c atheter : s election m anipulation
DESCRIPTION
Catheter: Selection, Manipulation. Left coronary artery : Fajadet left, Kimny radial, Muta Left, Slagboom BU, EBU, Amplatz left, Judkins Left, Multipurpose,… Right Coronary artery : Barbeau’s, Fajadet Right, Kimny radial, Muta right, - PowerPoint PPT PresentationTRANSCRIPT
CatheterSelection
Radial Approach
Cath
eter
: Se
lect
ion
Man
ipul
atio
n
Catheter: Selection, Manipulation
Multiple catheters have been proposed by the pioneers of the trans-radial approach.Multiple catheters have been proposed by the pioneers of the trans-radial approach.This multitude of choice reflects the initial difficulty encounter by the operators using thecatheters dedicated for trans-femoral approach and non adapted for the upper limb approach.However with increasing experience most of traditional curves can be used in routine practice.
Left coronary artery: Fajadet left, Kimny radial, Muta Left, Slagboom BU, EBU, Amplatz left, Judkins Left, Multipurpose,…
Right Coronary artery: Barbeau’s, Fajadet Right, Kimny radial, Muta right, Multipurpose, Judkins right, Amplatz right, Amplatz left,…
Both left and right coronary arteries: Kimny radial, Multipupose, Amplatz left
Venous bypass grafts: Kimny radial, Multipurpose, Judkins right, Bypass graft catheters
CatheterSelection
Radial Approach
Man
ipul
atio
n O
f The
Rig
ht J
udkin
’s Ca
thet
er
Manipulation of the right Judkin’s catheter
Projection for rightCatheterization
LAO 35°C
After the right Judkins’catheter has been placed in the ascending aorta a gentle clockwiseAfter the right Judkins’catheter has been placed in the ascending aorta a gentle clockwiserotation is applied and the right coronary ostium is easely cannulatedin the vast majority of cases.
CatheterSelection
Radial Approach
Man
ipul
atio
n O
f The
Lef
t Jud
kin’s
Cath
eter
Manipulation of the left Judkin’s catheter
Canulation of the left coronary ostium is more demanding in manipulation. The left Judkins’Canulation of the left coronary ostium is more demanding in manipulation. The left Judkins’Catheter is maintained over the sino-tubular ridge with the 0.35 wire inside anda clockwise rotation is realised asking the patient to take a deep breath.Spontaneously the catheter engaged the left main in the vast majority of cases.
Projection for leftCatheterization
Face 0°C