Types of Cath Lab Cases
Types of IR Cases
Coronary Chaos
(CL)
The Art of Occlusion
(IR)
Name That Situation
(IR & CL)
100

This emergent procedure is performed to open an occluded coronary artery during a STEMI.

What is a percutaneous coronary intervention (PCI)?

100

This procedure is performed to relieve urinary obstruction by placing a tube directly into the kidney.

What is a percutaneous nephrostomy?

100

This coronary artery is most commonly responsible for anterior wall MIs.

What is the LAD?

100

This vessel is commonly accessed for uterine fibroid embolization.

What is the uterine artery?

100

Patient complains of warmth and metallic taste right after contrast injection.

What is a normal contrast reaction?

200

This procedure uses intra-coronary imaging to assess plaque morphology and vessel size.

What is IVUS?

200

This procedure restores blood flow in a patient with a pulmonary embolism.

What is a pulmonary thrombectomy?

200

This medication is commonly given during procedures to prevent platelet aggregation.

What is Heparin?

200

This organ is targeted during a TIPS procedure.

What is the liver?

200

Patient becomes acutely short of breath with frothy sputum during procedure.

What is flash/acute pulmonary edema?

300

This procedure is performed to close an abnormal opening between the atria.

What is an ASD or PFO closure?

300

This procedure prevents clots from traveling to the lungs by placing a device in the inferior vena cava.

What is an IVC filter?

300

This index is used to determine the functional significance of coronary lesion(s) during a cath.

What is fractional flow reserve (FFR)?

300

During a GI embolization, this artery is often the culprit in upper GI bleeds.

What is the gastroduodenal artery (GDA)?

300

Wire won't advance and you see contrast outlining a false lumen.

What is a vessel dissection?

400

High-Risk Procedure: This mechanical support involves placing a catheter-based pump in to assist with cardiac output in complex cases, or patients experiencing cardiogenic shock.

What is an Impella?
400

MCA Stroke: This vessel segment classification (M1, M2, etc.) is used to describe the location of middle cerebral artery occlussion.

What is MCA segmentation?

400

This complication involves abrupt closure of a coronary artery due to a teaer in the vessel wall.

What is coronary artery dissection?

400

This shunt connects the portal vein to the hepatic vein in TIPS.

What is a portosystemic shunt?

400

Pressure waveform suddenly becomes dampened during engagement of the left main.

What is catheter-induced dampening/ostial obstruction?

500

This implantable device in the right ventricle and pulmonary artery to continuously monitor pressures in patients with heart failure.

What is CardioMems?

500

Stroke: This artery supplies the posterior circulation and, when occluded, can lead to devastating brainstem strokes.

What is the basilar artery?

500

This happens when TIMI flow is restored, but vascular perfusion remains impaired.

What is no-reflow phenomenon?
500

Post-embolization, the patient develops a fever, pain, and leukocytosis without evidence of infection.

What is post-embolization syndrome?

500

Patient becomes restless and confused during the procedure, O2 sats drop, and you notice a sudden decrease in end-tidal C02.

What is an air embolism?

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