Vascular Entrance Exam 2 Flashcards by Sophia Gonzales

The name of the Denali program offered by BD to track patients for future retrievals is

Reach

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What is the gold standard for DVT treatment?

Anticoagulation

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What are Denali filters contraindications?

a. Septic patients
b. Pregnant patient when Xray is harmful (early gestation)
c. Patients with unknown sensitivity to nickel-titanium alloys
d. Patients with an IVC larger than 28mm

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How do we recommend deploying the Denali?

Pin and Pull; pin handle and pull Tuohy in one motion

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Ultra non-compliant balloons have a growth rate of?

1% or less

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The Geoalign Marker system offers what % reduction in flouro time?

27%

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Compare Conquest to Conquest 40?

Conquest 40 has a tapered tip and higher atms, conquest 40 offers different sizes

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Which balloon is ultra-non-compliant and has checker flex points?

Dorado, checkerflex points increase flexibility in tortuous anatomy.

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What is successful PTA characterized by?

a. Less than 30% residual stenosis
b. Fully effaced balloon
c. Thrill is restored
d. Patient can resume success dialysis

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What catheter designs do our balloons offer?

a. Coaxial (dual lumen) for push-ability
b. Triaxial (triple lumen) trackability

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What is Barotrauma?

Over dilation of a balloon causing damage to healthy
Tissue

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What is the difference between Atlas and Atlas Gold:

Atlas Gold has shorter 21mm shoulders which minimizes vessel straightening and barotrauma (Atlas has 37mm shoulders)
b. Atlas Gold has enhanced tapered tip improving trackability

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Does a 12mm conquest and a 12mm Atlas require a 8Fr sheath?

No, a 12mm Atlas can go through a 7Fr sheath. (and the 14mm Atlas does as well)

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T/F: Glidewires should be twice the length of the device in use?

True

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The most common cause of stenosis is?

intimal hyerplasia

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What is Intimal hyperplasia?

Scar tissue forming in the lumen of the vessel due to trauma, increased flow (turbulent).

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How many anastomoses does AV grafts have?

2; venous and arterial

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How many anastomoses do AV fistula’s have?

1; arterial. AVF’s have a juxta anastomosis which is located 1-2cm before the arterial anastomosis.

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Lutonix .035 (geoalign) diameters

4-12

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AV Lutonix .035 (geoalign) shaft sizes

40, 75, 100cm

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Lutonix .035 (geoalign) balloon sizes

40-100

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Conquest diameters

5-12

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Conquest Shaft sizes

50, 75, 120

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Conquest balloon sizes

20, 40, 80

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Conquest 40 diameters

4-12

Conquest 40 shaft sizes

50, 75

Conquest 40 Balloon sizes

20-100

Vaccess: OBL diameters

4-12

Vaccess shaft lengths

50 & 75

Vaccess Balloon lengths

20, 40, 80

Atlas diameters

12-26

Atlas shaft lengths

75, 120

Atlas balloon lengths

20-60

Atlas Gold diameter

12-26

Atlas Gold shaft lengths

80, 120

Atlas Gold balloon lengths

20- 60

Ultraverse 035: (checkerflex, geoalign) diameter

3-12

Ultraverse 035: (checkerflex, geoalign) shaft lengths

75, 130

Ultraverse 035: (checkerflex, geoalign) balloon lengths

20-300

Dorado: (checkflex, hybrid cath) diameter

3-10

Dorado: (checkflex, hybrid cath) shaft lengths

40, 80, 120, 135

Dorado: (checkflex, hybrid cath) balloon lengths

20-200

Covera and Fluency are impregnated with?

Carbon, to decrease platelet accumilation

What do flared stents offer the MD?

Faster wall apposition and decreased migration

How many deployment options does Eluminexx offer?

4 (trigger, slide, trigger and slide, and pin/pull)

T/F: Eluminexx and Lifestar are based on the same stent platform?

True

What are the indications for Fluency?

a. In-stent restenosis AVF and AVG b. Re-stenosis AVG

Describe a Fluency?

Eluminexx wrapped in PTFE, uncovered ends (2mm bare)

Decribe a Covera?

Lifestent wrapped in 2 layers of PTFE, helical design for radial strength and flexibility.

What are the indications for Covera?

a. AVG venous anastomosis b. Cephalic Arch c. AVF stenosis

What are the indications for Lifestar and Eluminexx?

Essentially the same stent with different delivery systems. Iliac occlusive disease, Iliac arteries, and Biliary malignant stenosis.

Vascular Eluminexx and Lifestar diameter

7-10

Vascular Eluminexx and Lifestar shaft lengths

80, 135

Vascular Eluminexx and Lifestar balloon lengths

20-100

Biliary Eluminexx diameters

4-14

Biliary Lifestar diameters

6-14

Biliary Eluminexx and Lifestar balloon lengths

20-120

Covera diameters

6-10

Covera shaft length

80, 120

Covera balloon lengths

30-100 (flared doesn't have 30)

Fluency diameters

6-13.5

Fluency shaft lengths

80, 117

Fluency balloon lengths

40-120

The GlidePath Family dialysis catheter offers what 3 Fr sizes?

14.5Fr, 10Fr & 7.5Fr

Pristine’s clinical study shows 100% patency through _______ Days?

What French size is Pristine?

15.5

The Airguard valve introducer minimizes air leakage to?

.15cc/sec

What are the common causes of catheter disfunction?

a. Patient position b. Kinking c. Fibrin sheath d. Thrombus

Glidepath XK comes in both 14.5 and 16F?

no, XK is 16Fr only

What are the advantages of the Glidepath?

Tapered cuff optimized inner lumen, and single pre-loaded stylet.

What is the recirculation rate of the Glidepath?

The optimized inner lumen on the Glidepath provides?

16% lower pressures and 15% higher flows compared to Palindrome.

What are the 5 catheter tip styles?

Separate, step, split, symmetrical and Y tip.

II means?

Image Intensifier, where the x-rays are collected after passing through a patient

K-DOQI guidelines recommend?

- Recirculation rates less than 2% - kT/V of 1.2 or greater - Blood flow rate (BFR) of 300ml/min or greater

What are the two primary arteries used for AVF creations?

Radial and Brachial

What are your central veins?

- Brachiocephalic - Subclavian - SVC

What are advantage of native fistulas?

a. Durability b. Permanent c. Decreased infection rates and complications d. High blood flows

T/F: Xray’s and gamma rays are classified as ionizing radiation?

True

ALARA?

As Low As Reasonably Achievable

T/F: Imaging units can be classified as fixed or mobile c-arms?

True

What are the 3 keys to radiation safety?

Time, Distance, and Shielding

Lead protective aprons and barriers can reduce radiation exposure by?

95%

A patient with stage 5 ESKD is classified to have a GFR of?

15ml/min

Anastomosis?

A surgical connection between a vein and an artery

Aneurysm?

Excessive localized enlargement of an artery caused by weakening of the wall

Distal?

Away from midline

Proximal?

Closer to midline

A blood clot on the move?

Embolus

A blood clot?

Thrombus

Symmetric tip catheters:

GlidePath

Step Tip catheters include:

- Reliance XK - Hemostar - Hickman - Soft-cell

Split Tip catheters include:

- Decathlon DF - Equistream - Equistream XK - Hemosplit - Hemosplit XK

Y-tip catheters include

Pristine