Cardiac Catheterization: Equipment for Interventional Catheterization

Outline:
About This Course

Learning Objectives

Prevalence of Coronary Artery Disease

Modifiable Risk Factors

Atherosclerosis

Coronary Atherosclerosis

Plaque Obstruction of Flow

History of Cardiac Interventions

Types of Lesions

Concentric vs Eccentric Plaque

Bypass Blockage and Treatment

Interventional Equipment

Interventional Equipment Set Up

Guiding Catheters

Diseased Right Coronary Artery

Characteristics of a Guiding Catheter

Knowledge Check

Guide Selection

Areas of Resistance for Guide Placement

Guide Selection

Backup Support

Guide Selection

Co-Axial Placement

Guide Selection

Coronary Artery Takeoff

Guide Selection    

Aorta Sizes

Guide Selection

Curve and Tip Length

Guide Selection

Compatibility and Size Considerations

Guide Selection

Tortuosity

Guide Selection

Guidewires

Guidewire Construction

Core Diameter

Core Taper

Prolapse

Core Taper

Core Material

Work-Horse Guidewire Characteristics

Wire Selection

Knowledge Check

Angioplasty Balloon

Balloon Definitions

Balloon Attributes

Compliance

Radial Force

Balloon Angioplasty

Knowledge Check

Dilation Force

Compliance Chart for 3.0 Balloon

Acute Coronary Artery Occlusion

Balloon Intervention

Problems with Plain Old Balloon Angioplasty (POBA)

Size of Stent

Stent Deployment

Balloon Placement for PCI

Stent Delivery System

Before and After Coronary Intervention

Knowledge Check

Anticoagulation

Course Contributor

References

Bernadette has been the Cardiology Nurse Consultant for the VAMC Patient Care Services since 2005. Her duties include site reviews and implementation of new Cath/EP programs within the VA network. She has been involved in establishing national standards for the policy and procedure manual and in quality assurance/performance improvement for the Cardiac Catheterization/Electrophysiology Laboratories. For the last 11 years Bernadette has been the Nurse Director of the Cardiology Department at Jesse Brown VAMC. Her responsibilities include the complete re-alignment of the Cath Lab services, developing policy and procedures manuals for both the University of Illinois and Northwestern University hospital systems, and continues to assist in performance of a variety of Cath Lab procedures. She has served on various committees including Chairman of the VHA Directive re-write on BLS/ACLS, as a member of the REDi-VA resuscitation committee to standardize crash carts and collect national data on cardiopulmonary arrests, and as a member of the National Faculty Advisory Committee (FAC) for Cardiology. Bernadette has presented numerous lectures at the Cath Lab National Meetings including Joint Commission Review, Staffing Allocation and Radial Catheterization. She served as the Co-Chairman of the JBVA/UIC Lecture Series for TransRadial Catheterization and Left Ventricular Support Devices and has trained over 250 staff from all over the US in the use of these updated programs. Disclosure: Bernadette Speiser, MSN , CCRN , RCIS has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.

Elizabeth Kellerman, MSN, RN worked as a critical care nurse in an Intensive Care Unit of a community hospital and that experience provided significant training in caring for older adults. Her experience and knowledge led her to nursing education where she taught at a community college as she received her Master's in Nurse Education at Western Carolina University. As a nursing instructor, she spent time in many types of care settings including medical-surgical inpatient and community living centers. Her passion for education and training has most recently led her to a position as Subject Matter Expert and Content Writer for Relias. She is currently developing her medical writing skills through the University of California San Diego's medical writing program. Disclosure: Elizabeth Kellerman, MSN, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.