Difference between revisions of "St joes carotid"

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(Created page with "Carotid Stent Procedure Sheath: 6 Fr. Shuttle 90 cm 100 100 Catheter): Headhunter (1) * m or tek 425cm 125 For Dr Wires: 035° x 260 Angled Glidewire .035" x 260 Stiff Angled...")
 
 
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Carotid Stent Procedure
+
==Open:==
Sheath: 6 Fr. Shuttle 90 cm
+
 
100
+
===Sheath:===
100
+
*6 Fr. Shuttle 90 cm
Catheter): Headhunter (1) * m or tek 425cm 125 For Dr
+
**Merit touhy for shuttle (Raina)
Wires: 035° x 260 Angled Glidewire
+
===Catheter:===
.035" x 260 Stiff Angled Glidewire
+
*Headhunter (H1) 100 or
035" x 260 Rosen
+
*V-tek 100cm 125 For Dr Emani
Thrombectomy Catheter: Pronto (in room)
+
===Wires:===
Distal Protection: 7.2mm Emboshield NAV (save introducer)
+
*.035" x 260 Angled Glidewire
Balloons: 4.0 × 40 × 135 Sterling RX, 5.0 × 20 x 135 Sterling RX OR
+
*.035" x 260 Stiff Angled Glidewire
4.0 x 40 x 135 ViaTrac14, 5.0 x 20 x 135 ViaTrac14
+
*.035" x 260 Rosen
Stent: 10-8 × 40 self-expanding (Xact or Abbott) or size appropriate per physician
+
*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:==
 +
#Diagnostic shots
 +
#Stiff glide in diagnostic catheter
 +
#Stiff glide to eca
 +
#Advance diagnostic catheter to eca
 +
#Exchange stiff glide for Rosen
 +
#Exchange sheath for shuttle
 +
#Rosen out
 +
#Prep all balloons and stent and stack
 +
#Prep filter
 +
#Filter in
 +
#Pre balloon
 +
#Stent
 +
#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.