IR Removal Flashcards

1
Q

highly specialized medical equipment whose properties interact with that of the catheter to produce a safe and accurate method of catheter placement.

A

Guidewires

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2
Q

The basic characteristics of a guidewire include

A

length, diameter, tip shape, core stiffness, taper, and coating.

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3
Q

Standard Guidewire length

A

Standard guidewires are 145 cm long, (4 to 5 feet)

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4
Q

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.

A

J Tip

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5
Q

The curve is described by its radius, usually ranging from __ to __ and chosen to match the size of the vessel.

A

1.5 to 15mm

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6
Q

The outer diameter of the coil is the width of the guidewire and usually is expressed in inches

A

(0.018- inch, 0.035-inch, 0.038-inch).

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7
Q

The standard diameter for guidewires used in diagnostic arteriography is

A

0.035 inches

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8
Q

is the prime determinant of a guidewire’s overall stiffness.

A

MANDRIL/MANDREL CORE

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9
Q

Why most standard guidewires are coated with Teflon?

A

to allow easy travel of the catheter over them.

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10
Q

used to reduce wire thrombogenicity.

A

Heparin based coatings

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11
Q

when wet, have an extremely low coefficient of friction.

A

hydrophilic polymer coatings

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12
Q

All-purpose wire for navigating large to medium vessels, abscess cavities, etc.

A

Newton (Guidewire)

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13
Q

Newton Stiffness

A

Medium

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14
Q

Useful for visceral artery exchanges where extra (short support needed)

A

Rosen

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15
Q

Rosen Stiffness

A

Stiff

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16
Q

Rosen Stiffness

A

Stiff

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17
Q

Bentson Tip and Stiffness

A

Straight with floppy tip / Very stiff

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18
Q

good for crossing with small, tortuous vessels or stenosis

19
Q

to guide large, stiff with catheters such as angioplasty balloons, stents, or relatively IVC filters, and for catheter exchanges

20
Q

Straight with relatively soft tip, Very stiff

21
Q

0.014-in. to 0.038-in. diameter. To guide the catheter into place during CVC (central venous catheter) insertions.

22
Q

Core stiffness – Soft to Stiff

Coating – Hydrophilic

Tip – Straight or angled

23
Q

0.010-in. to 0.018-in. diameter, made of steel, platinum, or nitinol

24
Q

Core stiffness – Soft to Stiff

Coating – Teflon / Hydrophilic

Tip – Shapeable

25
It required the following, needles, wires, catheters, balloons, and stent. also are invaluable tool for interventionist.
CATHETERS
26
It consists of a hub at the rear end and a distal tubular shaft.
Catheter
27
should have strength, good torque control, radiopacity, flexibility, an atraumatic tip, and low surface friction for good trackability over a guidewire.
Ideal Catheter
28
are the most important tool in any vascular intervention.
angiographic catheters
29
is easy to shape and is commonly used.
Polyethylene
30
Chemical Name of Teflon
polytetrafluoroethylene
31
is slippery and can be used for passing through scar or graft material.
Teflon
32
has good stiffness and torque-control characteristics
Nylon
33
The most commonly used diagnostic catheters are
4fr to 5fr
34
size of Diagnostic Ctheters and Coaxial Micro Catheters
3Fr / 2fr to 3fr
35
is on the trailing end and is where syringes and injectors can be attached and wires
Hub
36
provides length to the catheter to enable it to reach the target vessel.
Shaft
37
of the catheter is tapered to fit the guidewire and facilitate atraumatic percutaneous insertion.
Tip
38
Basic catheter used to study vessel punctured or vessels with straight take offs
Straight
39
Large internal diameter, high flow capacity. Effective and safe method of draining pleural fluid.
Pig tail
40
use for temporary ureteral occlusion and applications including, renal opacification, dislodgment of calculi and preventative calculi migration.  Large internal diameter, high flow capacity.
Berenstein
41
helps in the cannulation of visceral arteries, such as renal, bronchial, or celiac arteries. Visceral Catheter
Cobra
42
selective cervico cerebral artery catheterizations Requires reformation in the aortic arch or aortic bifurcation. for delivering contrast agents
Simmons
43
useful for crossing aortic bifurcation
Mikkaelson