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A round-tipped guidewire is then advanced through the lumen of the needle, and the needle is withdrawn. A sheath or blunt cannula can now be passed over the guidewire into the cavity or vessel. Alternatively, drainage tubes are passed over the guidewire (as in chest drains or nephrostomies). After passing a sheath or tube, the guidewire is ...
Although variations of the procedure exist depending on physician preference and patient anatomy, a common technique for PIER of the superficial femoral artery is briefly outlined below. Entry is made in an antegrade fashion into the common femoral artery near the mid-femoral head using a 5-French rigid catheter with an angulated tip.
The drainage catheter is then removed over the guidewire and sheath is inserted into the ducts (7 to 8 French size). Contrast is then injected through the sheath to identify any stones or strictures. If a stricture is identified, put in biliary manipulation catheter with guidewire measuring 0.035 inches and commence balloon dilatation (with ...
Once the catheter is in the hepatic vein, a wedge pressure is obtained to calculate the pressure gradient in the liver. Following this, carbon dioxide is injected to locate the portal vein. Then, a special needle known as a Colapinto is advanced through the liver parenchyma to connect the hepatic vein to the large portal vein , near the center ...
The guidewire is removed gently and re-threaded maintaining the pressure in the supraclavicular fossa. After successful insertion of the guidewire, pressure in fossa is released and the subclavian vein catheter is railroaded over the guidewire up to the desired length.
Used for example in steady advancement of the catheter on a guidewire previously inserted into the renal pelvis through a thin needle. D. Both obturator and puncture needle retracted, when the catheter is in the renal pelvis. E. Locking string is pulled (bottom center) and then wrapped and attach to the superficial end of the catheter.
A ureteric balloon catheter is a balloon catheter intended for treating strictures of the ureter. In fact it is a double J stent on which a balloon is mounted. It is connected to a delivery device (pusher) to introduce it from the bladder into the ureter. The system comprises a non-return valve device, and a pusher with a stylet and two ports.
Percutaneous coronary intervention (PCI) is a minimally invasive non-surgical procedure used to treat narrowing of the coronary arteries of the heart found in coronary artery disease. [2] The procedure is used to place and deploy coronary stents, a permanent wire-meshed tube, to open narrowed coronary arteries. PCI is considered 'non-surgical ...