Patient population includes coronary artery disease, STEMI, cardiogenic shock, complex total occlusions, valvular disease, renal disease, carotid stenosis, limb salvage, peripheral stenosis, thrombosis disease, Impella and LVAD insertions, and other cardiac and peripheral vascular conditions. Work in the Heart and Vascular Institute of a 417-bed Level II Trauma Center, Level II Pediatric Trauma, and Primary Stroke and Chest Pain Center teaching hospital.