Brachytherapy: Difference between revisions

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=== Checklist for Coronary Brachytherapy (IVBT) ===
[http://wikipedia.com/wiki/brachytherapy Brachytherapy] utilizes a sealed-source beta emitter placed in a coronary artery to treat persistent in-stent restenosis. Expect multiple complex PCI techniques to be employed: Laser, [[OCT]], [[Shockwave]], and [[Rotablator]] are common elements of this procedure.


==== Scheduling: ====
===DRAFT===
 
===Checklist for Coronary Brachytherapy (IVBT)===
 
====Scheduling:====
1. Ensure Dr. Benjamin Romick or Dr. David Daniels availability
1. Ensure Dr. Benjamin Romick or Dr. David Daniels availability
* Fridays preferred dates
 
*Fridays preferred dates




2. Coordinate with Radiation Oncology:  Radiation oncologist will then coordinate with Physics team
2. Coordinate with Radiation Oncology:  Radiation oncologist will then coordinate with Physics team
* John Lee, MD – Director of Radiation Oncology
** Mobile 415-307-1811
** Email LeeJY@sutterhealth.org


* Roy Abendroth, MD – Radiation Oncologist
*John Lee, MD – Director of Radiation Oncology
** Mobile 510-693-9885
**Mobile: [[Tel:415-307-1811|415-307-1811]]
** Email AbendR@sutterhealth.org
**Email: LeeJY@sutterhealth.org
**7.5 glove size
 
*Roy Abendroth, MD – Radiation Oncologist
**Mobile: [[Tel:510-693-9885|510-693-9885]]
**Email: AbendR@sutterhealth.org




3. Coordinate with Best Vascular representative (Craig Reed 1st contact)
3. Coordinate with Best Vascular representative (Craig Reed 1st contact)


* Craig Reed – Best Vascular
*Craig Reed – Best Vascular
** Mobile 470-514-6788
**Mobile: [[Tel:470-514-6788|470-514-6788]]
** Email creed@teambest.com
**Email: creed@teambest.com
 
*Chris Sherman
**Mobile: [[Tel:770-329-1696|770-329-1696]]


* Chris Sherman
** Mobile 770-329-1696
  ''Attendance of the Beta Cath rep for cases is optional, though preferable''
  ''Attendance of the Beta Cath rep for cases is optional, though preferable''




4. Reserve use of OCT & Contact Abbott/St. Jude Vascular Rep (optional)
4. Reserve use of OCT & Contact Abbott/St. Jude Vascular Rep (optional)
* Quinten Beckmann
 
**Mobile 415-271-9476
*Quinten Beckmann
**Email Quinten.beckmann@abbottvascular.com
**Mobile: [[Tel:415-271-9476|415-271-9476]]
**Email: Quinten.beckmann@abbottvascular.com




5. Reserve the Spectranetics Laser generator for all IVBT cases
5. Reserve the Spectranetics Laser generator for all IVBT cases
  ‘’Coordinate with EP to avoid conflict with lead extraction days’’
  ''Coordinate with EP to avoid conflict with lead extraction days''


6. Shockwave lithotripsy device (selected cases) – contact Shockwave Rep
6. Shockwave lithotripsy device (selected cases) – contact Shockwave Rep
*Joe Narcisse
*Joe Narcisse
**Mobile 925-548-3666
**Mobile: [[Tel:925-548-3666|925-548-3666]]




7. Ensure prior authorization achieved on outpatients
7. Ensure prior authorization achieved on outpatients


===Equipment List for Procedure (assess inventory week of procedure)===


Equipment List for Procedure (assess inventory week of procedure)
{{Protip|Ensure SyncVision is on and in device detection mode!}}
 
8. Routine PCI equipment (> 6 Fr guides; 0.014 Coronary guidewires; NC balloons; IVUS)
 
9. Guideliners (7&8 Fr – Beta Rail will not deliver through 6 Fr Guideliner)
 
10. Novoste Beta Rail (blue box in CCL 1 & 6)
 
11. Spectranetic ELCA Vitresse RX 0.9 mm; 1.4mm & 1.7 mm catheters
 
12. Dragonfly OCT catheters


13. 3.5 x 40mm & 4.0 x 40mm Shockwave balloons
[[File:Brachytherapy.jpg|thumb|150px|right|Brachytherapy Mayo Setup|link={{filepath:Brachytherapy.jpg}}]]


