IR Removal Flashcards
highly specialized medical equipment whose properties interact with that of the catheter to produce a safe and accurate method of catheter placement.
Guidewires
The basic characteristics of a guidewire include
length, diameter, tip shape, core stiffness, taper, and coating.
Standard Guidewire length
Standard guidewires are 145 cm long, (4 to 5 feet)
often used because it is less traumatic, leading with a smooth curve rather than a straight tip, which can catch on atheromatous plaques and vessel origins.
J Tip
The curve is described by its radius, usually ranging from __ to __ and chosen to match the size of the vessel.
1.5 to 15mm
The outer diameter of the coil is the width of the guidewire and usually is expressed in inches
(0.018- inch, 0.035-inch, 0.038-inch).
The standard diameter for guidewires used in diagnostic arteriography is
0.035 inches
is the prime determinant of a guidewire’s overall stiffness.
MANDRIL/MANDREL CORE
Why most standard guidewires are coated with Teflon?
to allow easy travel of the catheter over them.
used to reduce wire thrombogenicity.
Heparin based coatings
when wet, have an extremely low coefficient of friction.
hydrophilic polymer coatings
All-purpose wire for navigating large to medium vessels, abscess cavities, etc.
Newton (Guidewire)
Newton Stiffness
Medium
Useful for visceral artery exchanges where extra (short support needed)
Rosen
Rosen Stiffness
Stiff
Rosen Stiffness
Stiff
Bentson Tip and Stiffness
Straight with floppy tip / Very stiff