David Daniels M.D.: Difference between revisions

From Bay Area Structural Heart Wiki
(updated AS eval equipment when no Langston)
Line 23: Line 23:
*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




Line 40: Line 40:




===R/L Heart for AS===
===R/L Heart for AS no Langston===
 
*Micropuncture
*7F 90cm Shuttle Sheath
*5F 125cm 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
 
 
 
<br />
===R/L Heart for AS with Langston===


*2x 5/6 slender radial sheaths with angiocath
*2x 5/6 slender radial sheaths with angiocath
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#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
===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


<br /><hr />
<br /><hr />


[[Category:Physicians]]
[[Category:Physicians]]

Revision as of 22:10, 7 December 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 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 90cm Shuttle Sheath
  • 5F 125cm 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

  1. Access with angiocath
  2. MP wire
  3. MP sheath
  4. Radial drugs
  5. 260J-wire
  6. 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

  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


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