Cardiomems: Difference between revisions

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The Cardiomems device is used to passively monitor Pulmonary Artery pressures.
The Cardiomems device is used to passively monitor Pulmonary Artery pressures.
====Procedure type in McKesson: (33289) IMPL WRLS PA PRESSURE SENSOR====
*Under Diagnostic heart cath.
===Reps===
*Dan Kivelson 925 787-5551
*Robert Tubbs 669 232-4527




==Dr. Herr==
==Dr. Herr==
===Open===
===Open===
*US probe cover
*US probe cover
*Micropuncture
*Micropuncture
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*7fr. TD swan
*7fr. TD swan
*.025 wire
*.025 wire
*Steelcore
*.018 x 300 Steelcore
*2-port Pressure manifold
*2-port Pressure manifold
*~20cc contrast
*~20cc contrast
*Glowtape (Usually behind room 6)
*Glowtape (Usually behind room 6)
{{Warn| The glowtape expired, so it has been removed from the sterile packaging, and lives on the shelf in Room 6 above the CardioMems devices. Sterility not needed, Place behind the back as usual.}}


===Standby===
===Standby===
*Cardiomems Device
*Cardiomems Device




===Procedure===
===Procedure===
*No need for contrast manifold, Dr. Herr prefers to inject with a syringe
*75 Amplatz is in IR


{{Note|No need for contrast manifold, Dr. Herr prefers to inject with a syringe}}
#Place Glowtape under patient, slightly left of spine, mid chest
#Place Glowtape under patient, slightly left of spine, mid chest
#Right groin access with micropuncture and ultrasound
#Right groin access with micropuncture and ultrasound
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#Swan inserted for full Right Heart Cath (.025 wire used if needed to get to PA)
#Swan inserted for full Right Heart Cath (.025 wire used if needed to get to PA)
#Dr. Herr prefers Left PA for the device
#Dr. Herr prefers Left PA for the device
#Pulmonary Arteriogram for anatomy and placement planning(Glowtape provides reference point)
#Pulmonary Arteriogram for anatomy and placement planning (Glowtape provides reference point)
#Open device, flush wire lumen, and whisk in saline for 10-30 seconds
#Open device, flush wire lumen, and whisk in saline for 10-30 seconds
#Insert device and advance to PA
#Insert device and advance to PA

Latest revision as of 15:09, 16 March 2021

The Cardiomems device is used to passively monitor Pulmonary Artery pressures.


Procedure type in McKesson: (33289) IMPL WRLS PA PRESSURE SENSOR

  • Under Diagnostic heart cath.

Reps

  • Dan Kivelson 925 787-5551
  • Robert Tubbs 669 232-4527


Dr. Herr

Open

  • US probe cover
  • Micropuncture
  • 75cm or 180 cm Amplatz Super Stiff
  • 7fr. And 9fr. dilators
  • 12fr. FastCath sheath
  • 7fr. TD swan
  • .025 wire
  • .018 x 300 Steelcore
  • 2-port Pressure manifold
  • ~20cc contrast
  • Glowtape (Usually behind room 6)

Note Warning: The glowtape expired, so it has been removed from the sterile packaging, and lives on the shelf in Room 6 above the CardioMems devices. Sterility not needed, Place behind the back as usual.

Standby

  • Cardiomems Device


Procedure

Note Note: No need for contrast manifold, Dr. Herr prefers to inject with a syringe

  1. Place Glowtape under patient, slightly left of spine, mid chest
  2. Right groin access with micropuncture and ultrasound
  3. Amplatz wire inserted in micropuncture sheath
  4. 7 and 9 French dilators
  5. 12 French Fast Cath
  6. Swan inserted for full Right Heart Cath (.025 wire used if needed to get to PA)
  7. Dr. Herr prefers Left PA for the device
  8. Pulmonary Arteriogram for anatomy and placement planning (Glowtape provides reference point)
  9. Open device, flush wire lumen, and whisk in saline for 10-30 seconds
  10. Insert device and advance to PA
  11. Device is deployed, delivery system removed, Steelcore pulled back to common PA
  12. Swan advanced over steelcore to right PA for calibration numbers
  13. Cardiomems calibrated
  14. Sheath pulled manual pressure only.