Difference between revisions of "Pulmonary Embolism Mechanical Thrombectomy"

Line 1: Line 1:
 
=== Inari Medical===
 
=== Inari Medical===
 +
* Standard venous access equipment
 
* 22 Fr Gore Dryseal sheath
 
* 22 Fr Gore Dryseal sheath
 
* 260cm Amplatz Super Stiff with a 1 cm floppy tip
 
* 260cm Amplatz Super Stiff with a 1 cm floppy tip
* Standard venous access equiptment
+
* Angled pigtail catheter
 +
* Bentson guidewire
  
 +
Steps:
 +
* Femoral vein access
 +
* Pulmonary artery access using angled pigtail catheter, using a curved back end of the Bentson for stiffness may help
 +
* Pulmonary arteriogram, measure pulmonary arterial pressures, make decision for thrombectomy
 +
* 22 Fr Dryseal sheath exchange over Amplatz guidewire
 +
* Cross the pulmonary embolism with the 1cm floppy tipped Amplatz guidewire
 +
* Engage aspiration catheter onto the clot, begin aspiration
 +
* If no blood return, remove the aspiration catheter with suction engaged and flush with saline
 +
* Repeat as necessary
 
<pdf page="2">File:Inari FT-Product Brochure.pdf</pdf>
 
<pdf page="2">File:Inari FT-Product Brochure.pdf</pdf>

Revision as of 05:55, 19 February 2019

Inari Medical

  • Standard venous access equipment
  • 22 Fr Gore Dryseal sheath
  • 260cm Amplatz Super Stiff with a 1 cm floppy tip
  • Angled pigtail catheter
  • Bentson guidewire

Steps:

  • Femoral vein access
  • Pulmonary artery access using angled pigtail catheter, using a curved back end of the Bentson for stiffness may help
  • Pulmonary arteriogram, measure pulmonary arterial pressures, make decision for thrombectomy
  • 22 Fr Dryseal sheath exchange over Amplatz guidewire
  • Cross the pulmonary embolism with the 1cm floppy tipped Amplatz guidewire
  • Engage aspiration catheter onto the clot, begin aspiration
  • If no blood return, remove the aspiration catheter with suction engaged and flush with saline
  • Repeat as necessary

Contributing Authors

Kevin Liu