Technique of the VenaSeal System
|
|
|
- Kenneth Small
- 6 years ago
- Views:
Transcription
1 Technique of the VenaSeal System
2 Indication & Contraindications VenaSeal Indication: The Sapheon VenaSeal System is intended for the permantent, complete, endovascular adhesive closure of the great saphenous vein (GSV) and associated varicosities in the treatment of venous eflux disease. Contraindication: Not intended for use in patients with the following conditions: Previous hypersensitivity reactions to SCA Acute superficial thrombophlebitis Phlebitis migrans Acute sepsis 2
3 Patient Preparation and VenaSeal VenaSeal Kit: 1 x VenaSeal Adhesive 5ml 1 x Sapheon VenaSeal Catheter System 1 x 7 Fr, 80,3 cm Introducer 1 x 5 Fr, 86,1 cm Dilator 1 x 5 Fr, 91,8 cm Catheter 1 x Vena Seal System Dispenser Gun/0.09 ml per application 2 x 14 Gauge, 3.8 cm Sapheon VenaSeal Dispencer Tips 2 x 3 ml Syringes 1 x (0.889 mm) 180cm, J- Wire Guidewire System Set Up 3
4 OR Tabel Set Up 1 x Sapheon VenaSeal Kit + 5 ml Syringe local Anesthesia + 20 ml sterile water + vein access needle + sterile swab + blade Picture from Sanja Schuller-Petrovic - Vienna 4
5 Pre-Op Patient set up Identify and check: Saphenofemoral junction Aneurysmal and tortuous segments Large branches and perforators Potential access sites
6 Leg Preparation for treatment Prep patient s leg as used as for other endoluminal vein procedures like RF / Laser / Steam Picture from Sanja Schuller-Petrovic - Vienna
7 Vein Access Vein access with percutaneously technique and under ultrasound guidance. Small amount of local anesthesia.
8 After Vein Access placement of J-Guide wire J-tip wire threaded through access needle; needle is removed, leaving wire in place and place guidewire tip caudal to the SFJ. Guidewire placement Picture from Prof. Dr. T. Pröbstle, Mannheim
9 Vena Seal Catheter System Preparation Picture from Prof. Dr. T. Pröbstle, Mannheim Use the over the wire technique and place the 7 Fr introducer/dilator from the VenaSeal System over the guidewire to the SFJ
10 Vena Seal Catheter System Preparation Picture from Prof. Dr. T. Pröbstle, Mannheim Remove the J-gudiewire and the dialtor and flush the indroducer through the luer injection port with sterile saline using a flush syringe and leave the saline syringe in place.
11 Vena Seal Catheter System Preparation SFJ 5 cm Under real-time ultrasound guidance, position the introducer tip 5cm caudal from the SFJ
12 Vena Seal Catheter System Preparation Picture from Prof. Dr. T. Pröbstle, Mannheim Picture from Prof. Dr. T. Pröbstle, Mannheim Attach the Sapheon VenaSeal dispensing tip to the 3 ml syringe, and extract the Sapheon VenaSeal Adhesive (SCA) from its vial into the 3 ml syringe. Remove all Adhesive from the vial and use if needed the second syringe.
13 Vena Seal Catheter System Preparation Attach adhesive-filled syringe to catheter and peril catheter
14 Vena Seal Catheter System Preparation Remove the VenaSeal dispensing tip from the syringe and contect/lock the 3 ml syringe into the dispenser gun
15 Vena Seal Catheter System Preparation Picture from Sanja Schuller-Petrovic - Vienna Pre fill the VenaSeal catheter with the adhesive (SCA) till the SCA will reach the laser mark at the tip of the VenaSeal catheter.
16 Vena Seal Catheter System Preparation Remove the saline filled flushing syringe from the introducer and insert the primed catheter (SCA) into the introducer and advance the catheter until its tip has reached the tip of the introducer.(see mark at distal end of catheter) Be careful catheter will kink easily!
17 Final Tip Position Tip 5 cm from SFJ 5 cm Holding the catheter in place, pull the catheter back onto catheter and look the introducer to the catheter with the spin-look mechanism. This will expose the catheter tip positioning it 5 cm caudal to the SFJ.
18 Proprietary Catheter The VSCS Delivery Catheter has micro-lumens which are filled with air. Under ultrasound imaging, the air has reflective properties providing a distinct recognition pattern.
19 Head down Position Position patient in Head down (light Trendelenburg) position 15º 0º
20 Treatment
21 VenaSeal Procedure + Compression 1 Picture from Prof. Dr. T. Pröbstle, Mannheim Using the transverse ultrasound plane, position the ultrasound transducer just 2-3 cm cephalad (direction to head) to the catheter tip and apply pressure to compress the GSV near the SFJ.
