Cardiomems

The Cardiomems device is used to passively monitor Pulmonary Artery pressures.

Procedure type in McKesson: (33289) IMPL WRLS PA PRESSURE SENSOR

• Under Diagnostic heart cath.

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
• .018 x 300 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

1. Place Glowtape under patient, slightly left of spine, mid chest
   • No need to open package. Place under bedding.
2. Right groin access with micropuncture and ultrasound
3. Amplatz wire inserted in micropuncture sheath
4. 7 and 9 French dilators
5. 12 French Fast Cath
6. Swan inserted for full Right Heart Cath (.025 wire used if needed to get to PA)
7. Dr. Herr prefers Left PA for the device
8. Pulmonary Arteriogram for anatomy and placement planning (Glowtape provides reference point)
9. Open device, flush wire lumen, and whisk in saline for 10-30 seconds
10. Insert device and advance to PA
11. Device is deployed, delivery system removed, Steelcore pulled back to common PA
12. Swan advanced over steelcore to right PA for calibration numbers
13. Cardiomems calibrated
14. Sheath pulled manual pressure only.