WHOSE LINE IS IT ANYWAY!
"That's a Keepuh!"
Who is Dr. Donovan
In what ways does CAC prevent safe and predictable PCI? (Name 2 of 3)
WHAT is:
1. Increased risk of complications
2. Impeded Stent Delivery
3. Prevents full stent expansion
You see a suction alarm on your AIC, what are 2 things you should do or check?
WHAT IS:
1. Reduce P-Level by at least 1 or 2 P-Levels
2. Ensure the patient has adequate volume
3. Check the impella catheter for correct positioning under imaging
4. Evaluate RV function by assessing invasive hemos and/or Echo
PTFB was an acronym coined by one of our Shockwave pioneers, Dr Ziad Ali. What does PTFB stand for?
Push the F@cking Button!
"Show me, Show me"
Who is Dr Prasad
What are at least 2 of 4 types of mechanisms in which Shockwave causes fractures?
WHAT IS:
1. Compression
2. Stress
3. Tensile
4. Squeezing
The New England Journal of Medicine RCT called DanGer Shock demonstrated a ____% absolute reduction in mortality at 180 days.
WHAT IS 12.7%
Name the Impella rep with the best mustache
Who is Abel
"I LOVE HIM/HER!!!"
Who is Queen Victoria
Name 4 advantages of Shockwave over Atherectomy
WHAT ARE:
No dedicated wire, Ability to wire side branch, no distal embolization, little to no learning curve, effective on eccentric, concentric, and nodular calcium
A patient will experience a 1% increase in mortality for every ___ they spend in shock?
What is 1 Hour
Gina's favorite drink?
What is a Chispa
"There's your balloon time"
Who is Dr Thukral
What size Guide Extensions do Shockwave C2P fit through?
WHAT IS 5.5 Fr and greater
Name 3 things included in an Impella CP insertion kit.
What is:
1. 2 14fr peel away introducers (13cm & 25 cm)
2. Dilators - 8 fr, 10 fr, & 12 fr
3. 0.035" stiff access guidewire
In the event of a generator error code, name 2 things to do to troubleshoot
What are:
1. Turn the generator off
2. Reprep the balloon to ensure it is de-aired adequately
3. Ensure there is nothing between the catheter connection and the connector cable (ie, sterile sleeve or tape)
4. Power the generator back on
"GINA! Do I have 3 labs??"
Who is CK
What is the biggest takeaway from the Cadaver Study comparing Shockwave, Cutting Balloon, and Ultra High Pressure Balloon?
What is, Shockwave has the biggest impact on creating fractures with the lowest risk of medial injury.
What additional supplies are needed for Impella insertion?
What is:
1. D5W with 25 U/ml of Heparin
2. 4 or 5Fr Pigtail catheter or AL1 or MP Diagnostic catheter (without sideholes)
3. Standard 0.035" x 175cm J-Tip Wire
What is the newest Shockwave device and name 3 specs.
WHAT IS Shockwave Javelin for the treatment of uncrossable lesions.
1. Single emitter at the tip of the catheter to send Shockwaves beyond the tip of the catheter
2. 150 cm shaft
3. 120 pules