22 VenaSeal Procedure + Compression 2 3 Picture from Prof. Dr. T. Pröbstle, Mannheim While applying compression, deliver 0.09 ml of SCA in the vein by depressing the trigger of the VenSeal System dispenser gun once and hold the trigger for 3 seconds! Immediately pull back the introducer for 1cm and deliver another 0.09 ml of SCA by holding the dispencer gun trigger for another 3 seconds. Follow to the second injection immediately (within 3 seconds) pull back the introducer for 3 cm.
23 VenaSeal Procedure + Compression 4 Picture from Prof. Dr. T. Pröbstle, Mannheim Probe transverse + 2 fingertips compression Following these two initial injections, immediately (within 3 seconds) pull back the connected introducer and catheter 3 cm and hold the transverse compression with the ultrasound transducer for 3 minutes. During the compression time, utilize a hand caudal to the transducer to add light compression
24 VenaSeal Procedure + Compression 1 Picture from Prof. Dr. T. Pröbstle, Mannheim After compression time locate the catheter tip under ultrasound guidance and confirm the tip position. Apply compression on the vein cephalic to the catheter tip with the ultrasound probe in transverse position.
25 Following Treatment Segments 2 3 Picture from Prof. Dr. T. Pröbstle, Mannheim Deliver another 0.09 ml of SCA by holding the dispencer gun trigger for another 3 seconds. Follow to the injection immediately (within 3 seconds) pull back the introducer for 3 cm.
26 VenaSeal Procedure + Compression 4 Picture from Prof. Dr. T. Pröbstle, Mannheim Probe transverse + 2 fingertips compression Following each injections, immediately (within 3 seconds) pull back the connected introducer /catheter 3 cm and hold the transverse compression with the ultrasound transducer for 30 seconds. During the compression time, utilize a hand caudal to the transducer to add light compression
27 Repeat step 1-4 to treat the entire length of the target vein segment till 5 cm before the access site. compression cephalic to the catheter tip Deliver 0.09 ml SCA by holding the dispenser gun trigger for another 3 seconds. pull back the introducer / catheter for 3 cm. Probe transverse + 2 fingertips compression
28 Final VenaSeal segment After the final SCA injection, remove the dispenser system and hold hand pressure as long as necessary to close the wound and achieve hemostasis.
Criteria For Medicare Members. Kaiser Foundation Health Plan of Washington
Clinical Review Criteria Treatment of Varicose Veins Radiofrequency Catheter Closure Sclerotherapy Surgical Stripping Trivex System for Outpatient Varicose Vein Surgery VenaSeal Closure System VNUS Closure
FIND RELIEF FROM VARICOSE VEINS. VenaSeal Sapheon Closure System
FIND RELIEF FROM VARICOSE VEINS VenaSeal Sapheon Closure System UNDERSTAND Varicose veins may be a sign of something more severe. Your doctor can help you understand if you have this condition. may cause
The role of ultrasound duplex in endovenous procedures
The role of ultrasound duplex in endovenous procedures Neophytos A. Zambas MD, PhD Vascular Surgeon Polyclinic Ygia, Limassol, Cyprus ΚΕΑΕΧ ΚΥΠΡΙΑΚΗ ΕΤΑΙΡΕΙΑ ΑΓΓΕΙΑΚΗΣ ΚΑΙ ΕΝΔΑΓΓΕΙΑΚΗΣ ΧΕΙΡΟΥΡΓΙΚΗΣ Pre
Randomized trial comparing cyanoacrylate embolization and radiofrequency ablation for incompetent great saphenous vein
Randomized trial comparing cyanoacrylate embolization and radiofrequency ablation for incompetent great saphenous vein Raghu Kolluri, MD, Director Vascular Medicine OhioHealth Riverside Methodist Hospital
FIND RELIEF FROM VARICOSE VEINS. VenaSeal Closure System
FIND RELIEF FROM VARICOSE VEINS VenaSeal Closure System UNDERSTAND Varicose veins may be a sign of something more severe venous reflux disease Your doctor can help you understand if you have this condition.
