Access Flashcards
Typical microcatheters for coiling
- Echelon
- Phenom 17
Typical microcatheters for Onyx/AVMs
Marathon
Apollo
Typical guidewire for small vessels/AVMs
Mirage
Guidewire typically packaged with hyperglide balloon family
X-Pedion
Typical Guide Catheter for Pipeline & Coils
Navien
Phenom Plus
Typical Guide Catheter for AIS cases
Cello BGC
A microcatheter delivers ______
product(s)
Most microcatheters are _______cm in length
150cm
160cm –for strokes
examples of microcatheters in co-axial or tri-axial setups
echelon (10/14), phenom (17/27), marksman, apollo, marathon, headways, prowler
examples of DAC in a co-axial/tri-axial set up
navien (5F/6F)
phenom plus
sophia
cat5
example of COILS tri-axial tx set up
- -> Long sheath
- —> DAC: Phenom Plus, Navien 5/6
- ——> Microcatheter: Echelon (10 or 14) , Phenom 17
- ———–> Wire (.014)
example of FLOW DIVERTER tri-axial set-up
- -> Long sheath
- —> DAC: Phenom Plus, Navien 5/6
- ——> Microcatheter: Phenom 27
- ———–> Wire
Mirage guidewire length is _______
200 cm
Echelon Microcatheter Options
10 & 14
.017 “ ID Microcatheter
Echelon (10 & 14)
Phenom 17
Every coils catheter has _____ radiopaque marker bands ____ cm apart
2 (marker bands) ; 3 (cm apart)
True or False: Echelon is an entire nitinol catheter
true; progressive nitinol braid
True or False: Phenom is made of a nitinol braid
False; Phenom is stainless steel
True or False: Echelon 14 is thinner/softer than Echelon 10
FALSE– Echelon 10 is thinner/softer than Echelon 14
What are the three tip configurations offered by BOTH Echelon 10 & 14?
Straight
45 Degree
90 Degree
True or False: Echelon 10 & Echelon 14 have the same INNER diameter
TRUE- .017”
True or False: Echelon 10 & 14 have different usable lengths
FALSE- all 150cm
What is the max guidewire (in) for Echelon 10/14?
.014
True or False: Echelon 10 and Echelon 14 have the same O.D?
False;
Ech 10: 1.7-2.1 F
Ech 14: 1.9-2.4 F
True or False: Phenom MC is stainless steel throughout?
True
Phenom components (proximal - distal tip)
Proximal: double stainless steel braid
mid-zone: single coil + single braid
Distal: Single stainless steel coil
If doing a stent/balloon coil, you need a bigger catheter and therefore should use:
Navien 072
Guidewires help navigate to _____
the lesion
short sheath provides : _______
vs.
long sheath/guide catheter provides: _____
short sheath: access into body
long sheath/guide cath: stabilization
Frame- Fill- Finish (sizing)
Frame: >= 4mm
Fill : 2-4 mm
Finish < 2 mm
5 types of/ways to access
femoral radial ulnar snuff box brachial
Workhorse Guidewire
X-Pedion
Guidewire for AVMs/distal tortuous access
Mirage
X-Pedion 10 Specs
.12 proximal / .10 Distal
Platinum (core wire- stainless steel)
157cm, 200cm lengths
Mirage Specs
.12 Proximal/ .008 Distal (.001 core wire distal)
Platinum (core wire-stainless steel)
200cm length
example of an onyx set-up
- long sheath
- navien 5/6 or Phenom Plus (OK bc not touching DMSO)
- Apollo/Marathon/Echelon/Rebar
Apollo key selling messages
- detachable tip
- 1.5 & 3 cm length tips
- 2 marker bands
- nitinol braid and stainless steel coil
Marathon Key Selling Messages
- Flow directed
- Stainless steel coil proximal shaft
- Nitinol braid in distal floppy segment
______ is the longest microcatheter @ _____cm
Apollo; 165 cm
T or F: Apollo MC can be steam shaped
False
Onyx reflux OK until ~ _____mm from proximal marker band
1.25mm
Echelon catheter has a progressive ________
nitinol braid
Echelon Specs
ID: .017”
Useable Length: 150cm
Max Guidewire: .014in
Tips: Straight, 45, 90
Phenom catheter is what material
stainless steel throughout:
- double SS braid (proximal)
- single coil + single braid
- single coil (distal)
.027 microcatheters
- Marksman
- Phenom 27
Marksman Working Lengths
105cm, 135cm, 150cm, 160cm
Navien Construction
Variable Pitch! FLAT nitinol coil–allows for larger ID
“Knot Test” With Navien
Shows does not Ovalize
Rist Components
Rist Selective Catheter
Rist 079 Guide Catheter
**Packaged separately
2 types of rist catheters
berenstein
sim2
radial access guide catheter lengths
95, 100, 105 cm
radial access selective catheter working length
120, 130