast.com/privacy for more information.