RECOGNITION AND ENDOVASCULAR TREATMENT OF CHRONIC VENOUS INSUFFICIENCY
RECOGNITION AND ENDOVASCULAR TREATMENT OF CHRONIC VENOUS INSUFFICIENCY Paul Kramer, MD, FACC, FSCAI Liberty Cardiovascular Specialists Liberty Regional Heart and Vascular Center DISCLOSURES NONE Venous
TREATMENT OPTIONS FOR CHRONIC VENOUS INSUFFICIENCY
TREATMENT OPTIONS FOR CHRONIC VENOUS INSUFFICIENCY TL LUK Consultant Vascular Surgeon Sarawak General Hospital HKL Vascular Conference 19/06/2013 PREVALENCE OF LOWER LIMB VENOUS DISEASE Affects half of
Find From Varicose Veins. VenaSeal
Find Relief From Varicose Veins VenaSeal Closure System Understand Varicose veins may be a sign of something more severe venous reflux disease. Your doctor can help you understand if you have this condition.
Endothermal Ablation for Venous Insufficiency. Dr. S. Kundu Medical Director The Vein Institute of Toronto
Endothermal Ablation for Venous Insufficiency Dr. S. Kundu Medical Director The Vein Institute of Toronto Objective: remove the GSV from the circulation 1. Surgical - HL & stripping 2. Chemical sclerotherapy
CLARIVEIN INFUSION CATHETER
CLARIVEIN INFUSION CATHETER General Product Description Overview The ClariVein Infusion Catheter (ClariVein -IC) is an infusion catheter system designed to introduce physician-specified medicaments into
Treatment of Venous ulcers utilizing n-butyl Cyanoacrylate (Super Glue)
Treatment of Venous ulcers utilizing n-butyl Cyanoacrylate (Super Glue) Awais Siddique MD Endovascular Radiologist AZH WAVE CENTERS Milwaukee WI Venous disease Etiology Are the result of Venous valvular
Vein Disease Treatment
MP9241 Covered Service: Yes when meets criteria below Prior Authorization Required: Yes as indicated in 2.0, 3.0, 4.0 and 5.0 Additional Information: None Prevea360 Health Plan Medical Policy: Vein disease
UNDERSTANDING VEIN DISEASE. UC EN - For use in the U.S. only
UNDERSTANDING VEIN DISEASE UC201706537 EN - For use in the U.S. only Do you need to sit down during your work day because your legs ache and/or swell? Do you miss out on doing the activities you love because
DISCOVER NEW HORIZONS IN FLUID DRAINAGE. Bringing Safety and Convenience to Fluid Drainage Management
DISCOVER NEW HORIZONS IN FLUID DRAINAGE Bringing Safety and Convenience to Fluid Drainage Management DRAIN ASEPT Pleural and Peritoneal Drainage Catheter System 600mL or 1,000mL Evacuated Drainage Bottle
Varicose Veins are a Symptom of Vein Disease. Now you can treat the source of your varicose veins with non-surgical endovenous laser treatment.
Varicose Veins are a Symptom of Vein Disease. Now you can treat the source of your varicose veins with non-surgical endovenous laser treatment. Approximately 1 in 5 adult Americans suffer from superficial
HLS Cannulae Solutions from tip to tip.
HLS Cannulae Solutions from tip to tip. This document is intended to provide information to an international audience outside of the US. 5 HLS cannulae HLS Cannulae Vessels access becomes easier. Maquet
HLS Cannulae Solutions from tip to tip.
HLS Cannulae Solutions from tip to tip. This document is intended to provide information to an international audience outside of the US. 3 HLS cannulae Standard for single lumen cannulation. Smooth transition
Over the Wire Technique vs. Modified Seldinger Technique in Insertion of PICC
Over the Wire Technique vs. Modified Seldinger Technique in Insertion of PICC Deniz Kasikci Department of Radiology, Jena University Hospital Friedrich-Schiller-University, Jena, Germany Disclosure Speaker
A treatment option for varicose veins. enefit" Targeted Endovenous Therapy. Formerly known as the VNUS Closure procedure E 3 COVIDIEN
A treatment option for varicose veins. enefit" Targeted Endovenous Therapy Formerly known as the VNUS Closure procedure E 3 COVIDIEN THE VENOUS SYSTEM ANATOMY The venous system is made up of a network
Management of Superficial Reflux: Which option, when? Kathleen Gibson, MD Lake Washington Vascular Surgeons Bellevue, WA
Management of Superficial Reflux: Which option, when? Kathleen Gibson, MD Lake Washington Vascular Surgeons Bellevue, WA DISCLOSURES Kathleen Gibson, MD Consultant/Advisory Board: BTG, Medtronic Speakers
Document No. BMB/IFU/40 Rev No. & Date 00 & 15/11/2017 Issue No & Date 01 & 15/11/2017
Central Venous Catheter Device Description Multi-lumen catheters incorporate separate, non-communicating vascular access lumens within a single catheter body. Minipunctur Access Sets And Trays: Used for
Current Management of Varicose Veins
Current Management of Varicose Veins Michael J. Heidenreich, MD St. Joseph Mercy Hospital Ann Arbor, MI March 23, 2013 Nothing to disclose History Prevalence Anatomy Risk factors Clinical manifestations
Peel-Apart Percutaneous Introducer Kits for
Bard Access Systems Peel-Apart Percutaneous Introducer Kits for Table of Contents Contents Page Bard Implanted Ports Hickman*, Leonard*, Broviac*, Tenckhoff*, and Groshong* Catheters Introduction....................................