14. Atherectomy devices – Roto Pro burrs various sizes; CSI Diamondback
*Routine PCI equipment (> 6 Fr guides; 0.014 Coronary guidewires; NC balloons; IVUS)
*Guideliners (7&8 Fr – Beta Rail will not deliver through 6 Fr Guideliner)
*Novoste Beta Rail (blue box in CCL 1 & 6)
**Includes syringes and sterile bag
*Share bowl from pack or open a TAVR bowl
*3/4 drape for mayo stand
*Spectranetic ELCA Vitresse RX 0.9 mm; 1.4mm & 1.7 mm catheters
*Dragonfly OCT catheters
*3.5 x 40mm & 4.0 x 40mm Shockwave balloons
*Atherectomy devices – Roto Pro burrs various sizes; CSI Diamondback
*High pressure indeflator to 30 atm (the default Abbott indeflator)
*'''Sterile Water''' for Beta Rail Delivery Catheter


15. High pressure indeflator to 30 atm (the default Abbott indeflator)
<br />
Approved: MD Name MM/YY
<hr />
[[Category:Procedures]]

Latest revision as of 22:11, 26 October 2022

Brachytherapy utilizes a sealed-source beta emitter placed in a coronary artery to treat persistent in-stent restenosis. Expect multiple complex PCI techniques to be employed: Laser, OCT, Shockwave, and Rotablator are common elements of this procedure.

DRAFT

Checklist for Coronary Brachytherapy (IVBT)

Scheduling:

1. Ensure Dr. Benjamin Romick or Dr. David Daniels availability

  • Fridays preferred dates


2. Coordinate with Radiation Oncology:  Radiation oncologist will then coordinate with Physics team

  • John Lee, MD – Director of Radiation Oncology
    • Mobile: [[1]]
    • Email: LeeJY@sutterhealth.org
    • 7.5 glove size
  • Roy Abendroth, MD – Radiation Oncologist
    • Mobile: [[2]]
    • Email: AbendR@sutterhealth.org


3. Coordinate with Best Vascular representative (Craig Reed 1st contact)

  • Craig Reed – Best Vascular
    • Mobile: [[3]]
    • Email: creed@teambest.com
  • Chris Sherman 
Attendance of the Beta Cath rep for cases is optional, though preferable


4. Reserve use of OCT & Contact Abbott/St. Jude Vascular Rep (optional)

  • Quinten Beckmann
    • Mobile: [[5]]
    • Email: Quinten.beckmann@abbottvascular.com


5. Reserve the Spectranetics Laser generator for all IVBT cases 

Coordinate with EP to avoid conflict with lead extraction days

6. Shockwave lithotripsy device (selected cases) – contact Shockwave Rep

  • Joe Narcisse


7. Ensure prior authorization achieved on outpatients

Equipment List for Procedure (assess inventory week of procedure)

Note Protip: Ensure SyncVision is on and in device detection mode!

Brachytherapy Mayo Setup
  • Routine PCI equipment (> 6 Fr guides; 0.014 Coronary guidewires; NC balloons; IVUS)
  • Guideliners (7&8 Fr – Beta Rail will not deliver through 6 Fr Guideliner)
  • Novoste Beta Rail (blue box in CCL 1 & 6)
    • Includes syringes and sterile bag
  • Share bowl from pack or open a TAVR bowl
  • 3/4 drape for mayo stand
  • Spectranetic ELCA Vitresse RX 0.9 mm; 1.4mm & 1.7 mm catheters
  • Dragonfly OCT catheters
  • 3.5 x 40mm & 4.0 x 40mm Shockwave balloons
  • Atherectomy devices – Roto Pro burrs various sizes; CSI Diamondback
  • High pressure indeflator to 30 atm (the default Abbott indeflator)
  • Sterile Water for Beta Rail Delivery Catheter


Approved: MD Name MM/YY

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