Brachytherapy: Difference between revisions
From Bay Area Structural Heart Wiki
No edit summary |
No edit summary |
||
| (7 intermediate revisions by 2 users not shown) | |||
| Line 1: | Line 1: | ||
[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. | |||
===DRAFT=== | ===DRAFT=== | ||
| Line 12: | Line 14: | ||
*John Lee, MD – Director of Radiation Oncology | *John Lee, MD – Director of Radiation Oncology | ||
**Mobile: 415-307-1811 | **Mobile: [[Tel:415-307-1811|415-307-1811]] | ||
**Email: LeeJY@sutterhealth.org | **Email: LeeJY@sutterhealth.org | ||
**7.5 glove size | |||
*Roy Abendroth, MD – Radiation Oncologist | *Roy Abendroth, MD – Radiation Oncologist | ||
**Mobile: 510-693-9885 | **Mobile: [[Tel:510-693-9885|510-693-9885]] | ||
**Email: AbendR@sutterhealth.org | **Email: AbendR@sutterhealth.org | ||
| Line 23: | Line 26: | ||
*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 | *Chris Sherman | ||
**Mobile: 770-329-1696 | **Mobile: [[Tel:770-329-1696|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'' | ||
| Line 35: | Line 38: | ||
*Quinten Beckmann | *Quinten Beckmann | ||
**Mobile: 415-271-9476 | **Mobile: [[Tel:415-271-9476|415-271-9476]] | ||
**Email: Quinten.beckmann@abbottvascular.com | **Email: Quinten.beckmann@abbottvascular.com | ||
| Line 45: | Line 48: | ||
*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)=== | |||
{{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 | ||
| Line 61: | Line 70: | ||
*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 /> | <br /> | ||
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
- Mobile: [[4]]
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
- Mobile: [[6]]
7. Ensure prior authorization achieved on outpatients
Equipment List for Procedure (assess inventory week of procedure)
Protip: Ensure SyncVision is on and in device detection mode!
- 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
