Cath Questions

Question 1

What color are diagnostic catheters labeled with in the lab?

Answer 1

Blue

Question 2

What color are intervention catheters labeled with in the lab?

Answer 2

Green

Question 3

What is the difference between an Non compliant (NC) balloon and a compliant balloon (C)?

Answer 3

A non compliant balloon will inflate how to a certain shape where as a compliant balloon will mold to the anatomy.

Question 4

What color boxes are the non compliant balloons?

Answer 4

Green

Question 5

What color boxes are the compliant balloons?

Answer 5

Pink

Question 6

What does RX indicate on the balloon packaging?

Answer 6

Rapid exchange

Question 7

What is the first step when gaining access for a cath procedure?

Answer 7

Lidocaine the area

Question 8

After lidocaine is done what is the next step in a cath procedure?

Answer 8

Insert the access needle into the artery

Question 9

After the access needle is inserted into the artery what is done?

Answer 9

wire for sheath

Question 10

What is the catheter used for in a heart cath procedure?

Answer 10

To allow the J wire to gain access to the left and right side of the heart

Question 11

What is indicated if a catheter is for the left or right side of the heart?

Answer 11

J”R” will be the right (hence the R) and J “L” will be the left (hence the L)

Question 12

What are the two most common access sites that we see?

Answer 12

R. Radial and R. Groin

Question 13

After the wire goes into the access needle what is next?

Answer 13

You take off the access needle

Question 14

After the access needle is taken off what is next?

Answer 14

Insert sheath

Question 15

After the sheath is put in what is next?

Answer 15

take off dilator/ transducer

Question 16

After the dialator/ transducer is taken off what is next?

Answer 16

take out the wire

Question 17

What is done after you take the wire out?

Answer 17

flush with saline

Question 18

After you flush the sheath with saline what do you do?

Answer 18

attach the J wire into the catheter and put the catheter into the sheath

Question 19

After the J wire and catheter are in the sheath what do you do?

Answer 19

push the catheter all the way in and pull the J wire back out

Question 20

What size are most of the intervention wires?

Answer 20

.014 or .018

Question 21

What are the three things that you need in case of an intervention?

Answer 21

Copilot, Run through wire, manual “copilot”

Question 22

What are the two main coronary arteries?

Answer 22

Left main coronary arteries (LMCA) and the Right coronary artery (RCA)

Question 23

What does the LMCA break off into?

Answer 23

Left anterior descending artery (LAD) and the Left circumflex artery

Question 24

What does the Right coronary artery break of into?

Answer 24

right posterior descending artery (PDA), right marginal artery (RMA)

Question 25

What branches off the LAD?

Answer 25

diagonal branches (D1 and D2)

Question 26

What branches off the circumflex?

Answer 26

marginal arteries (M1 and M2)

Question 27

What is a TAVR?

Answer 27

it is a transcatheter aortic valve replacement

Question 28

In the cranial vein what vessel is closest to you?

Answer 28

Left anterior descending artery (LAD)

Question 29

In the caudal view what vessel is closest to you?

Answer 29

the circumflex artery (CX)

Question 30

What is the Ramos Intermedius?

Answer 30

A variant coronary artery that comes from the left main coronary artery bifurcation that turns into a trifurcation.

Question 31

Where is the ramous intermedius located?

Answer 31

Between the LAD and circumflex

Question 32

What is LIMA?

Answer 32

Left internal mammary artery graft
Used during an bypass

Question 33

What is a SVG?

Answer 33

Saphenous vein graft
Used in a bypass

Question 34

Where does LIMA revascularize?

Answer 34

Revascularizes the anterior wall

Question 35

Where does RIMA revascularize?

Answer 35

Lateral and posterior walls

Question 36

What catheter is used for right heart caths?

Answer 36

Swan catheters