Cardiomems: Difference between revisions
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The Cardiomems device is used to passively monitor Pulmonary Artery pressures. | The Cardiomems device is used to passively monitor Pulmonary Artery pressures. | ||
Procedure type in McKesson: (33289) IMPL WRLS PA PRESSURE SENSOR | |||
==Dr. Herr== | ==Dr. Herr== | ||
===Open=== | ===Open=== | ||
*US probe cover | *US probe cover | ||
*Micropuncture | *Micropuncture | ||
| Line 17: | Line 21: | ||
===Standby=== | ===Standby=== | ||
*Cardiomems Device | *Cardiomems Device | ||
===Procedure=== | ===Procedure=== | ||
*No need for contrast manifold, Dr. Herr prefers to inject with a syringe | *No need for contrast manifold, Dr. Herr prefers to inject with a syringe | ||
*75 Amplatz is in IR | *75 Amplatz is in IR | ||
| Line 31: | Line 37: | ||
#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(Glowtape provides reference point) | #Pulmonary Arteriogram for anatomy and placement planning (Glowtape provides reference point) | ||
#Open device, flush wire lumen, and whisk in saline for 10-30 seconds | #Open device, flush wire lumen, and whisk in saline for 10-30 seconds | ||
#Insert device and advance to PA | #Insert device and advance to PA | ||
Revision as of 16:25, 17 December 2019
The Cardiomems device is used to passively monitor Pulmonary Artery pressures.
Procedure type in McKesson: (33289) IMPL WRLS PA PRESSURE SENSOR
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.
