Choosing catheters & guidewires. what to have in stock to begin a case.

1. Trellopoulos Georgios
Vascular surgeon
Gen. Hosp. “G. Papanikolaou”,
Thessaloniki
Choosing catheters
and guidewires. What
to have in stock to
begin a case

2. Useful material in stock to begin a
case
1. Guide wires
2. Diagnostic catheters
3. Sheaths
4. Balloons & stents
5. Peripheral stent grafts
6. Snares

3. GUIDE WIRES
3 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

4. CATHETERS
Diagnostic 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:

5. CATHETERS
Diagnostic catheters for catheterization
of the contralateral stump

6. SHEATHS
a. 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

7. BALLOONS AND STENTS
a. 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

8. Other useful materials
Peripheral stent-graft for
accidental rupture of iliac
artery and for “paving and
cracking” technique

9. Other useful materials
Snare for contralateral
catheterization of stump and for
removal of foreign bodies

10. Conclusion
Amplatz
Terumo
guide wire Needle
Sheaths
Balloon Reliant
Headhunter
diagnostic
catheter

11. Questions:
1. Which are the most useful diagnostic catheters?
a. Headhunter and Cobra
b. Cobra and Mani-vitec
c. Multipurpose, Cobra, Headhunter, Simmons
d. Simmons, Motarjeme, Cobra, Headhunter
2. How many types of guide wires are neccesary to have in stock?
a. 2
b. 3
c. 4
d. 5

12. Answers:
1. Which are the most useful diagnostic catheters?
a. Headhunter and Cobra
b. Cobra and Mani-vitec
c. Multipurpose, Cobra, Headhunter, Simmons
d. Simmons, Motarjeme, Cobra, Headhunter
2. How many types of guide wires are neccesary to have in stock?
a. 2
b. 3
c. 4
d. 5
d
b