Brachytherapy
Brachytherapy utilizes a sealed-source beta emitter placed in a coronary artery to treat persistent in-stent restenosis. Expect multiple complex PCI techniques to be employed: Laser, OCT, Shockwave, and Rotablator are common elements of this procedure.
DRAFT
Checklist for Coronary Brachytherapy (IVBT)
Scheduling:
1. Ensure Dr. Benjamin Romick or Dr. David Daniels availability
- Fridays preferred dates
2. Coordinate with Radiation Oncology: Radiation oncologist will then coordinate with Physics team
- John Lee, MD – Director of Radiation Oncology
- Mobile: [[1]]
- Email: LeeJY@sutterhealth.org
- 7.5 glove size
- Roy Abendroth, MD – Radiation Oncologist
- Mobile: [[2]]
- Email: AbendR@sutterhealth.org
3. Coordinate with Best Vascular representative (Craig Reed 1st contact)
- Craig Reed – Best Vascular
- Mobile: [[3]]
- Email: creed@teambest.com
- Chris Sherman
- Mobile: [[4]]
Attendance of the Beta Cath rep for cases is optional, though preferable
4. Reserve use of OCT & Contact Abbott/St. Jude Vascular Rep (optional)
- Quinten Beckmann
- Mobile: [[5]]
- Email: Quinten.beckmann@abbottvascular.com
5. Reserve the Spectranetics Laser generator for all IVBT cases
Coordinate with EP to avoid conflict with lead extraction days
6. Shockwave lithotripsy device (selected cases) – contact Shockwave Rep
- Joe Narcisse
- Mobile: [[6]]
7. Ensure prior authorization achieved on outpatients
Equipment List for Procedure (assess inventory week of procedure)
Protip: Ensure SyncVision is on and in device detection mode!
- Routine PCI equipment (> 6 Fr guides; 0.014 Coronary guidewires; NC balloons; IVUS)
- Guideliners (7&8 Fr – Beta Rail will not deliver through 6 Fr Guideliner)
- Novoste Beta Rail (blue box in CCL 1 & 6)
- Includes syringes and sterile bag
- Share bowl from pack or open a TAVR bowl
- 3/4 drape for mayo stand
- Spectranetic ELCA Vitresse RX 0.9 mm; 1.4mm & 1.7 mm catheters
- Dragonfly OCT catheters
- 3.5 x 40mm & 4.0 x 40mm Shockwave balloons
- Atherectomy devices – Roto Pro burrs various sizes; CSI Diamondback
- High pressure indeflator to 30 atm (the default Abbott indeflator)
- Sterile Water for Beta Rail Delivery Catheter
Approved: MD Name MM/YY
