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




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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!}}
 
[[File:Brachytherapy.jpg|thumb|150px|right|Brachytherapy Mayo Setup|link={{filepath:Brachytherapy.jpg}}]]


*Routine PCI equipment (> 6 Fr guides; 0.014 Coronary guidewires; NC balloons; IVUS)
*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)
*Guideliners (7&8 Fr – Beta Rail will not deliver through 6 Fr Guideliner)
*Novoste Beta Rail (blue box in CCL 1 & 6)
*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
*Spectranetic ELCA Vitresse RX 0.9 mm; 1.4mm & 1.7 mm catheters
*Dragonfly OCT catheters
*Dragonfly OCT catheters
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*Atherectomy devices – Roto Pro burrs various sizes; CSI Diamondback
*Atherectomy devices – Roto Pro burrs various sizes; CSI Diamondback
*High pressure indeflator to 30 atm (the default Abbott indeflator)
*High pressure indeflator to 30 atm (the default Abbott indeflator)
*'''Sterile Water''' for Beta Rail Delivery Catheter
<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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