Cath Lab/EP Lab basics
Who is the hidden team member of the cath lab/EP lab team?
biomedical engineer
what are the two absolute contraindications for a invasive catherization?
inadequate equipment or cath facility, competent patient refusal
what has to be done before we can begin our procedure?
time out
What is the most common access site for left heart caths?
right radial artery
what is the most common diagnostic J wire size?
0.035 180cm
what do we know about the diameter of the catheter in comparison to the sheath?
catheters have to have smaller outer diameter. a 6FR sheath can take 6FR catheters or 5FR catheters
what is the acronym we use for femoral anatomy?
NAVY or NAVL
What is the physician called we work with in cath lab? In EP lab?
Interventional cardiologist, electrophysiologist
How does a patient who is older than 75, diabetic, has congestive heart failure, and uncontrolled hypertension affected during a invasive procedure?
they are at higher risk
T/F: Time Out is NOT a Joint Commission requirement
false
brachial vein
Micropuncture kit, 21 or 22 gauge
what is the most common length of coronary catheters ?
100 cm
when looking at the femoral head we want to be where?
in the middle
who maintains the room record (legal document)?
monitor
What item prevents blood loss, allows access to vessel?
sheath
what labs do we want to include in a timeout?
any abnormal labs
What is it called when the access is in the same direction of blood flow?
antegrade
which sheath has a more tapered tip?
radial sheath
what is the most common length of pigtail catheters?
110cm
where do we want our stick to be?
above the bifurcation below the epigastric
Who administers our registry exam?
Cardiovascular Credentialing International (CCI)
which procedure looks at the coronary arteries, and possibly the left ventricle
Left heart catherization
what item do we need to check for and make sure it is filled out, signed and dated appropriately?
consent
What are benefits of radial over femoral access?
less complications, improved patient comfort, obesity is less problematic, can sit up right away
What are the two parts of a "two-part" needle?
cannula and needle
Besides 100cm what length do coronary catheters come in?
90cm,125cm
when is femoral arterial access most common?
structural heart and peripheral procedures
Who is the added member of the team for EP lab?
nurse anesthetist
which procedure takes hemodynamic pressures on the venous side of the heart?
right heart cath
what do we want to include in our consent?
patient name & DOB, procedure being done, access, allergies, abnormal labs, consent
What is the most common access for lower extremities?
retrograde contralateral femoral
this is the inner part of the sheath assembly?
dilator
What are the characteristics of coronary catheters?
hollow, made of PVC or PU, small lumen, tapered tip, locking hub
What LVADs do we use that commonly use femoral access?
impella, IABP, ECMO, tandem heart