Brachytherapy: Difference between revisions
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[http://wikipedia.com/wiki/brachytherapy Brachytherapy] utilizes a sealed-source beta emitter placed in a coronary artery to treat persistent in-stent restenosis. Expect multiple complex PCI techniques to be employed: Laser, [[OCT]], [[Shockwave]], and [[Rotablator]] are common elements of this procedure. | |||
===DRAFT=== | ===DRAFT=== | ||
=== Checklist for Coronary Brachytherapy (IVBT) === | ===Checklist for Coronary Brachytherapy (IVBT)=== | ||
==== Scheduling: ==== | ====Scheduling:==== | ||
1. Ensure Dr. Benjamin Romick or Dr. David Daniels availability | 1. Ensure Dr. Benjamin Romick or Dr. David Daniels availability | ||
* Fridays preferred dates | |||
*Fridays preferred dates | |||
2. Coordinate with Radiation Oncology: Radiation oncologist will then coordinate with Physics team | 2. Coordinate with Radiation Oncology: Radiation oncologist will then coordinate with Physics team | ||
* Roy Abendroth, MD – Radiation Oncologist | *John Lee, MD – Director of Radiation Oncology | ||
** Mobile 510-693-9885 | **Mobile: [[Tel:415-307-1811|415-307-1811]] | ||
** Email AbendR@sutterhealth.org | **Email: LeeJY@sutterhealth.org | ||
**7.5 glove size | |||
*Roy Abendroth, MD – Radiation Oncologist | |||
**Mobile: [[Tel:510-693-9885|510-693-9885]] | |||
**Email: AbendR@sutterhealth.org | |||
3. Coordinate with Best Vascular representative (Craig Reed 1st contact) | 3. Coordinate with Best Vascular representative (Craig Reed 1st contact) | ||
* Craig Reed – Best Vascular | *Craig Reed – Best Vascular | ||
** Mobile 470-514-6788 | **Mobile: [[Tel:470-514-6788|470-514-6788]] | ||
** Email creed@teambest.com | **Email: creed@teambest.com | ||
*Chris Sherman | |||
**Mobile: [[Tel:770-329-1696|770-329-1696]] | |||
''Attendance of the Beta Cath rep for cases is optional, though preferable'' | ''Attendance of the Beta Cath rep for cases is optional, though preferable'' | ||
4. Reserve use of OCT & Contact Abbott/St. Jude Vascular Rep (optional) | 4. Reserve use of OCT & Contact Abbott/St. Jude Vascular Rep (optional) | ||
* Quinten Beckmann | |||
**Mobile 415-271-9476 | *Quinten Beckmann | ||
**Email Quinten.beckmann@abbottvascular.com | **Mobile: [[Tel:415-271-9476|415-271-9476]] | ||
**Email: Quinten.beckmann@abbottvascular.com | |||
| Line 39: | Line 46: | ||
6. Shockwave lithotripsy device (selected cases) – contact Shockwave Rep | 6. Shockwave lithotripsy device (selected cases) – contact Shockwave Rep | ||
*Joe Narcisse | *Joe Narcisse | ||
**Mobile 925-548-3666 | **Mobile: [[Tel:925-548-3666|925-548-3666]] | ||
7. Ensure prior authorization achieved on outpatients | 7. Ensure prior authorization achieved on outpatients | ||
===Equipment List for Procedure (assess inventory week of procedure)=== | |||
{{Protip|Ensure SyncVision is on and in device detection mode!}} | |||
= | [[File:Brachytherapy.jpg|thumb|150px|right|Brachytherapy Mayo Setup|link={{filepath:Brachytherapy.jpg}}]] | ||
*Routine PCI equipment (> 6 Fr guides; 0.014 Coronary guidewires; NC balloons; IVUS) | *Routine PCI equipment (> 6 Fr guides; 0.014 Coronary guidewires; NC balloons; IVUS) | ||
