David Daniels M.D.: Difference between revisions
From Bay Area Structural Heart Wiki
| Line 42: | Line 42: | ||
===R/L Heart for AS=== | ===R/L Heart for AS=== | ||
*1 | *1 7 Fr slender radial sheath with angiocath, 1 6 Fr Prelude sheath with stiff micropuncture set | ||
*2x manifold transducers | *2x manifold transducers | ||
**Dr. is OK with using a manifold for the case, no ACIST necessary | **Dr. is OK with using a manifold for the case, no ACIST necessary | ||
*6fr. PA catheter | *6fr. PA catheter | ||
*5fr. Tig | *5fr. Tig | ||
*Langston catheter | *Langston catheter 7 FR | ||
*Short straight stiff glidewire | *Short straight stiff glidewire | ||
*5fr AL1 | *5fr AL1 | ||
Revision as of 18:02, 31 August 2020
Notes:
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 10mcg/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
- 1 7 Fr slender radial sheath with angiocath, 1 6 Fr Prelude sheath with stiff micropuncture set
- 2x manifold transducers
- Dr. is OK with using a manifold for the case, no ACIST necessary
- 6fr. PA catheter
- 5fr. Tig
- Langston catheter 7 FR
- 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
