Catheter basics Flashcards
3 types of steering and handles
Fixed handle
Uni directional
Bidirectional
Fixed handle
1 curve
Cannot be changed
Unidirectional
Able to deflect in only 1 direction
Common curves:
D, F, J
Plunger handle
Bidirectional
Able to deflect in 2 directions
Common curves:
D/F. F/J
EZ steer handle
Fixed handle (cont) curves
A curve, josephson
Small curve for small areas
HRA, RVA
D curve, domato
Large curve suited for ventricles
F curve
Cournand
Longer curve for HIS
Outer/inner polyurethane coating
Determines
Pushability
Torque
Flexibility
It is: Biocompatible Tear resistant Flexible Abrasion resistant Strong
Stainless steel wire braiding
32 double wire braiding in the shaft
Unique to BWI (others use 16)
Provides superior handling and control
Precise 1 to 1 torqueability
Stability
16 single wire braiding in the tip
Improved tissue contact
Less chance of trauma
Excellent tip stability
Helps keep electrode on spot while applying energy
Lead wire
of lead wires correlates to the # of electrodes the cath has
Carries electrical info from electrodes to cable to PIU
Compression coils
0.1 mm stainless wire rolling on compression coil
Prevents waviness of shaft during deflection
Puller wire
Puller wire attaches to an anchor at the distal tip of catheter
Allows for predictable tip deflection with minimal chatter
Electrodes
Catheters are named based on the number of electrodes
Deca polar
Allow catheters to pace and record electrical activity
Electrodes are made of
90% platinum (high conductivity)
10% iridium (increased hardness)
Electrode spacing
Measured in mm from center of one electrode to the center of the next
2-8-2
Unique to BWI
Gives higher signal resolution
Catheter tip
Can be rounded (domed)
1-8mm in length
Core diagnostic catheters are only approved for:
Stimulation and recording
The 3 core diagnostic catheters are:
Quadripolar
Decapolar
Twenty pole catheters
Quadrapolar catheters are:
Core diagnostic
4 electrodes
Spaced 5, 10, or 2-5-2
Decapolar catheters are:
Core diagnostic
10 electrodes
2-8-2 spacing
Uni and bidirectional
Used for activation sequence large area
Most common
Webster CS catheter
20 pole catheters are:
Core diagnostic
20 electrodes
2-8-2 or 2-10-2 spacing
Uni directional
Used in place of 2 decapolar catheters
Most common
Duo deca
2-8-2 with 60mm gap between distal and proximal 10 electrodes
Therapeutic catheters are approved for:
Stimulation, recording, electro anatomical mapping, and ablation
Two types of therapeutic catheters are:
Tip
Solid tip
Irrigated tip
Two types of solid tip catheters are:
Therapeutic
Navistar 4mm
Webster 8mm (DS)
Navistar 4mm is:
Therapeutic catheter: solid tip
2 distal 2 proximal electrodes allow for bipolar signalsw
D or F curve
Commonly used to treat focal arrhythmias in thin walled areas. RA
1st ablation catheter
Webster 8mm dual sensor (DS) is:
Therapeutic catheter: solid tip
Measures temperatures at 2 locations via thermocouples
2 distal 2 proximal electrodes allow for bipolar signalsw
Deflectable tip
D, F, J curves
Used for linear ablations
Indicated for use: type 1 atrial flutter patients 18 or older
Two types of irrigated tip catheters
Therapeutic
Thermacool catheter
(Smart touch)
Thermocool catheter SF
Smarttouch
Thermocool catheter is:
Therapeutic
Thermocool SF catheter is:
Therapeutic
3.5 mm tip electrode Spacing 2-5-2 Uni and bidirectional Curves D, F, J and D/F, F/J Porous tip
Advanced diagnostic catheters are approved for:
Stimulation, recording, and electro anatomical mapping
The 3 advanced diagnostic catheters are:
Decanav mapping catheter
Pentaray NAV catheter
Lasso NAV Catheter
Decanav mapping catheter is:
Advanced mapping catheter
10 electrodes 2-8-2 spacing Unidirectional F and D curve Has a single proximal IVC electrode that can be used for unipolar recording signals
Designed for use in atria, ventricles, and CS
Pentaray NAV catheter is:
Advanced diagnostic
5 soft spines (spider web) 20 total electrodes, 4 1mm electrode per Spacing 4-4-4 or 2-6-2 Curve: F or D Unidirectional Irrigated at base of splines
Obtain electrograms in atrial and ventricles
Lasso NAV catheter is:
Advanced diagnostic
Nitinol loop
10-20 electrodes
Fixed or variable loop
Used for electrograms in atrial regions
Fixed loop
15, 20, 25 mm diameter
Spacing: 4.5, 6, 8
Unidirectional D curve
Variable loop
25-15 mm diameter
Spacing 8mm or 2-6-2
Unidirectional D curve