David Daniels M.D.

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	14153859243
Pager Number

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Notes:

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

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