1 Description. 2 Indications. 3 Warnings ASPIRATION CATHETER
Page 1 of 5 ASPIRATION CATHETER Carefully read all instructions prior to use, observe all warnings and precautions noted throughout these instructions. Failure to do so may result in complications. STERILE.
Cyanoacrylate vs laser ablation. Turkish experience. A. Kursat Bozkurt MD University of Istanbul
Cyanoacrylate vs laser ablation. Turkish experience A. Kursat Bozkurt MD University of Istanbul Disclosure Speaker name: A. Kursat Bozkurt I have the following potential conflicts of interest to report:
Ultrasound Guided Vascular Access. 7/25/2016
Ultrasound Guided Vascular Access 7/25/2016 www.ezono.com 1 Objectives Indications for insertion of central and peripheral lines Complications associated with procedures Role of ultrasound in vascular
CATHETER ACCESS KIT. For use with Prometra Programmable Infusion Systems
CATHETER ACCESS KIT Caution: Federal (USA) Law restricts this device to sale by or on the order of a physician. Table of Contents Contents... 3 Description... 3 Indications... 3 Contraindications... 3
Techniques and Specific Treatment Modalities for the Active Non-Healing Wound. Luke Maj, MD, MHA
Techniques and Specific Treatment Modalities for the Active Non-Healing Wound Luke Maj, MD, MHA Assistant Professor of Radiology University of Miami, Miller School of Medicine Director of The Vein Center
Phoenix Atherectomy System Product Overview /LB
Phoenix Atherectomy System Product Overview Phoenix Atherectomy System- The next generation of atherectomy The first hybrid atherectomy system available Combines the benefits of existing atherectomy systems
Mary Lou Garey MSN EMT-P MedFlight of Ohio
Mary Lou Garey MSN EMT-P MedFlight of Ohio Function Prolonged and frequent access to venous circulation Allows for patient to carry on normal life; decrease number of needle sticks Medications, parenteral
Dr. prakruthi Dept. of anaesthesiology, Rrmch, bangalore
CENTRAL VENOUS CATHETERIZATION Dr. prakruthi Dept. of anaesthesiology, Rrmch, bangalore OBJECTIVES Introduction Indications and Contraindications Complications Technique Basic principles Specifics by Site
o Self-Contained & Disposable: Fully self-contained, single-use device with no need for capital equipment purchase
The ClariVein OC Proprietary dual action device^ ClariVein OC is a specialty catheter for the infusion of physician-specified agents in the peripheral vasculature including for endovascular occlusion of
I SEE THE BROADEST RANGE OF PRODUCTS THRU my smallest possible incision.*
I SEE THE BROADEST RANGE OF PRODUCTS THRU my smallest possible incision.* Edwards ThruPort Systems The complete system for minimal incision valve surgery (MIVS) Prep Guide MIVS Redefined > THRUPORT SYSTEMS
Central Venous Line Insertion
Central Venous Line Insertion Understand the indications and risks of CVC insertion Understand and troubleshoot the seldinger technique Understand available sites and select the appropriate site for clinical
Aspira* Peritoneal Drainage Catheter
Aspira* Peritoneal Drainage Catheter Instructions For Use Access Systems Product Description: The Aspira* Peritoneal Drainage Catheter is a tunneled, long-term catheter used to drain accumulated fluid
Lifecath Twin & Dualyse/Trilyse Permanent and Temporary Renal Catheters
Lifecath Twin & Dualyse/Trilyse Permanent and Temporary Renal Catheters Accurate locking dose Excellent flow rates Safe connections vygon@vygon.co.uk www.vygon.co.uk Product Information Product Information
New Technologies in Superficial Vein Treatment
New Technologies in Superficial Vein Treatment Ariel D. Soffer, MD, FACC Associate Clinical Professor Florida International University Medical School Ariel Soffer, MD, FACC Bio Fellow of the American College
ARROW ENDURANCE. Extended Dwell Peripheral Catheter System. Rx only.