*Guideliners (7&8 Fr – Beta Rail will not deliver through 6 Fr Guideliner) | *Guideliners (7&8 Fr – Beta Rail will not deliver through 6 Fr Guideliner) | ||
*Novoste Beta Rail (blue box in CCL 1 & 6) | *Novoste Beta Rail (blue box in CCL 1 & 6) | ||
**Includes syringes and sterile bag | |||
*Share bowl from pack or open a TAVR bowl | |||
*3/4 drape for mayo stand | |||
*Spectranetic ELCA Vitresse RX 0.9 mm; 1.4mm & 1.7 mm catheters | *Spectranetic ELCA Vitresse RX 0.9 mm; 1.4mm & 1.7 mm catheters | ||
*Dragonfly OCT catheters | *Dragonfly OCT catheters | ||
| Line 56: | Line 70: | ||
*Atherectomy devices – Roto Pro burrs various sizes; CSI Diamondback | *Atherectomy devices – Roto Pro burrs various sizes; CSI Diamondback | ||
*High pressure indeflator to 30 atm (the default Abbott indeflator) | *High pressure indeflator to 30 atm (the default Abbott indeflator) | ||
*'''Sterile Water''' for Beta Rail Delivery Catheter | |||
<br /> | <br /> | ||
Latest revision as of 22:11, 26 October 2022
Brachytherapy utilizes a sealed-source beta emitter placed in a coronary artery to treat persistent in-stent restenosis. Expect multiple complex PCI techniques to be employed: Laser, OCT, Shockwave, and Rotablator are common elements of this procedure.
DRAFT
Checklist for Coronary Brachytherapy (IVBT)
Scheduling:
1. Ensure Dr. Benjamin Romick or Dr. David Daniels availability
- Fridays preferred dates
2. Coordinate with Radiation Oncology: Radiation oncologist will then coordinate with Physics team
- John Lee, MD – Director of Radiation Oncology
- Mobile: [[1]]
- Email: LeeJY@sutterhealth.org
- 7.5 glove size
- Roy Abendroth, MD – Radiation Oncologist
- Mobile: [[2]]
- Email: AbendR@sutterhealth.org
3. Coordinate with Best Vascular representative (Craig Reed 1st contact)
- Craig Reed – Best Vascular
- Mobile: [[3]]
- Email: creed@teambest.com
- Chris Sherman
- Mobile: [[4]]
Attendance of the Beta Cath rep for cases is optional, though preferable
4. Reserve use of OCT & Contact Abbott/St. Jude Vascular Rep (optional)
- Quinten Beckmann
- Mobile: [[5]]
- Email: Quinten.beckmann@abbottvascular.com
5. Reserve the Spectranetics Laser generator for all IVBT cases
Coordinate with EP to avoid conflict with lead extraction days
6. Shockwave lithotripsy device (selected cases) – contact Shockwave Rep
- Joe Narcisse
- Mobile: [[6]]
7. Ensure prior authorization achieved on outpatients
Equipment List for Procedure (assess inventory week of procedure)
Protip: Ensure SyncVision is on and in device detection mode!
- Routine PCI equipment (> 6 Fr guides; 0.014 Coronary guidewires; NC balloons; IVUS)
- Guideliners (7&8 Fr – Beta Rail will not deliver through 6 Fr Guideliner)
- Novoste Beta Rail (blue box in CCL 1 & 6)
- Includes syringes and sterile bag
- Share bowl from pack or open a TAVR bowl
- 3/4 drape for mayo stand
- Spectranetic ELCA Vitresse RX 0.9 mm; 1.4mm & 1.7 mm catheters
- Dragonfly OCT catheters
- 3.5 x 40mm & 4.0 x 40mm Shockwave balloons
- Atherectomy devices – Roto Pro burrs various sizes; CSI Diamondback
- High pressure indeflator to 30 atm (the default Abbott indeflator)
- Sterile Water for Beta Rail Delivery Catheter
Approved: MD Name MM/YY
