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34 Cards in this Set

  • Front
  • Back

General Purpose Caths

Cournand


lehman


goodale-lubin


multipurpose A1


multipurpose A2


multipurpose B1


multipurpose B2


balloon flotation(swan-ganz)

cournand

1st cath designed, used for R heart cath, pressure measuring, and blood sampling

lehman

thin walled, >inside diameter & <stiffness. R heart cath, pressure measuring, blood sampling

goodale-lubin

open end w/ 2 side holes(bird's eye), pressure measure and peds

multipurpose A1

no side holes, pressure/sat measures, coronary artery bypass (RCA)

multipurpose A2

oped, 2 side holes, peds studies & coronary angiography

multipurpose B1

curve similar to Lehman, keeps stiffness longer than woven dacron, pressure/sat measures

multipurpose B2

open end 2 latteraly opposed side holes

balloon flotation (swan-ganz)

polyvinyl chloride, multi lumened R heart cath w/ latex balloon at distal tip. continuous bedside hemodynamic monitoring of CVP, PA, PCWP, RV, RA & CO. Yellow hub

Angiographic Caths

Gensini


National Institute of Health (NIH)


Eppendorf


Lehman


Pigtail


Van Tassel angled Pigtail


Grollman Pigtail

gensini

3 pair of oval holes at 1.5 cm from tip, tapered tip, used for retrograde percutaneous R & L heart, aortic, ventricular, pulmonary, & vena cava angiographic

national institute of health (NIH)

nylon core, 4-6 side holes w/ gentle curve, used for high volume injections of RV, LV, PA, & AO

eppendorf

proximal 20cm reinforced w/ nylon, used for high pressure injections

lehman

thin walled, 4 side holes at 2.5 cm from tip, slight curve tapered to 5Fr, easy placement into LV

pigtail

polyethylene, tapered tip, coiled, 4-12 non lateral opposed side holes, most common cath for LV, AO, PA grams

van tassel angled pigtail

8 side holes, 145 or 155 degree angle 7cm from tip, used for LV & AO

grollman pigtail

4 spireal side holes, used for RV & PA, coil opposite side of van tassel pigtail

Preformed Coronary Caths

Judkins L & R


Amplatz


Variation Amplatz


Sones Coronary


Judkins L & R

no side hole, preformed tip, used for selective coronary angiography via femoral approach, JL used for cannulation of L coronary system, uniques 90 degree curved tips, secondary to 30 & 180 degree

Amplatz

end hole, for coronary ostia via femoral percutanious

Amplatz Variations

AL1-normal root


AL3-dilated root/ large male


AL4-marked dilation of root/ high branched LCA


AR1-normal root


AR2/3-abnormal position of RCA & bypass grafts

Sones Coronary

R & L coronary arteris via brachial cutdown


I-1.5 in taper


II-1.0 in taper


III-2.0 in taper


All taper to 5.5 Fr


Coronary Bypass Caths

open end, femoral R saphenous bypass cath, internal mammory bypass (IMA), L coronary bypass (LCB), R coronary bypass (RCB)

Brachial Artery Cutdown Caths

Sones Coronary


Castillo


Soft Tip Coronary

sones coronary

R & L coronary arteris via brachial cutdown


I-1.5 in taper


II-1.0 in taper


III-2.0 in taper


All taper to 5.5 Fr

castillo

used when Sone's in not successful


I-small


II-medium


III-large, size of AO

Soft tip coronary

wire braid body, soft deformable tip (bulb like), available in pigtail, judkins,amplatz, and multipurpose, prevents initial trauma, plaque dislodgement, and vessel dissection

Specialized Caths

Shirly Transvascular


Brockenbrough Transseptal


Fogarty


Transducer Tip

shirly transvascular

type I-closed, 5 Fr, tapered tip


II-open, 6 Fr, tapered tip


III-closed, 6 Fr, tapered tip


all have 6 side holes, used for retrograde LA &LV

Brockenbrough Transseptal

teflon, open, 4 side holes, inserted over brockenbrough needle into LA then LV

Fogarty

vinyl, balloon at distal end on lumen, vascular embolectomy via surgical cutdown or post cutdown

transducer tip

ultraminiature, semiconductor strain guage pressure transducer at tip, used high fidelity diagnostic hemodynamic pressure monitoring that allows for blood sampling and volume injections

Guide wires

fixed core terminating 3 cm from tip


yellow end-guidewire


white end-diagnostic


body stiffness: standard, stiff


tip configurations: straight, angled, angled LT (long taper)


diameters: .018", .025", .035", .038"


lengths:80, 150, 180, 260 cm

Hydrophilic guide wire

enhanced tip flexibility, added kink resistance


straight tip configurations: straight, newton, bentsen


fixed & moveable core: bentsen short taper, exchange length, super stiff, heparin coated (H) marker wire.


J-tip:Rosen, 1.5mm, 3.0mm, 15mm


fixed/moveable core: double ended, exchange length, guidewire w/ heperain (IQH)