Cardiomems: Difference between revisions
From Bay Area Structural Heart Wiki
No edit summary |
|||
| Line 14: | Line 14: | ||
*2-port Pressure manifold | *2-port Pressure manifold | ||
*~20cc contrast | *~20cc contrast | ||
*Glowtape (Usually behind room 6) | |||
===Standby=== | ===Standby=== | ||
| Line 23: | Line 24: | ||
*75 Amplatz is in IR | *75 Amplatz is in IR | ||
#Place Glowtape under patient, slightly left of spine, mid chest | |||
#Right groin access with micropuncture and ultrasound | #Right groin access with micropuncture and ultrasound | ||
#Amplatz wire inserted in micropuncture sheath | #Amplatz wire inserted in micropuncture sheath | ||
| Line 29: | Line 31: | ||
#Swan inserted for full Right Heart Cath (.025 wire used if needed to get to PA) | #Swan inserted for full Right Heart Cath (.025 wire used if needed to get to PA) | ||
#Dr. Herr prefers Left PA for the device | #Dr. Herr prefers Left PA for the device | ||
#Pulmonary Arteriogram for anatomy and placement planning | #Pulmonary Arteriogram for anatomy and placement planning(Glowtape provides reference point) | ||
#Open device, flush wire lumen, and whisk in saline for 10-30 seconds | |||
#Insert device and advance to PA | |||
#Device is deployed, delivery system removed, Steelcore pulled back to common PA | |||
#Swan advanced over steelcore to right PA for calibration numbers | |||
#Cardiomems calibrated | |||
#Sheath pulled manual pressure only. | |||
[[Category:Procedures]] | |||
Revision as of 15:48, 11 December 2019
The Cardiomems device is used to passively monitor Pulmonary Artery pressures.
Dr. Herr
Open
- US probe cover
- Micropuncture
- 75cm or 180 cm Amplatz Super Stiff
- 7fr. And 9fr. dilators
- 12fr. FastCath sheath
- 7fr. TD swan
- .025 wire
- Steelcore
- 2-port Pressure manifold
- ~20cc contrast
- Glowtape (Usually behind room 6)
Standby
- Cardiomems Device
Procedure
- No need for contrast manifold, Dr. Herr prefers to inject with a syringe
- 75 Amplatz is in IR
- Place Glowtape under patient, slightly left of spine, mid chest
- Right groin access with micropuncture and ultrasound
- Amplatz wire inserted in micropuncture sheath
- 7 and 9 French dilators
- 12 French Fast Cath
- Swan inserted for full Right Heart Cath (.025 wire used if needed to get to PA)
- Dr. Herr prefers Left PA for the device
- Pulmonary Arteriogram for anatomy and placement planning(Glowtape provides reference point)
- Open device, flush wire lumen, and whisk in saline for 10-30 seconds
- Insert device and advance to PA
- Device is deployed, delivery system removed, Steelcore pulled back to common PA
- Swan advanced over steelcore to right PA for calibration numbers
- Cardiomems calibrated
- Sheath pulled manual pressure only.
