Coronary guide wires

More documents

Recommendations

Info

esistance to primary wire• wire should advance with silkcloth feeling• resistance at insertion:– small movements or rotation of needle– check backflow– if in doubt, insert small a/v catheter, retract until backflow– non-hydrophilic PCI wire• resistance higher up– bend wire– non-hydrophilic PCI wire– insert radial introducer halfway• never use force!
• J-tip .035 <strong>guide</strong>wireReaching the aorta and coronaries• resistance in the arm (typically at cubital level):• switch to hydrophilic wire (Terumo Glidewire®)• if still resistance, fluoro the arm and inject dyeslowly in sheath sideport while filming• tortuous subclavian/truncus:• ask pt to inhale deeply• use catheter to steer the wire• switch to hydrophilic wire• never use force!
Page 1 and 2: Program HighlightsHotline Topics &
Page 3: Devices and Strategies to ReduceInf
Page 7: Ahmed Magdy, MD, FACC, FSCAINationa
Page 10 and 11: PCI post thrombolysis in STEMI:RATI
Page 12 and 13: (Earlier ) Delayed PCI
Page 14 and 15: Conclusions• For high-risk STEMI
Page 16 and 17: • reduce complications- bleeding-
Page 20 and 21: LDL-C Lowering in ACSlM. Mohsen Ibr
Page 22 and 23: - Benefits of statins can not be pr
Page 24 and 25: Hot line Session 2
Page 26 and 27: RISK OF DES RESTENOSIS• Initial t
Page 28 and 29: MANAGEMENT OPTIONS• Simple PTCA
Page 30 and 31: LOGIC APPROACH (cont.)• Use of a
Page 32 and 33: Perioperative MIScope of the Proble
Page 34 and 35: Cardiac Risk Stratification Scores
Page 36 and 37: Cardiac Evaluation And Care Algorit
Page 38 and 39: Severe carotid and coronary disease
Page 40 and 41: CAD PATIENTS• STRESS MANAGEMENT-
Page 42 and 43: Vascular CT
Page 44 and 45: Coarctation of aorta: when tosend t
Page 46 and 47: Coarctation of aorta: when not to i
Page 48 and 49: Do we need to Stent Coarctationof t
Page 50 and 51: Discrete Coarctation (arrow)
Page 52 and 53: Long-term follow-up results¥ Two p
Page 54 and 55: Focus Session 2Peripheral / Carotid
Page 56 and 57: Coronary guide wiresSherif ElTobgi
Page 58 and 59: Coronary guide wiresPerformance cha
Page 60 and 61: Coronary guide wiresFig.2
Page 62 and 63: Coronary guide wiresPlastic jacket
Page 64: Thank You Very Much

Coronary guide wires

Create successful ePaper yourself

Delete template?

Save as template?