David Daniels M.D.: Difference between revisions

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*IVUS
*IVUS


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==R/L Heart for AS==
*2x 5/6 slender radial sheaths with angiocath
*2x manifold transducers
*6fr. PA catheter
*5fr. Tig
*Langston catheter
*Short straight stiff glidewire
*5fr AL1
*Exchange length J wire
 
===Sequence===
#Access ultrasound guided vein
#Standard Radial access
#PA catheter for pressures
#Tig for cors
#Exchange over long wire Tig for AL1
#J out for Glidewire
#Cross valve
#Exchange over long wire AL1 for Langston
#Use standard transducers for accuracy, do not use ACIST
 
*Dr. is OK with using a manifold for the case, no ACIST necessary
 
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[[Category:Physicians]]
[[Category:Physicians]]

Revision as of 00:25, 20 February 2020


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
  • JL4 / JR4
Closure Device
  • Perclose
Right Heart Setup
  • Brachial with US
  • 6fr wedge cath
  • 5/6 slender angiocath
  • .035 wire
Intervention Setup
Phone Number 1-415-385-9243
Pager Number

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Notes:

  • FFR : IC 100mcg/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

  • 2x 5/6 slender radial sheaths with angiocath
  • 2x manifold transducers
  • 6fr. PA catheter
  • 5fr. Tig
  • Langston catheter
  • Short straight stiff glidewire
  • 5fr AL1
  • Exchange length J wire

Sequence

  1. Access ultrasound guided vein
  2. Standard Radial access
  3. PA catheter for pressures
  4. Tig for cors
  5. Exchange over long wire Tig for AL1
  6. J out for Glidewire
  7. Cross valve
  8. Exchange over long wire AL1 for Langston
  9. Use standard transducers for accuracy, do not use ACIST
  • Dr. is OK with using a manifold for the case, no ACIST necessary