Difference between revisions of "Pulmonary Embolism Mechanical Thrombectomy"
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| Line 8: | Line 8: | ||
Steps: | Steps: | ||
* Femoral vein access | * Femoral vein access | ||
| − | * Pulmonary artery access using angled pigtail catheter, using a curved back end of the Bentson for stiffness may help | + | * Pulmonary artery access using angled pigtail catheter, using a curved back end of the Bentson for stiffness and directionality may help |
* Pulmonary arteriogram, measure pulmonary arterial pressures, make decision for thrombectomy | * Pulmonary arteriogram, measure pulmonary arterial pressures, make decision for thrombectomy | ||
* 22 Fr Dryseal sheath exchange over Amplatz guidewire | * 22 Fr Dryseal sheath exchange over Amplatz guidewire | ||
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 and directionality 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
