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==Notes:== {{Protip|CHECK DD's PROCEDURAL PLAN IN H&P FOR SUPPLIES}} ===LHC for Renal Transplant=== ====See [[Pre-Kidney Heart Cath]]==== *Femoral access *U/S probe cover *Micropuncture *6frx10cm Pinnacle sheath *6fr. JL4 guide *6fr. JR4 guide *Runthrough *Co-Pilot *Wire introducer *.035x150 J *Perclose *ACIST setup *Biplane {{Protip|Make sure arms and armboards are tucked-in as much as possible!}} ====Sequence==== #Access with Micropuncture and U/s. #JL4 - trade out J-wire for Runthrough. #Isocenter #He will use Runthrough to confirm engagement. #4 for 6 on the ACIST, once he fills the guide note the contrast count. This is zero. #Biplane to RAO/Cranial and LAO/Caudal #Take the shot #Exchange L4 for R4 #2 for 3 on the ACIST #Same as Left for engagement and contrast. #Perclose ===CTO=== *Preclose *8fr. x 45 Brite Tip sheath *Assume bilateral groins *ACIST and 3-port manifold *Watchdogs *Retrograde channel on McKesson in red. *Left groin will have retrograde guide. *Right groin will have antegrade guide ===FFR=== *Adenosine IC 10 mcg/ml concentration ===Post Heart Transplant LHC/IVUS with DD=== *4/5 Glide Sheath *5F JR4 Diagnostic *5F EBU3.5 *Runthrough *IVUS ===R/L Heart for AS no Langston=== *Micropuncture *7F 70cm Shuttle Sheath or Ansel 70cm *5F angled pigtail *6F 10cm pinnacle *2x manifold transducers **Dr. is OK with using a manifold for the case, no ACIST necessary *6fr. PA catheter *5F JL4/JR4 *Short straight stiff glidewire for valve crossing *5fr AL1 *Exchange length J wire ===Radial with Eaucath=== *Eaucath *His blue angiocath *Micropuncture set *260 J-wire ====Sequence==== #Access with angiocath #MP wire #MP sheath #Radial drugs #260J-wire #Eaucath ===R/L Heart for AS with Langston=== *2x 5/6 slender radial sheaths with angiocath **(Santa Rosa)1 7 Fr slender radial sheath with angiocath, 1 6 Fr Prelude sheath with stiff micropuncture set *2x manifold transducers **Dr. is OK with using a manifold for the case, no ACIST necessary *6fr. PA catheter *5fr. Tig *7fr. Langston catheter *Short straight stiff glidewire *5fr AL1 *Exchange length J wire ====Sequence==== #Access ultrasound guided vein #Standard Radial access #PA catheter for pressures #Tig for cors #Exchange over long wire Tig for AL1 #J out for Glidewire #Cross valve #Exchange over long wire AL1 for Langston #Use standard transducers for accuracy, do not use ACIST
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