choosing catheters & guidewires
TRANSCRIPT
Trellopoulos GeorgiosVascular surgeon
Gen. Hosp. “G. Papanikolaou”, Thessaloniki
Choosing catheters and guidewires. What
to have in stock to begin a case
Useful material in stock to begin a case
1. Guide wires2. Diagnostic catheters3. Sheaths4. Balloons & stents5. Peripheral stent grafts6. Snares
GUIDE WIRES3 TYPES:
1. Hydrophilic guide wire Terumo stiff 180cm
2. Super Stiff guide wire Amplatz 180cm or 260cm
3. Super Super Stiff guide wire Lunderquist 260cm
CATHETERSDiagnostic catheters:
a. Headhunter for exchange guide wire from Terumo to Amplatz and for ipsilateral catheterization of contralateral stump
b. Cobra for exchange guide wire from Terumo to Amplatz and for ipsilateral catheterization of contralateral stump
c. Motarjeme for ipsilateral & contralateral catheterization of stump
d. Simmons for contralateral catheterization of stump
Simmons Motarjeme Headhunter Cobra
4 TYPES:
CATHETERSDiagnostic catheters for catheterization of the contralateral stump
SHEATHSa. 7Fr. X 45cm Terumo of Arrow
for diagnostic angiography and exchange guide wires.
b. 18Fr. X 45cm Cook for dilatation and straightening of iliac artery
BALLOONS AND STENTSa. Most of the times Ballooning and
Stenting is sufficient to overcome all Iliac artery stenosis
b. Balloon for appropriate apposition of stent-graft, ensuring the catheterization of contralateral stump etc
Other useful materials
Peripheral stent-graft foraccidental rupture of iliacartery and for “paving andcracking” technique
Other useful materials
Snare for contralateral catheterization of stump and for removal of foreign bodies
Conclusion
Amplatz Terumo guide wire Needle
Sheaths
Balloon Reliant
Headhunter diagnostic catheter
Questions:
1. Which are the most useful diagnostic catheters?
a. Headhunter and Cobrab. Cobra and Mani-vitecc. Multipurpose, Cobra, Headhunter, Simmons d. Simmons, Motarjeme, Cobra, Headhunter
2. How many types of guide wires are neccesary to have in stock?
a. 2b. 3c. 4d. 5
Answers:
1. Which are the most useful diagnostic catheters?
a. Headhunter and Cobrab. Cobra and Mani-vitecc. Multipurpose, Cobra, Headhunter, Simmons d. Simmons, Motarjeme, Cobra, Headhunter
2. How many types of guide wires are neccesary to have in stock?
a. 2b. 3c. 4d. 5
d
b