Dosimetry and Treatment

From Bay Area Structural Heart Wiki

Note Warning: CONFIRM WITH PHYSICIAN REGARDING CATHETERS, USE OF INJECTOR

  • Injector set up 100% contrast for Dr Olorunsola. The rest of the MD’s are 50/50 Concentration
  • 100% Contrast (hand injection) unless the Physician states otherwise.
  • Heparinized Saline 1000 ml

Supplies

  • ¾ sheet (floor covering)
  • Shoe covers for all staff

Open onto table

  • Angio pack
  • Gloves
  • Fluoro drape
  • U/S Probe cover
  • Turtle shell cover
  • 5Fr x 11cm sheath
  • 3-way stopcock
  • Tuohy
  • 12” extension tubing
  • 3cc Blue Medallion syringe
  • (2) 3cc Green or Purple Medallion syringe for contrast
  • 3J x 145cm guidewire
  • Glide wire 180cm
  • Torque Device (if needed)
  • Fathom Guidewire
  • One way or blue cap for end of tuohy
  • (2) 12cc syringe
  • ¾ sheet (for table)

Mayo stand for Administration set

  • Therasphere Equipment box (storage room)
  • Therasphere administration set
  • Saline 250ml
  • Sterile Gloves
  • Towels
  • 4x4 gauze
  • Suture removal kit
  • Small tegaderm
  • Alcohol wipes

Administration Set Priming

  1. Open the Administration Set
  2. Connect the non-vented spike to the saline, and hang saline on hook
  3. Connect the vented spike (near label “A”) to the empty glass vial
  4. Remove the red rubber cap, keeping the needle injector tip sterile
  5. Prime the Administration Set tubing and syringe with saline. You will see 2 streams of saline flowing continuously from the needle injector holes
  6. Continue priming until bubbles are removed and saline flows continuously out of both needle holes of the injector
  7. After priming, red rubber cap may be reinstalled to keep the tip sterile
  8. Fill the syringe when priming is complete


Bronzo

  • SOS2 80cm catheter
  • STC Straight Microcatheter
  • Hummingbird technique (Insertion tool attach to 20cc Hep saline syringe)
  • Starclose (ask)


Dare

  • Cobra2 75cm catheter
  • Hi-Flo Microcatheter
  • 12” extension tubing
  • 3-way stopcock
  • Closure device (ask)


Raj

  • Flow switch
  • Shape guidewire himself
  • Hummingbird technique (cut micro puncture dilator and attach to 20cc Hep saline syringe)
  • Bentson wire
  • Mynx


Brittany

  • Always set up injector
  • Starclose
  • Tuohy
  • C2 catheter
  • Renegade Hi Flo
  • Fathom wire
  • Extra Prep stick
  • New gloves for closure


Evan

  • Micropuncture kit (Cook)


Samir

Lynne

  • Flow switch
  • Bentson guidewire
  • C2 catheter
  • 2.4Fr Microcatheter
  • Synchro Soft guidewire 215cm
  • 2.0Fr True Select & Synchro Soft guidewire – FOR TREATMENT
  • Hummingbird technique (cut micro puncture dilator and attach to 20cc Hep saline syringe)
  • RADPAD
  • Extra Prep stick
  • Mynx

Standby

SOS2 catheter


IRProcedures