Catheters & Wires
What is the name for a balloon angiographic catheter?
Berman
What's the difference between a paed and a low profile sheath?
Internal diameter
Define Radiopaque. What colour is it on an angio?
A substance or structure blocks or absorbs X-rays and other forms of radiation. Because the rays cannot pass through to hit the imaging plate, these objects show up as dark grey or black on angio and fluoro.
Which side of the heart is the tricuspid valve?
Right
Where can a septostomy be performed?
Cath Lab or ICU
What is the shortest wire in the cath lab?
Arrow wire 25cm
also accept the mak wire 43cm
True or False, Geoff’s preferred sheath is a low profile sheath?
False!
What is the function of the 3 main coronary arteries? Please name the branches
To supply the heart with oxygenated blood.
RCA- Right Coronary Artery
LAD- Left Anterior Descending Artery
Cx- Circumflex Artery
Where are the 2 emergency buzzers in the lab?
By the computer near the scrub sink, on the pendant near anaesthetics,
What catheter is used in a septostomy?
Z-6
When talking about a wire as an 0.014, 0.018, 0.035 etc.
What is the unit of measurement and what is it refering to?
Inches and the diameter of the wire
What is the minimum fr sheath size to be able to use a Mynx closure device?
5Fr
Define Pulmonary Hypotension, including 2 symptoms
a type of high blood pressure that affects the arteries in the lungs and the right side of the heart.
Symptoms include- SOB, Chest Pain, Lower limb swelling and fatigue
Where are the Perfusionists located?
Between Th 11 and 12, accessible from the corridor
What imaging is used during a Septostomy?
Ultrasound and if in the Cath Lab xray.
Please Spell
Wholey Wire
What 3 pieces of equipment would you require to 'go fishing'?
Snare, a long sheath and a judkins catheter
Define Fontan procedure.
The final procedure for hypoplastic left heart pt’s. Connects the inferior vena cava to the pulmonary artery thus completing the circuit so that all deoxygenated blood from the entire body flows directly into the lungs, entirely bypassing the right side of the heart.
Where are spare defib patches kept? And why are ours special?
The cupboard by the door on the left.
They are radiolucent.
What size sheaths are stocked in the septostomy trolley?
6fr and 7fr. Paediatric and Low Profile
Which catheters have balloons made of Latex?
Berman, Balloon Wedge. 6fr Swan Gainz
What is the largest sheath we stock?
Gore 26fr 65cm.
Define and give an example of a compliant Balloon.
Compliant balloons are made from highly elastic materials giving them a flexible and adaptive nature. These balloons expand proportionally as pressure is applied, allowing them to conform to the unique contours of the vessel or anatomical structure being treated. eg-Crystal Balloon
Where are the bailout stents kept?
At the bottom of the cupboard with the balloons.
Who's responsibility is it to check the septostomy trolley?
Everyones!