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Cardiology
Diagnostic Catheters Coronary and Vascular
Built from Cardiovascular Catheterization and Intervention: A Textbook of Coronary, Peripheral, and Structural Heart Disease
What’s inside
10 sections · 108 slides
Overview
- Scope of this topic
- Angiography and invasive pressure measurement
Origins of selective coronary angiography
- Sones and the discovery of selective coronary angiography
- Judkins technique and the modified Seldinger puncture
Diagnostic catheter design
- Anatomy of a diagnostic catheter
- Catheter construction and tip taper
- Catheter sizing: French and inches
- Diagnostic catheters versus guide catheters
- Handling properties of a catheter
- Properties of a good diagnostic catheter
- Trade-off between trackability and positional stability
Coronary catheters: transfemoral approach
- Femoral versus radial access
- Risk of left main trauma during engagement
- Judkins left catheter geometry
- Judkins left catheter sizes
- Judkins left engagement from a femoral approach
- When the Judkins left fails to cannulate
- Amplatz left catheter geometry
- Amplatz left catheter sizes
- Left main engagement with an Amplatz left catheter
- Judkins right catheter geometry
- Judkins right catheter sizes
- Judkins right engagement technique
- Sinotubular junction and ostial calcification
- Catheter kinking during torque
- Variants of right coronary artery origin
- Alternative catheters by direction of RCA takeoff
- Alternative catheters for right coronary engagement
- Multipurpose catheters
- Multipurpose catheter shapes
Coronary catheters: transradial approach
- Evidence for the transradial approach
- Trade-offs of the radial approach
- Complications of radial access
- Catheter sizing from the radial artery
- Universal radial-specific catheters
- Universal radial-specific catheters
- Two engagement techniques with universal catheters
Bypass graft catheters
- Common bypass graft conduits
- Engaging free grafts from a femoral approach
- Height of left-sided graft origins on the aorta
- Catheter escalation for left coronary grafts
- Catheter escalation for right coronary grafts
- Bypass graft catheters
- Engaging the LIMA or RIMA from a femoral approach
- Selective internal mammary graft injection
- Gastroepiploic artery graft angiography
- Gastroepiploic artery graft angiogram
- Graft engagement from a radial approach
- Contralateral internal mammary access from the arm
- LIMA1 catheter for contralateral mammary access
Ventricular angiographic catheters
- Pigtail catheter design for left ventriculography
- Straight and angled pigtail catheters
- Multipurpose B catheter for ventriculography
- Indications for right ventriculography
- Berman balloon angiographic catheter
- Berman balloon angiographic catheter
- Grollman pigtail catheter
Anomalous coronary arteries
- Congenital coronary anomalies: definition and frequency
- Localising an artery of unknown origin
- Absent left main artery
- Anomalous left main origin by site
- Anomalous origin of the right coronary artery
- Anomalous origin of the left circumflex artery
- Fishing for the circumflex ostium with a coronary wire
Peripheral diagnostic catheters
- Principles of peripheral diagnostic angiography
- Catheters for carotid angiography
- Cerebral catheter shapes
- Simmons sidewinder catheter design
- Reforming the Simmons catheter in the ascending aorta
- Simmons engagement of the arch vessels
- Knotting risk with the Simmons catheter
- Vitek catheter: a push alternative to the Simmons
- Vitek catheter tip geometry
- Bovine arch and left carotid engagement
- Vertebral artery engagement
- Vertebral catheter
- Subclavian artery engagement
- Renal artery anatomy and non-selective angiography
- Catheters for selective renal engagement
- Renal double curve catheter
- Cobra catheter
- Sos Omni catheter and pull engagement
- Sos Omni catheter
- The 'flick' technique for renal engagement
- Visceral artery angiography
- Rescue catheters for visceral engagement
- Mikaelsson catheter
- Lower extremity angiography
- Crossing the aortic bifurcation and distal access
- Shepherd's crook and Rim catheters
Consolidation
- Recurring principles of catheter selection
- Safety points that recur
- Catheters by target vessel
- Peripheral catheters by territory
- References
- References (continued)
- References (continued)
- Cardiovascular Catheterization and Intervention: A Textbook of Coronary, Peripheral, and Structural Heart Disease
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