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Neurovascular Training > Access > Flashcards

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?

A

.014

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
Q

True or False: Phenom MC is stainless steel throughout?

A

True

26
Q

Phenom components (proximal - distal tip)

A

Proximal: double stainless steel braid
mid-zone: single coil + single braid
Distal: Single stainless steel coil

27
Q

If doing a stent/balloon coil, you need a bigger catheter and therefore should use:

A

Navien 072

28
Q

Guidewires help navigate to _____

A

the lesion

29
Q

short sheath provides : _______

vs.

long sheath/guide catheter provides: _____

A

short sheath: access into body

long sheath/guide cath: stabilization

30
Q

Frame- Fill- Finish (sizing)

A

Frame: >= 4mm
Fill : 2-4 mm
Finish < 2 mm

31
Q

5 types of/ways to access

A 
femoral
radial
ulnar
snuff box
brachial
32
Q

Workhorse Guidewire

A

X-Pedion

33
Q

Guidewire for AVMs/distal tortuous access

A

Mirage

34
Q

X-Pedion 10 Specs

A

.12 proximal / .10 Distal
Platinum (core wire- stainless steel)
157cm, 200cm lengths

35
Q

Mirage Specs

A

.12 Proximal/ .008 Distal (.001 core wire distal)
Platinum (core wire-stainless steel)
200cm length

36
Q

example of an onyx set-up

A
  • long sheath
  • navien 5/6 or Phenom Plus (OK bc not touching DMSO)
  • Apollo/Marathon/Echelon/Rebar
37
Q

Apollo key selling messages

A
  • detachable tip
  • 1.5 & 3 cm length tips
  • 2 marker bands
  • nitinol braid and stainless steel coil
38
Q

Marathon Key Selling Messages

A
  • Flow directed
  • Stainless steel coil proximal shaft
  • Nitinol braid in distal floppy segment
39
Q

______ is the longest microcatheter @ _____cm

A

Apollo; 165 cm

40
Q

T or F: Apollo MC can be steam shaped

A

False

41
Q

Onyx reflux OK until ~ _____mm from proximal marker band

A

1.25mm

42
Q

Echelon catheter has a progressive ________

A

nitinol braid

43
Q

Echelon Specs

A

ID: .017”
Useable Length: 150cm
Max Guidewire: .014in
Tips: Straight, 45, 90

44
Q

Phenom catheter is what material

A

stainless steel throughout:

  • double SS braid (proximal)
  • single coil + single braid
  • single coil (distal)
45
Q

.027 microcatheters

A
  • Marksman

- Phenom 27

46
Q

Marksman Working Lengths

A

105cm, 135cm, 150cm, 160cm

47
Q

Navien Construction

A

Variable Pitch! FLAT nitinol coil–allows for larger ID

48
Q

“Knot Test” With Navien

A

Shows does not Ovalize

49
Q

Rist Components

A

Rist Selective Catheter
Rist 079 Guide Catheter
**Packaged separately

50
Q

2 types of rist catheters

A

berenstein

sim2

51
Q

radial access guide catheter lengths

A

95, 100, 105 cm

52
Q

radial access selective catheter working length

A

120, 130

Neurovascular Training (4 decks)

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