David Daniels M.D.: Difference between revisions

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* Retrograde channel on McKesson in red.
*Retrograde channel on McKesson in red.
* Left groin will have retrograde guide.
*Left groin will have retrograde guide.
* Right groin will have antegrade guide.
*Right groin will have antegrade guide.




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===R/L Heart for AS===
===R/L Heart for AS===


*1 6/7 slender radial sheath with angiocath, 1 6Fr Pinnacle sheath
*1 6/7 slender radial sheath with angiocath, 1 6 Fr Pinnacle sheath
*2x manifold transducers
*2x manifold transducers
**Dr. is OK with using a manifold for the case, no ACIST necessary
**Dr. is OK with using a manifold for the case, no ACIST necessary
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*5fr. Tig
*5fr. Tig
*Langston catheter 6/7 FR
*Langston catheter 6/7 FR
*Short straight stiff glidewire  
*Short straight stiff glidewire
*5fr AL1
*5fr AL1
*Exchange length J wire
*Exchange length J wire

Revision as of 17:56, 31 August 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
  • 5FR. JL4 / JR4
Closure Device
  • Perclose
Right Heart Setup
  • Manifold
  • Brachial with US
  • 6fr wedge cath
  • 5/6 slender angiocath
  • .035 wire
  • micropuncture
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


  • Retrograde channel on McKesson in red.
  • Left groin will have retrograde guide.
  • Right groin will have antegrade guide.


FFR

  • Adenosine IC 10mcg/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

  • 1 6/7 slender radial sheath with angiocath, 1 6 Fr Pinnacle sheath
  • 2x manifold transducers
    • Dr. is OK with using a manifold for the case, no ACIST necessary
  • 6fr. PA catheter
  • 5fr. Tig
  • Langston catheter 6/7 FR
  • 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