SOLOPATH Flashcards
SOLOPATH COMES IN 4 SIZES
14FR X 25CM INSRT PROF 11FR ID 14FR OD 17FR
18FR X 25CM 13FR ID 18FR OD 21FR
19FR X 25CM 14FR ID 19FR OD 22FR
21FR X 25CM 14FR ID 19FR OD 24FR
EXPANDABLE LENGTH 20CM WORKING LENGTH 25CM
TIP DIAMETER 5.3FR
SOLOPATH
19FR X 35CM INSRT PROF 14FR ID 19FR OD 22FR
21FR X 35CM 14FR ID 21FR OD 24FR
EXPANDABLE LENGTH IS 30CM WORKNG LENGTH 35CM
TIP DIAMETER 5.3FR
RADIAL EXPANSION UTILIZES TISSUE AND VESSEL ELASTICITY ELIMINATES THE USE OF TAPER DILATORS MALLEABLE DESIGN HYDROPHILIC COATING MINIMIZES INSERTION AND WITHDRAWAL FORCE MINIMIZE AXIAL FORCE AND VESSEL TRAUMA
DEVIDE VESSEL DIAMETER TO SHEATH OD
EXAMPLE:
FR TO MM = N/1/3 =
17FR / 1/3 = 5.6
7.0MM VESSEL / 5.6 OD SHEATH = 1.25 = SFAR
EXCEL STERILE INFLATION DEVICE WITH STOPCOCK 25CC AT 30 ATM
.
SOLOPATH PROCEDURES
EVAR
TAVR
TEVAR
BAV
.
STEP BY STEP PREPARATION STEP 1
FLUSH THE EXPANDER AND SHEATH FLUSH LINES WITH HEP SALINE
STEP 2
WIPE DOWN THE SHAFT OF THE SHEATH WITH SALINE PRIOR TO INSERTION TO ACTIVATE HYDROPHILIC COATING.
APPLY FIRM PRESSURE OVER THE ACCESS SITE TO PREVENT EXCESSIVE BLEEDING
USING SHEATH RADIOPAQUE MARKER TO VISUALIZE TIP LOCATION, ADVANCE THE SOLOPATH OVER A GUIDEWIRE USING FLUOROSCOPIC GUIDANCE.
CAUTION:
if you encounter resistance, stop advancing SOLOPATH, until the problem has been determined and corrected.
STEP 3
UTILIZING A 25CC INFLATION DEVICE, DRAW UP TO 20CC OF 50% CONTRAST MEDIA AND STERILE SALINE PREPARATION. ATTACH TO THE EXPANDER INFLATION PORT.
NOTES:
20 atmospheres (ATM) may take a bit longer than anticipated due to the volume of fluid that will need to be injected into the balloon to fully inflate.
STEP 4
SHEATH EXPANSION
UNDER FLUOROSCOPIC GUIDANCE, SLOWLY INFLATE EXPANDER BALLOON (DILATOR) TO 20 ATM AND HOLD PRESSURE FOR AT LEAST 60 SECONDS.