ARROW ENDURANCE Extended Dwell Peripheral Catheter System Rx only. Product Description: The ARROW Endurance catheter system is a sterile, single use peripheral intravascular device designed to permit access
ATI Skills Modules Checklist for Central Venous Access Devices
For faculty use only Educator s name Score Date ATI Skills Modules Checklist for Central Venous Access Devices Student s name Date Verify order Patient record Assess for procedure need Identify, gather,
Port Design. Page 1. Port Placement, Removal, and Management. Selecting a Vascular Access Device. Thomas M. Vesely, MD
Non-Dialysis Procedures Port Placement, Removal, and Management Thomas M. Vesely, MD Saint Louis, Missouri Selecting a Vascular Access Device Duration of use Number of lumens Frequency used Blood flow
You have a what, inside you?
Costal Emergency Medicine Conference You have a what, inside you? Less than mainstream medical devices encountered in the ED. Eric Ossmann, MD, FACEP Associate Professor Duke University Medical Center
You have a what, inside you?
Costal Emergency Medicine Conference You have a what, inside you? Less than mainstream medical devices encountered in the ED. Eric Ossmann, MD, FACEP Associate Professor Duke University Medical Center
Why Tumescent-Free Therapy Will Replace RF and Laser
C SCOTT MCENROE Medical Director Vein Center of Virginia Sentara Medical Group April 27, 2018 Why Tumescent-Free Therapy Will Replace RF and Laser History of Venous Surgery 1950 s GSV/SSV stripping became
A CATHETER FAMILY FOR ALL YOUR PATIENT NEEDS
A CATHETER FAMILY FOR ALL YOUR PATIENT NEEDS MAHURKAR * Elite acute dialysis catheter family EFFICIENCY OF DIALYSIS IN REVERSE FLOW Less than one percent recirculation Symmetrical tip design minimizes
Ambulatory Phlebectomy & Sclerotherapy. Dr. S. Kundu Medical Director The Vein Institute of Toronto
Ambulatory Phlebectomy & Sclerotherapy Dr. S. Kundu Medical Director The Vein Institute of Toronto 1 Disclosures Consultant: Bard Canada Boston Scientific Canada Edwards Life Sciences Baylis Canada Sigmacon
Initial placement 24FR Pull PEG kit REORDER NO:
Initial placement 24FR Pull PEG kit REORDER NO: 00710805 INSTRUCTIONS FOR USE 1 of 5 These products have been manufactured not to include latex. Intended Use: The Initial placement 24FR Pull PEG kit is
Recurrent Varicose Veins We All See Them
We All See Them November 4, 2017 Austin, TX Arlington Heights, IL No conflicts Terminology REVAS REcurrent Varices After Surgery PREVAIT PREsence of Varices After Interventional Treatment Recurrent varices
Veins that are firm to
Intravenous cannulation is a technique in which a cannula is placed inside a vein to provide venous access. Venous access allows sampling of blood as well as administration of fluids, medications, parenteral
ompanionport Speciality Medical Devices For The Veterinary Community Surgical Suggestions
Speciality Medical Devices For The Veterinary Community suture holes Place the CompanionPort in the subcutaneous port pocket off to one side so that the septum of the port will not lie directly beneath
Protocols for the evaluation of lower extremity venous reflux: supine, sitting, or standing?
Protocols for the evaluation of lower extremity venous reflux: supine, sitting, or standing? Susan Whitelaw RVT, RDMS PURPOSE Duplex imaging of the lower extremity veins is performed to assess the deep
RADIOFREQUENCY ABLATION. Drs PIRET V, BERGERON P MEET CANNES 2009
RADIOFREQUENCY ABLATION Drs PIRET V, BERGERON P MEET CANNES 2009 Superficial Venous Disease: EPIDEMIOLOGY Touch 75% of french population at different degrees (45.10 6 ) 25% needs medical care (11.10 6
Varicose Veins What Are They? Sclerotherapy in the Treatment of Venous Disease Zachary C. Schmittling, MD, FACS May 4, 2018
Sclerotherapy in the Treatment of Venous Disease Zachary C. Schmittling, MD, FACS May 4, 2018 Sclerotherapy for Venous Disease: Overview 1 in 5 Americans Approximately 25% of women have some type of lower
Quick Reference Guide
Quick Reference Guide Indications for Use The AFX Endovascular AAA System is indicated for endovascular treatment in patients with AAA. The devices are indicated for patients with suitable aneurysm morphology
Chronic Venous Insufficiency
Chronic Venous Insufficiency None Disclosures Lesley Enfinger, MSN,NP-C Chronic Venous Insufficiency Over 24 Million Americans affected by Chronic Venous Insufficiency (CVI) 10 x More Americans suffer
