David Daniels M.D.: Difference between revisions

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===FFR===
*FFR : IC 100mcg/ml concentration
*Adenosine IC 100mcg/ml concentration


===Post Heart Transplant LHC/IVUS with DD===
===Post Heart Transplant LHC/IVUS with DD===
*4/5 Glide Sheath
*4/5 Glide Sheath
*5F JR4 Diagnostic
*5F JR4 Diagnostic

Revision as of 15:40, 20 April 2020


Glove size 7
Access
  • U/s and micropuncture
Radial Setup
  • 4/5 angiocath dx only
  • 5/6 angiocath pci
  • Tig4
  • 260J
Radial Cocktail
  • 200 mcg NTG
  • 2.5mg Verapamil
  • 60u/kg Heparin
Groin Setup
  • 6fr sheath
  • JL4 / JR4
Closure Device
  • Perclose
Right Heart Setup
  • Brachial with US
  • 6fr wedge cath
  • 5/6 slender angiocath
  • .035 wire
Intervention Setup
Phone Number 1-415-385-9243
Pager Number

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Notes:

CTO

  • Preclose
  • 8fr. x 45 Brite Tip sheath
  • Assume bilateral groins
  • ACIST and 3-port manifold
  • Watchdogs


FFR

  • Adenosine IC 100mcg/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

  • 2x 5/6 slender radial sheaths with angiocath
  • 2x manifold transducers
  • 6fr. PA catheter
  • 5fr. Tig
  • Langston catheter
  • Short straight stiff glidewire
  • 5fr AL1
  • Exchange length J wire

Sequence

  1. Access ultrasound guided vein
  2. Standard Radial access
  3. PA catheter for pressures
  4. Tig for cors
  5. Exchange over long wire Tig for AL1
  6. J out for Glidewire
  7. Cross valve
  8. Exchange over long wire AL1 for Langston
  9. Use standard transducers for accuracy, do not use ACIST
  • Dr. is OK with using a manifold for the case, no ACIST necessary