cath lab

radial access supplies

radial slender sheath kit

groin access supplies

micro puncture kit

sheath

left heart cath

artery: starts out as diagnostic but can become interventional; looking at the coronary arteries

right heart cath

vein; looking for pressures of the heart chambers

percutaneous coronary intervention (PCI)

intervention of the legs

venogram

vein; diagnostic, can become interventional

(leg run) abdominal aortogram ABAO

artery; diagnostic imaging (angiogram) of the legs, can become interventional

supplies for ABAO

angiopack

5 french sheath

0.035 stiff angle glide

short pigtail

steps for ABAO

1. ask the doctor 1 or 2 shots

2. abdominal pictures

3. if 1 pigtail above renal, if 2 pigtail below renal at the bifurcation

4. raise the table

5. lower the image intensifier

6. turn the image intensifier

7. turn on coupling before step 8

8. tell patient to hold breath and don’t move - press MIDDLE button on foot peddle

9. on screen turn on lateral lock, bolus chase

10. bring c-arm down if table cannot move

11. take gloves off and hold contrast/x-ray and table remote

how big is the working wire?

smallest 0.014

what are some working wire examples?

runthrough

sion blue

choice pt

how big is the exchange wire?

biggest 0.035

how big is the V18 wire?

peripheral 0.018

length of wires examples

300 - biggest

260 - radial (long)

150 - legs (short)

what is the leg order

1. iliac

2. common femoral

3. sfa (superficial femoral artery)

4. profunda

5. popliteal

6. at (anterior tibial vein)

7. pt (posterior tibial vein)

8. peroneal (bifurcates)