Kristin Wise, MD, FHM Division of General Internal Medicine and Geriatrics Hospital Medicine 2013
Kristin Wise, MD, FHM Division of General Internal Medicine and Geriatrics Hospital Medicine 2013 Objectives for CVC Placement Understand the indications and contraindications Determine appropriate CVC
Central Venous Catheter Insertion: Assisting
Approved by: Central Venous Catheter Insertion: Assisting Gail Cameron Senior Director, Operations, Maternal, Neonatal & Child Health Programs Dr. Santiago Ensenat Medical Director, Neonatology Neonatal
Advancing Lives and the Delivery of Health Care. The High-Flow Port Designed for Apheresis
Advancing Lives and the Delivery of Health Care The High-Flow Port Designed for Apheresis Optimized for Long Device Life Bench Tested up to 1,000 Accesses 1 Bard is proud to introduce the first and only
Children s Acute Transport Service
Children s Acute Transport Service Vascular Access Document Control Information Author Ramnarayan Author Position Consultant, CATS Document Owner Polke Document Owner Position CATS Co-ordinator Document
Galt Medical Corp. A leader in vascular and interventional medical devices. part of the GaltNeedleTech TM Family
Galt Medical Corp. A leader in vascular and interventional medical devices. part of the GaltNeedleTech TM Family MICRO-INTRODUCERS Micro-Introducer Kits Galt s Micro-Introducer Kits with smooth transition,
Vascu-PICC WITH CUFF PERIPHERALLY INSERTED CENTRAL VEIN ACCESS CATHETER INSTRUCTIONS FOR USE
Vascu-PICC WITH CUFF PERIPHERALLY INSERTED CENTRAL VEIN ACCESS CATHETER INSTRUCTIONS FOR USE INDICATIONS FOR USE: The Vascu-PICC with cuff Peripherally Inserted Central Vein Catheters are designed for
Arterial Line Insertion Pre Reading
PROCEDURE ACCREDITATION THE CANBERRA HOSPITAL EMERGENCY DEPARTMENT Arterial Line Insertion Pre Reading Indications Requirement for continuous blood pressure monitoring (all patients on pressors, inotropes,
ROTABLATORTM. Peripheral. Rotational Atherectomy System. Quick Reference Cards
Peripheral ROTABLATORTM Rotational Atherectomy System Quick Reference Cards Technical Assistance: 1.800.949.6708 Customer Service: 1.888.272.1001 Complaints: 1.800.811.3211 Setup Video: www.bostonscientific.com/rotablatorsetup
Delta Diode Laser. Delta Diode Laser
Delta Diode Laser Delta Diode Laser Delta Diode Laser THE GOLD STANDARD IN ENDOVENOUS LASER TREATMENT The Delta solid-state diode laser is reliable and proven technology that makes treating varicose veins
Sterile Technique & IJ/Femoral Return Demonstration
Sterile Technique & IJ/Femoral Return Demonstration Sterile Technique Description: This is a return demonstration checklist used to evaluate participants in the simulated hands on skills portions for certification
TUNNELLED PERIPHERALLY INSERTED CENTRAL CATHERER- HOW WE DO THEM
TUNNELLED PERIPHERALLY INSERTED CENTRAL CATHERER- HOW WE DO THEM Vijaynanthan A 1, Nawawi O 1, Abdullah BJJ 1 1 Department of Biomedical Imaging, Faculty of Medicine, University of Malaya, 50603 Kuala
Peripherally Inserted Central Catheter & Midline Placement with ECG Confirmation of Tip Placement
Title/Description: Peripherally Inserted Central Catheter & Midline Placement with ECG Confirmation of Tip Placement Department: Patient Care Services Personnel: Nursing Services Effective Date: April
Background & Indications Probe Selection
Teresa S. Wu, MD, FACEP Director, EM Ultrasound Program & Fellowship Co-Director, Simulation Based Training Program & Fellowship Associate Program Director, EM Residency Program Maricopa Medical Center
DePuy International Ltd St Anthony s Road Leeds LS11 8DT England Tel: +44 (0) Fax: +44 (0)
Reference: 1. Data on file at DePuy Spine TM 2008 DePuy Spine International is a joint venture with Biedermann Motech, GmbH. This publication is not intended for distribution in the USA. X-ray on front
Perforators: When to Treat and How Best to Do It? Eric Hager, MD September 10, 2015
Perforators: When to Treat and How Best to Do It? Eric Hager, MD September 10, 2015 Anatomy of Perforating veins Cadaveric studies 1 have shown >60 vein perforating veins from superficial to deep Normal
Segmental GSV reflux
Segmental GSV reflux History of presentation A 43 year old female presented with right lower extremity varicose veins and swelling. She had symptoms of aching, heaviness and tiredness in the right leg.
