Access Flashcards

1
Q

Typical microcatheters for coiling

A
  • Echelon

- Phenom 17

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2
Q

Typical microcatheters for Onyx/AVMs

A

Marathon

Apollo

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3
Q

Typical guidewire for small vessels/AVMs

A

Mirage

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4
Q

Guidewire typically packaged with hyperglide balloon family

A

X-Pedion

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5
Q

Typical Guide Catheter for Pipeline & Coils

A

Navien

Phenom Plus

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6
Q

Typical Guide Catheter for AIS cases

A

Cello BGC

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7
Q

A microcatheter delivers ______

A

product(s)

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8
Q

Most microcatheters are _______cm in length

A

150cm

160cm –for strokes

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9
Q

examples of microcatheters in co-axial or tri-axial setups

A

echelon (10/14), phenom (17/27), marksman, apollo, marathon, headways, prowler

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10
Q

examples of DAC in a co-axial/tri-axial set up

A

navien (5F/6F)
phenom plus
sophia
cat5

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11
Q

example of COILS tri-axial tx set up

A
  • -> Long sheath
  • —> DAC: Phenom Plus, Navien 5/6
  • ——> Microcatheter: Echelon (10 or 14) , Phenom 17
  • ———–> Wire (.014)
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12
Q

example of FLOW DIVERTER tri-axial set-up

A
  • -> Long sheath
  • —> DAC: Phenom Plus, Navien 5/6
  • ——> Microcatheter: Phenom 27
  • ———–> Wire
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13
Q

Mirage guidewire length is _______

A

200 cm

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14
Q

Echelon Microcatheter Options

A

10 & 14

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15
Q

.017 “ ID Microcatheter

A

Echelon (10 & 14)

Phenom 17

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16
Q

Every coils catheter has _____ radiopaque marker bands ____ cm apart

A

2 (marker bands) ; 3 (cm apart)

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17
Q

True or False: Echelon is an entire nitinol catheter

A

true; progressive nitinol braid

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18
Q

True or False: Phenom is made of a nitinol braid

A

False; Phenom is stainless steel

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19
Q

True or False: Echelon 14 is thinner/softer than Echelon 10

A

FALSE– Echelon 10 is thinner/softer than Echelon 14

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20
Q

What are the three tip configurations offered by BOTH Echelon 10 & 14?

A

Straight
45 Degree
90 Degree

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21
Q

True or False: Echelon 10 & Echelon 14 have the same INNER diameter

A

TRUE- .017”

22
Q

True or False: Echelon 10 & 14 have different usable lengths

A

FALSE- all 150cm

23
Q

What is the max guidewire (in) for Echelon 10/14?

24
Q

True or False: Echelon 10 and Echelon 14 have the same O.D?

A

False;
Ech 10: 1.7-2.1 F
Ech 14: 1.9-2.4 F

25
True or False: Phenom MC is stainless steel throughout?
True
26
Phenom components (proximal - distal tip)
Proximal: double stainless steel braid mid-zone: single coil + single braid Distal: Single stainless steel coil
27
If doing a stent/balloon coil, you need a bigger catheter and therefore should use:
Navien 072
28
Guidewires help navigate to _____
the lesion
29
short sheath provides : _______ vs. long sheath/guide catheter provides: _____
short sheath: access into body | long sheath/guide cath: stabilization
30
Frame- Fill- Finish (sizing)
Frame: >= 4mm Fill : 2-4 mm Finish < 2 mm
31
5 types of/ways to access
``` femoral radial ulnar snuff box brachial ```
32
Workhorse Guidewire
X-Pedion
33
Guidewire for AVMs/distal tortuous access
Mirage
34
X-Pedion 10 Specs
.12 proximal / .10 Distal Platinum (core wire- stainless steel) 157cm, 200cm lengths
35
Mirage Specs
.12 Proximal/ .008 Distal (.001 core wire distal) Platinum (core wire-stainless steel) 200cm length
36
example of an onyx set-up
- long sheath - navien 5/6 or Phenom Plus (OK bc not touching DMSO) - Apollo/Marathon/Echelon/Rebar
37
Apollo key selling messages
- detachable tip - 1.5 & 3 cm length tips - 2 marker bands - nitinol braid and stainless steel coil
38
Marathon Key Selling Messages
- Flow directed - Stainless steel coil proximal shaft - Nitinol braid in distal floppy segment
39
______ is the longest microcatheter @ _____cm
Apollo; 165 cm
40
T or F: Apollo MC can be steam shaped
False
41
Onyx reflux OK until ~ _____mm from proximal marker band
1.25mm
42
Echelon catheter has a progressive ________
nitinol braid
43
Echelon Specs
ID: .017" Useable Length: 150cm Max Guidewire: .014in Tips: Straight, 45, 90
44
Phenom catheter is what material
stainless steel throughout: - double SS braid (proximal) - single coil + single braid - single coil (distal)
45
.027 microcatheters
- Marksman | - Phenom 27
46
Marksman Working Lengths
105cm, 135cm, 150cm, 160cm
47
Navien Construction
Variable Pitch! FLAT nitinol coil--allows for larger ID
48
"Knot Test" With Navien
Shows does not Ovalize
49
Rist Components
Rist Selective Catheter Rist 079 Guide Catheter **Packaged separately
50
2 types of rist catheters
berenstein | sim2
51
radial access guide catheter lengths
95, 100, 105 cm
52
radial access selective catheter working length
120, 130