David Daniels M.D.

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

---