Catheters and Wires. Dr. Vaibhav Jain MD,DNB,MNAMS Senior Consultant, IR Medanta, the Medicity, Gurgaon
Catheters and Wires Dr. Vaibhav Jain MD,DNB,MNAMS Senior Consultant, IR Medanta, the Medicity, Gurgaon Guidewires: Guidewires (solid wires navigated within the vascular system / extravascular tract) act
Central Venous Access Devices. Stephanie Cunningham Amy Waters
Central Venous Access Devices Stephanie Cunningham Amy Waters 5 Must Know Facts About CVAD s 1) What are CVAD s? 2) What are CVAD s used for? 3) How are these devices put in? 4) What are the complications
The High-Flow Port Designed & Indicated for Apheresis
The High-Flow Port Designed & Indicated for Apheresis Advancing Lives and the Delivery of Health Care Bard is proud to introduce the first and only high-flow, power-injectable port designed and indicated
2. Indications Infusion of hyperosmolar medication, e.g. TPN. Administration of vasoactive/irritant drugs.
Policy and Procedure for Insertion and care of Peripherally Inserted Central Catheters by Neonatal Staff (see Ch 8 TPN) 1. Introduction The peripherally inserted central catheter (PICC) is an intravenous
GENTLE ABLATION WITH RFITT TECHNOLOGY. For varicose vein treatment
GENTLE ABLATION WITH RFITT TECHNOLOGY For varicose vein treatment CELON RFITT METHOD For healthy and beautiful legs CELON has developed a leading bipolar radiofrequency ablation (RFA) system that can be
Dignity Dual Power Injectable Implantable Infusion Port INSTRUCTIONS FOR USE
DESCRIPTION: Dignity Dual Power Injectable Implantable Infusion Port INSTRUCTIONS FOR USE The Dignity Dual power injectable implantable infusion port is an implantable access device designed to provide
ASEPT Pleural Drainage System
ORDERING INFORMATION ASEPT Drainage PRODUCTS (Provided separately, see package label for contents) ASEPT Pleural Drainage System 622289 (1 each) (includes ASEPT Pleural drainage catheter and insertion
Venous Disease and Leg Ulcers. Edward G Mackay MD St. Petersburg, FL NCVH 2015 Orlando, FL
Venous Disease and Leg Ulcers Edward G Mackay MD St. Petersburg, FL NCVH 2015 Orlando, FL Disclosures Stocks Endoshape Sapheon Medical Advisory Board BTG, Boston Scientific Venous Leg Ulcer Most common
ICY Intravascular Heat Exchange Catheter (Custom Luer) Instructions for Use Model IC-3893A/
Caution: Federal law restricts this device to sale by or on the order of a physician. ICY Intravascular Heat Exchange Catheter (ICY Catheter) Kit includes: Quantity 1 English ICY Catheter 3-Luer 9.3 French
MedStar Health, Inc. POLICY AND PROCEDURE MANUAL Policy Number: MP.066.MH Last Review Date: 11/08/2018 Effective Date: 01/01/2019
MedStar Health, Inc. POLICY AND PROCEDURE MANUAL This policy applies to the following lines of business: MedStar Employee (Select) MedStar CareFirst PPO MedStar Health considers the treatment of Varicose
i INTERACTIVE CATALOG FIND YOUR IDEAL CANNULAE
i INTERACTIVE CATALOG FIND YOUR IDEAL CANNULAE Catalog 2017 i USER TIPS Easily navigate through the pages in our 2017 Cannula Catalog by using the mini-menu shown on upper right of each page. Navigate
Directions For Use. All directions should be read before use
Directions For Use All directions should be read before use DEVICE DESCRIPTION: The CLEANER.XT Rotational Thrombectomy System is a percutaneous, 6Fr catheter based system (single piece construction) that
NexSite HD, Hemodialysis Symmetric Tip Catheter for long term use. Directions for Use. Contents
NexSite HD, Hemodialysis Symmetric Tip Catheter for long term use Directions for Use Contents Note to Physicians: Please consult the on-line training video on www.marvaomedical.com for information on the
NCVH. Ultrasongraphy: State of the Art Vein Forum 2015 A Multidisciplinary Approach to Otptimizing Venous Circulation From Wounds to WOW
Ultrasongraphy: State of the Art 2015 NCVH New Cardiovascular Horizons Vein Forum 2015 A Multidisciplinary Approach to Otptimizing Venous Circulation From Wounds to WOW Anil K. Chagarlamudi, M.D. Cardiovascular
Intro: Slide 1. Slide 2. Slide 3. Basic understanding of interventional radiology. Gain knowledge of key terms and phrases
