David Daniels M.D.: Difference between revisions

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{{Cardiologist
|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,  6Fr JL4 / JR4
|Closure Device=Perclose
|Right Heart Setup=Manifold, 6fr wedge cath, 5/6 slender angiocath, .035 wire, RN to put brachial IV in, Biopsy - Jaws ALWAYS
|Phone Number=1-415-385-9243
}}
==Notes:==


==Physician Name==
{{Protip|CHECK DD's PROCEDURAL PLAN IN H&P FOR SUPPLIES}}
 
 
{| class="wikitable"
===LHC for Renal Transplant===
|-
====See [[Pre-Kidney Heart Cath]]====
!Contact
*Femoral access
|
*U/S probe cover
*Phone Number
*Micropuncture
*Pager Number
*6frx10cm Pinnacle sheath
|-
*6fr. JL4 guide
!Glove Size
*6fr. JR4 guide
|
:7.5 Ortho
|-
!Micropuncture/US
|
*Micro/US for Arterial
*Big needle for venous
|-
!Radial Setup
|
:Same as PH
|-
!Radial Cocktail
|
*200 NTG
*2.5 Verapamil
*60u/Kg Heparin
|-
!Groin Setup
|
:Standard
|-
!Interventional Setup
|
*Runthrough
*Runthrough
|-
*Co-Pilot
!Closure Device
*Wire introducer
|
*.035x150 J
:Perclose
*Perclose
|-
*ACIST setup
!Right Heart Setup
*Biplane
|
{{Protip|Make sure arms and armboards are tucked-in as much as possible!}}
:Not likely
====Sequence====
|-
#Access with Micropuncture and U/s.
#JL4 - trade out J-wire for Runthrough.
#Isocenter
#He will use Runthrough to confirm engagement.
#4 for 6 on the ACIST, once he fills the guide note the contrast count. This is zero.
#Biplane to RAO/Cranial and LAO/Caudal
#Take the shot
#Exchange L4 for R4
#2 for 3 on the ACIST
#Same as Left for engagement and contrast.
#Perclose


|}
===CTO===
*Preclose
*8fr. x 45 Brite Tip sheath
*Assume bilateral groins
*ACIST and 3-port manifold
*Watchdogs


*Retrograde channel on McKesson in red.
==Procedure Prefrences==
*Left groin will have retrograde guide.
*Right groin will have antegrade guide


===TAVR===
===FFR===
*Adenosine IC 10 mcg/ml concentration


*ITEMS TO ALWAYS OPEN
===Post Heart Transplant LHC/IVUS with DD===
*(2) Items in ALL CAPS
*4/5 Glide Sheath
*(quantity) ITEM
*5F JR4 Diagnostic
 
*5F EBU3.5
====Standby====
*Runthrough
 
*IVUS
*STANDBY ITEMS
*GO HERE
 
====Procedure====
 
*Bullet list of typical procedure steps
*More steps
 
Inset alternative steps
or notes
Start line with a space
      More spaces inset more
 
<HR />


===Procedures separated by HR lines===
===R/L Heart for AS ===
*85cm R2P Sheath
*4F pigtail
*(2) 6F Radial sheath


<HR /><HR />
* 6Fr Balloon Wedge


APPROVED: MD initials MM/YY
* (2) manifold transducers (for simultaneous pressures)
*5F TIG for coronary angiography
*Short straight stiff glide wire for valve crossing
*5fr AL1 for valve crossing
*Exchange length J wire


[[Category:Physicians]]
====Sequence====
#Access ultrasound guided vein access if no existing IV
#Standard Radial access
#PA catheter for pressures
#Tig for cors
#Exchange over long wire Tig for R2P sheath
#AL1 and straight stiff glide for valve crossing
#Exchange AL1 for 4fr Pig
===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

Latest revision as of 20:08, 31 December 2025


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
  • 6Fr JL4 / JR4
Closure Device
  • Perclose
Right Heart Setup
  • Manifold
  • 6fr wedge cath
  • 5/6 slender angiocath
  • .035 wire
  • RN to put brachial IV in
  • Biopsy - Jaws ALWAYS
Intervention Setup
Phone Number 1-415-385-9243
Pager Number

Edit this page

Notes:

Note Protip: CHECK DD's PROCEDURAL PLAN IN H&P FOR SUPPLIES

LHC for Renal Transplant

See Pre-Kidney Heart Cath

  • Femoral access
  • U/S probe cover
  • Micropuncture
  • 6frx10cm Pinnacle sheath
  • 6fr. JL4 guide
  • 6fr. JR4 guide
  • Runthrough
  • Co-Pilot
  • Wire introducer
  • .035x150 J
  • Perclose
  • ACIST setup
  • Biplane

Note Protip: Make sure arms and armboards are tucked-in as much as possible!

Sequence

  1. Access with Micropuncture and U/s.
  2. JL4 - trade out J-wire for Runthrough.
  3. Isocenter
  4. He will use Runthrough to confirm engagement.
  5. 4 for 6 on the ACIST, once he fills the guide note the contrast count. This is zero.
  6. Biplane to RAO/Cranial and LAO/Caudal
  7. Take the shot
  8. Exchange L4 for R4
  9. 2 for 3 on the ACIST
  10. Same as Left for engagement and contrast.
  11. Perclose

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

  • 85cm R2P Sheath
  • 4F pigtail
  • (2) 6F Radial sheath
  • 6Fr Balloon Wedge
  • (2) manifold transducers (for simultaneous pressures)
  • 5F TIG for coronary angiography
  • Short straight stiff glide wire for valve crossing
  • 5fr AL1 for valve crossing
  • Exchange length J wire

Sequence

  1. Access ultrasound guided vein access if no existing IV
  2. Standard Radial access
  3. PA catheter for pressures
  4. Tig for cors
  5. Exchange over long wire Tig for R2P sheath
  6. AL1 and straight stiff glide for valve crossing
  7. Exchange AL1 for 4fr Pig

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
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