Philips IGTD88901 User Manual Quick Guide: Iliac Venous Compression 16 5 224 Guide Rebrand
IGTD86700 Quick guide: Iliac venous compression Iliac%20Vein%20Compression%20Quick%20Guide Philips Volcano - Visions PV .018 Digital IVUS catheterIGTD86700
User Manual: Philips IGTD88901 Quick guide: iliac venous compression Philips Volcano - Visions PV .035 Digital IVUS catheterIGTD88901
Open the PDF directly: View PDF 
.
Page Count: 2
| Download | |
| Open PDF In Browser | View PDF |
Quick reference Iliac venous compression Venous applications Typical IVUS imagery Venous anatomy Right iliac artery Left iliac vein Right iliac vein Area of compressed left Iliac vein Left iliac vein stent Approximate venous segment dimensions Venous segment Approximate length Approximate diameter Inferior Vena Cava 140 mm 23.4 mm Common Iliac Vein 60 mm 16.0 mm External Iliac Vein 130 mm 14.0 mm Common Femoral Vein 60 mm 12.0 mm Right iliac vein Ouriel K, Greenberg RK, Green RM, et al. A volumetric index for the quantification of deep venous thrombosis. J Vasc Surg 1999;30:1060-6. Right iliac artery Raju S, Davis BS. Anomalous features of iliac vein stenosis that affect diagnosis and treatment. J Vasc Surg: Venous and Lym Dis 2014;2:260-7. Visions PV .035 digital IVUS catheter PIM connector Y- 90 cm working length co n ne cto 30 cm GlyDx hydrophilic coating r Guide wire exit port ≤ 0.038" (0.97 mm) 7F 25 RO markers, 1 cm apart Actual Size of Field of View (60mm) Tip O.D. ≤ 0.055” 8.2 F transducer Workflow 1. Femoral or popliteal venous access • • Patient is therapeutically heparinized if not already anticoagulated Insert a sheath through percutaneous or open access site via standard interventional technique 2. Wire placement • Advance an 0.035” guide wire to the area of interest • An angled guide catheter may be used to facilitate placement 3. Perform venogram of leg from access point to the level of the diaphragm • • Place guide catheter in the cranial portion of the femoral vein, just below the trochanter to image the CFV, EIV, and CIV Advance guide catheter to EIV or CIV to image the IVC CFV Common Fermoral Vein CIV Common Illiac Vein EIV External Illiac Vein IVC Inferior Vena Cava 4. Advancement of IVUS catheter • Replace sheath with 9Fr introducer sheath (8.5Fr minimum) • Prepare the PV.035 IVUS catheter by flushing the guide wire lumen, and then wipe down the entire working length with sterile heparinized normal saline • • Connect the IVUS catheter to the imaging system’s Patient Interface Module (PIM) as described in the imaging system Operator’s Manual. Verify that the device is imaging. Advance the IVUS catheter to the supra-renal IVC over operator’s choice of 0.035” guide wire (wire exchanges can be made through the IVUS catheter at the Y-connector) 5. IVUS pullback for branch identification starting with the renal veins • Look for areas of narrowing due to compression or hyperechoic scar from post-thrombotic change • Evaluate the vein for any evidence of webbing or spurs • Measure cross-sectional area of narrowing, as well as that of either side of narrowing; measure minimum and maximum diameters at these points. Measure the length of narrowed section using the Visions PV .035 IVUS catheter’s radiopaque or inked markers. • Physician evaluates patient’s condition. Physician decides whether it is medically necessary to intervene and whether to proceed with venoplasty, venous stenting or some other type of intervention. • Venoplasty and venous stenting are illustrated in steps 6-7 of the workflow. Post-intervention workflow is illustrated in steps 8-10. If no intervention is necessary, proceed to Step 10. 6. Exchange the IVUS catheter for the physician’s choice of angioplasty balloon, and treat the affected venous segment(s) 7. Deploy the physician’s choice of stent to cover the area requiring treatment 8. Perform post intervention IVUS assessment to assess adequacy of stent apposition and proper dilation of the venous segment(s) 9. Replace IVUS catheter with guide catheter and perform final venogram 10. Remove wire and sheath per standard interventional procedure These workflow instructions were developed in consultation with Paul Gagne, MD (a paid Philips Volcano consultant) and are intended to serve as a general reference guide for incorporating the use of IVUS into the diagnosis, and when medically necessary, the treatment and post intervention assessment of iliac venous compression. They are not intended to replace the instructions for use of any medical device used in the procedure or the physician’s own workflow based upon his/her medical experience and judgment. © 2017 Koninklijke Philips N.V. All rights reserved. Trademarks are the property of Koninklijke Philips N.V. or their respective owners. D000140310/A Philips Volcano 3721 Valley Centre Drive, Suite 500 San Diego, CA 92130 USA www.volcanocorp.com
Source Exif Data:
File Type : PDF File Type Extension : pdf MIME Type : application/pdf PDF Version : 1.7 Linearized : Yes Language : en-US XMP Toolkit : Adobe XMP Core 5.6-c137 79.159768, 2016/08/11-13:24:42 Create Date : 2017:04:24 15:34:26-07:00 Metadata Date : 2017:04:24 15:34:30-07:00 Modify Date : 2017:04:24 15:34:30-07:00 Creator Tool : Adobe InDesign CC 2017 (Windows) Instance ID : uuid:30750dd8-6488-487b-9e19-131694625970 Original Document ID : adobe:docid:indd:b1ddd603-51ee-11db-b025-8168767f4149 Document ID : xmp.id:7e0d212c-ed88-6d46-8422-6516f2488504 Rendition Class : proof:pdf Derived From Instance ID : xmp.iid:d9f20ded-c673-db42-be83-db98ce8e448f Derived From Document ID : xmp.did:900a10d1-2807-4978-8ce4-21d2862985a1 Derived From Original Document ID: adobe:docid:indd:b1ddd603-51ee-11db-b025-8168767f4149 Derived From Rendition Class : default History Action : converted History Parameters : from application/x-indesign to application/pdf History Software Agent : Adobe InDesign CC 2017 (Windows) History Changed : / History When : 2017:04:24 15:34:26-07:00 Format : application/pdf Producer : Adobe PDF Library 15.0 Trapped : False Page Layout : SinglePage Page Count : 2 Creator : Adobe InDesign CC 2017 (Windows)EXIF Metadata provided by EXIF.tools