Mechanism of Action
Impacts Calcium at 50 atmospheres
Sonic Pressure Wave
(Shockwave)
This technology, originally used in the kidneys, is what inspired Shockwave
Lithotripsy
Shockwave IVL affects _____ & ______ calcium
superficial and deep
E8 has ________ emitters.
eight
Prepping Shockwave catheters requires _____ negative preps.
At least three
Shockwave is ___ on hard
and ___ on soft tissue
hard on hard
soft on soft
Shockwave’s first-generation device was approved for use in _______ arteries
Peripheral
Shockwave IVL in effective in treating these three types of calcium morphologies
concentric, eccentric and nodular
E8 has _______ pulses.
400
If there is an error on the generator, the first troubleshooting step is _______.
Re-prep the balloon, pull negative pressure again.
IVL dislodges calcium within the lumen of the vessel, therefore, distal protection is advised
FALSE
Match the product to its anatomical indication: C2+, L6, E8
C2+ - coronary
L6 - large bore vessels (iliacs)/ATK
E8 - smaller peripheral vessels/BTK
The best tool to determine the presence of calcium is
IVUS
E8 is compatible with ___ and ___ size sheaths.
5Fr and 6Fr
In coronary cases, after each cycle of pulses you should __________.
deflate the balloon
Shockwave IVL is reliably safe because the balloon is inflated to _____ atm
2-4
L6 is the only Shockwave product that is compatible with _____ wires
0.018"
These arteries are most commonly treated with Shockwave L6 catheter
Common iliac arteries
E8 is different from previous generations of Shockwave catheters because (name three changes)
hydrophilic coating, longer workable length (150cm), 80mm balloon, 400 pulses, 8 emitters
When the Shockwave generator is stored, it should always be ______.
Plugged in
Shockwave IVL is different from ballons and atherectomy because it creates ______ in superficial and deep calcium
Micro-Fractures
_____ is the ONLY FDA approved product for calcium modification in the coronary arteries.
C2+
________ of CLTI patients have calcified BTK disease.
98%
E8 is compatible with ____ wire size.
0.014in
If you press the button to deliver therapy, and nothing happens, check this button.
Therapy button