David Daniels M.D.: Difference between revisions
From Bay Area Structural Heart Wiki
No edit summary |
(→CTO) |
||
| Line 12: | Line 12: | ||
===CTO=== | ===CTO=== | ||
*Preclose | *Preclose | ||
*8fr. x 45 Brite Tip sheath | *8fr. x 45 Brite Tip sheath | ||
| Line 17: | Line 18: | ||
*ACIST and 3-port manifold | *ACIST and 3-port manifold | ||
*Watchdogs | *Watchdogs | ||
<br /> | |||
* Retrograde channel on McKesson in red. | |||
* Left groin will have retrograde guide. | |||
* Right groin will have antegrade guide. | |||
===FFR=== | ===FFR=== | ||
*Adenosine 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 | ||
| Line 32: | Line 41: | ||
===R/L Heart for AS=== | ===R/L Heart for AS=== | ||
*2x 5/6 slender radial sheaths with angiocath | *2x 5/6 slender radial sheaths with angiocath | ||
*2x manifold transducers | *2x manifold transducers | ||
| Line 44: | Line 54: | ||
====Sequence==== | ====Sequence==== | ||
#Access ultrasound guided vein | #Access ultrasound guided vein | ||
#Standard Radial access | #Standard Radial access | ||
| Line 53: | Line 64: | ||
#Exchange over long wire AL1 for Langston | #Exchange over long wire AL1 for Langston | ||
#Use standard transducers for accuracy, do not use ACIST | #Use standard transducers for accuracy, do not use ACIST | ||
Revision as of 20:06, 4 May 2020
| Glove size | 7 |
|---|---|
| Access |
|
| Radial Setup |
|
| Radial Cocktail |
|
| Groin Setup |
|
| Closure Device |
|
| Right Heart Setup |
|
| Intervention Setup | |
| Phone Number | 1-415-385-9243 |
| Pager Number |
Notes:
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 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
- Dr. is OK with using a manifold for the case, no ACIST necessary
- 6fr. PA catheter
- 5fr. Tig
- 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
