choosing catheters & guidewires

Trellopoulos GeorgiosVascular surgeon

Gen. Hosp. “G. Papanikolaou”, Thessaloniki

Choosing catheters and guidewires. What

to have in stock to begin a case

Useful material in stock to begin a case

1. Guide wires2. Diagnostic catheters3. Sheaths4. Balloons & stents5. Peripheral stent grafts6. Snares

GUIDE WIRES3 TYPES:

1. Hydrophilic guide wire Terumo stiff 180cm

2. Super Stiff guide wire Amplatz 180cm or 260cm

3. Super Super Stiff guide wire Lunderquist 260cm

CATHETERSDiagnostic catheters:

a. Headhunter for exchange guide wire from Terumo to Amplatz and for ipsilateral catheterization of contralateral stump

b. Cobra for exchange guide wire from Terumo to Amplatz and for ipsilateral catheterization of contralateral stump

c. Motarjeme for ipsilateral & contralateral catheterization of stump

d. Simmons for contralateral catheterization of stump

Simmons Motarjeme Headhunter Cobra

4 TYPES:

CATHETERSDiagnostic catheters for catheterization of the contralateral stump

SHEATHSa. 7Fr. X 45cm Terumo of Arrow

for diagnostic angiography and exchange guide wires.

b. 18Fr. X 45cm Cook for dilatation and straightening of iliac artery

BALLOONS AND STENTSa. Most of the times Ballooning and

Stenting is sufficient to overcome all Iliac artery stenosis

b. Balloon for appropriate apposition of stent-graft, ensuring the catheterization of contralateral stump etc

Other useful materials

Peripheral stent-graft foraccidental rupture of iliacartery and for “paving andcracking” technique

Other useful materials

Snare for contralateral catheterization of stump and for removal of foreign bodies

Conclusion

Amplatz Terumo guide wire Needle

Sheaths

Balloon Reliant

Headhunter diagnostic catheter

Questions:

1. Which are the most useful diagnostic catheters?

a. Headhunter and Cobrab. Cobra and Mani-vitecc. Multipurpose, Cobra, Headhunter, Simmons d. Simmons, Motarjeme, Cobra, Headhunter

2. How many types of guide wires are neccesary to have in stock?

a. 2b. 3c. 4d. 5

Answers:

1. Which are the most useful diagnostic catheters?

a. Headhunter and Cobrab. Cobra and Mani-vitecc. Multipurpose, Cobra, Headhunter, Simmons d. Simmons, Motarjeme, Cobra, Headhunter

2. How many types of guide wires are neccesary to have in stock?

a. 2b. 3c. 4d. 5

d

b