Slide 1 Intro: PRESENTED BY: Selena M. Moore, AAS, CCS, CPC HIMS Physician Liaison Coder This is a modified/updated presentation that was originally written by: Rosemary Waligorski, RHIT, CCS, RCC and
Surgery or combined endolaser ablation and sclerotherapy for varicose veins, a new trend in a developing country (Iraq); a cohort study
Surgery or combined endolaser ablation and sclerotherapy for varicose veins, a new trend in a developing country (Iraq); a cohort study Bashar Hanna Azar (1) Ashur Yohanna Izac Oraha (2) Emad Abdulrahman
Epidemiology: Prevalence
Epidemiology: Prevalence More than 30 million Americans suffer from varicose veins or a more serious form of venous disease called Chronic Venous Insufficiency (CVI). 1 Of the over 30 million Americans
Initial placement 20FR Guidewire PEG kit REORDER NO:
Initial placement 20FR Guidewire PEG kit REORDER NO: 00710802 INSTRUCTIONS FOR USE 1 of 5 These products have been manufactured not to include latex. Intended Use: The Initial placement 20FR Guidewire
PTA Balloon Dilatation Catheter
PTA Balloon Dilatation Catheter March 2016 1/6(3214-0) Catalogue number Serial number Lot number Use by Do not reuse Do not resterilize Do not use if package is damaged Consult instructions for use Keep
How varicose veins occur
Varicose veins are a very common problem, generally appearing as twisting, bulging rope-like cords on the legs, anywhere from groin to ankle. Spider veins are smaller, flatter, red or purple veins closer
Clinical case. Symptomatic anterior accessory great saphenous vein (AAGSV) reflux
Clinical case Symptomatic anterior accessory great saphenous vein (AAGSV) reflux A 70 year-old female presents with symptomatic varicose veins on left leg for more than 10 years. She complains of heaviness,
Let s Take a Look Venous Insufficiency Ultrasound Techniques
Let s Take a Look Venous Insufficiency Ultrasound Techniques Brent Wilkinson RVT, RDMS Steve Schomaker RVT, RDCS, RDMS Let s take a look Differentiate between normal venous flow and venous insufficiency
Thrombin injection vs Conventional Surgical Repair in Treatment of Iatrogenic Post-cath Femoral Artery Pseudoaneurysm (IFAP)
Kasr El Aini Journal of Surgery VOL., 11, NO 3 September 2010 31 Thrombin injection vs Conventional Surgical Repair in Treatment of Iatrogenic Post-cath Femoral Artery Pseudoaneurysm (IFAP) Farghaly A,
Treatment of Varicose Veins
Treatment of Varicose Veins Policy Number: Original Effective Date: MM.06.016 04/15/2005 Line(s) of Business: Current Effective Date: PPO; HMO; QUEST Integration 09/28/2018 Section: Surgery Place(s) of
ASEPT. Pleural Drainage System INSTRUCTIONS FOR USE. Rx only REF LOT. STERILE EO Sterilized using ethylene oxide
ASEPT Pleural Drainage System INSTRUCTIONS FOR USE L1171/D REV 2014-02 2 Do not reuse 2 STERILIZE Do not resterilize Store at room temperature STERILE EO Sterilized using ethylene oxide Rx only Do not
RadRx Your Prescription for Accurate Coding & Reimbursement Copyright All Rights Reserved.
Interventional Radiology Coding Case Studies Prepared by Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC, AAPC Fellow President & Senior Consultant Week of October 29, 2018 Mesenteric Arteriogram & Thrombectomy/Thrombolysis
Surgical Options for revascularisation P E T E R S U B R A M A N I A M
Surgical Options for revascularisation P E T E R S U B R A M A N I A M The goal Treat pain Heal ulcer Preserve limb Preserve life The options Conservative Endovascular Surgical bypass Primary amputation
Central Line Care and Management
Central Line Care and Management What is a Central Line/ CVAD? (central venous access device) A vascular infusion device that terminates at or close to the heart or in one of the great vessels (aorta,
Per-Q-Cath* PICC Catheters with Excalibur Introducer* System
Bard Access Systems Per-Q-Cath* PICC and Catheters with Excalibur Introducer* System Instructions For Use Table of Contents Table of Contents Page Contents 1 Product Description, Indications & Contraindications
Venous Reflux Duplex Exam
Venous Reflux Duplex Exam GWENDOLYN CARMEL, RVT PHYSIOLOGIST, DEPARTMENT OF VASCULAR SURGERY NEW JERSEY VETERANS HEALTHCARE CENTER EAST ORANGE, NJ PURPOSE: To identify patterns of incompetence and which