FINAL

Question 1

What are the steps for gaining femoral access?

Answer 1

1. Locate CFA via Ultrasound
2. Stick CFA at 45° angle
3. Observe flashback
4. Insert guidewire through needle
5. Remove needle and leave guidewire in place
6. Insert and advance sheath + dilator assembly OTW
7. Remove dilator + wire and leave sheath

Question 2

What are the steps in the TVS Cycle?

Answer 2

1. DISCOVERY - account research, selling landscape, sales objective identification
2. ENGAGEMENT - uncover needs, provide solution, overcome objections
3. CALL TO ACTION - commitment, trial, close

Question 3

What products can we offer in a RHC/LHC/PCI?

Answer 3

Pinnacle Portfolio
GlideSheath or GlideSheath Slender
OptiTorque or HeartRail
RunThrough Portfolio
*possibly FineCross microcatheter
*possibly Takeru balloons
*possibly PriorityOne
TR Band or AngioSeal depending on access

Question 4

What are the 3 main steps of AngioSeal deployment?

Answer 4

1. LOCATE the artery
2. SET the arteriotomy locator
3. SEAL the puncture

Question 5

What are the 3 main considerations for AngioSeal usage?

Answer 5

1. Puncture location
   (CFA below inguinal ligament and above SFA/Profunda bifurcation)
2. Vessel size
   (4mm or greater unless 5-5-40 rule applies)
3. Deterrents
   (Diffuse disease or focal within 2mm of puncture site, grafts or stents, pre-existing VAC, tortuous tissue track)

Question 6

What is the 5-5-40 Rule?

Answer 6

If disease is present at the puncture site, AngioSeal can be safely deployed if:
No disease is present within 5mm of access site
Vessel is 5mm or greater
Luminal narrowing is <40%