Difference between revisions of "St joes carotid"

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Sheath: 6 Fr. Shuttle 90 cm
+
==Open:==
Merit touhy for shuttle (Raina)
+
 
Catheter: Headhunter (H1) 100 or V-tek 100cm 125 For Dr Emani
+
===Sheath:===
Wires:  
+
*6 Fr. Shuttle 90 cm
 +
**Merit touhy for shuttle (Raina)
 +
===Catheter:===
 +
*Headhunter (H1) 100 or  
 +
*V-tek 100cm 125 For Dr Emani
 +
===Wires:===
 
*.035" x 260 Angled Glidewire
 
*.035" x 260 Angled Glidewire
 
*.035" x 260 Stiff Angled Glidewire
 
*.035" x 260 Stiff Angled Glidewire
 
*.035" x 260 Rosen
 
*.035" x 260 Rosen
Thrombectomy Catheter: Pronto (in room)
+
*Green torquer
Distal Protection: 7.2mm Emboshield NAV (save introducer)
+
* Extra blue stopcock so you can prep both balloons
Balloons:  
+
===Thrombectomy Catheter:===
 +
*Pronto (in room)
 +
 
 +
===Distal Protection:===
 +
*7.2mm Emboshield NAV (save introducer)
 +
 
 +
===Balloons:===
 
*4.0 × 40 × 135 Sterling RX,  
 
*4.0 × 40 × 135 Sterling RX,  
 
*5.0 × 20 x 135 Sterling RX  
 
*5.0 × 20 x 135 Sterling RX  
Line 14: Line 25:
 
*4.0 x 40 x 135 ViaTrac14,  
 
*4.0 x 40 x 135 ViaTrac14,  
 
*5.0 x 20 x 135 ViaTrac14
 
*5.0 x 20 x 135 ViaTrac14
Stent: 10-8 × 40 self-expanding (Xact or Abbott) or size appropriate per physician
+
===Stent:===
 +
*10-8 × 40 self-expanding (Xact or Abbott) or size appropriate per physician
  
Diagnostic shots
+
==Procedure:==
Stiff glide in diagnostic catheter
+
#Diagnostic shots
Stiff glide to eca
+
#Stiff glide in diagnostic catheter
Advance diagnostic catheter to eca
+
#Stiff glide to eca
Exchange stiff glide for Rosen  
+
#Advance diagnostic catheter to eca
Exchange sheath for shuttle
+
#Exchange stiff glide for Rosen  
Rosen out
+
#Exchange sheath for shuttle
Prep all balloons and stent and stack
+
#Rosen out
Prep filter
+
#Prep all balloons and stent and stack
Filter in
+
#Prep filter
Pre balloon
+
#Filter in
Stent
+
#Pre balloon
Post balloon
+
#Stent
Retrieve filter
+
#Post balloon
 +
#Retrieve filter
  
  
 
Drugs: Atropine, Dopamine, Neosynephrine
 
Drugs: Atropine, Dopamine, Neosynephrine
 
NO conscious sedation
 
NO conscious sedation
Retrieval sheath: EZ bent tip 1.40mm x 150 cm
+
Backup Retrieval sheath: EZ bent tip 1.40mm x 150 cm
 
Squeaky toy in opposite hand of affected side.
 
Squeaky toy in opposite hand of affected side.

Latest revision as of 21:03, 14 August 2026

Open:

Sheath:

  • 6 Fr. Shuttle 90 cm
    • Merit touhy for shuttle (Raina)

Catheter:

  • Headhunter (H1) 100 or
  • V-tek 100cm 125 For Dr Emani

Wires:

  • .035" x 260 Angled Glidewire
  • .035" x 260 Stiff Angled Glidewire
  • .035" x 260 Rosen
  • Green torquer
  • Extra blue stopcock so you can prep both balloons

Thrombectomy Catheter:

  • Pronto (in room)

Distal Protection:

  • 7.2mm Emboshield NAV (save introducer)

Balloons:

  • 4.0 × 40 × 135 Sterling RX,
  • 5.0 × 20 x 135 Sterling RX

OR

  • 4.0 x 40 x 135 ViaTrac14,
  • 5.0 x 20 x 135 ViaTrac14

Stent:

  • 10-8 × 40 self-expanding (Xact or Abbott) or size appropriate per physician

Procedure:

  1. Diagnostic shots
  2. Stiff glide in diagnostic catheter
  3. Stiff glide to eca
  4. Advance diagnostic catheter to eca
  5. Exchange stiff glide for Rosen
  6. Exchange sheath for shuttle
  7. Rosen out
  8. Prep all balloons and stent and stack
  9. Prep filter
  10. Filter in
  11. Pre balloon
  12. Stent
  13. Post balloon
  14. Retrieve filter


Drugs: Atropine, Dopamine, Neosynephrine NO conscious sedation Backup Retrieval sheath: EZ bent tip 1.40mm x 150 cm Squeaky toy in opposite hand of affected side.