FISTULOGRAM

PREOP:

  • Check the potassium
  • If K+ > 6.5 will likely just place a temporary dialysis catheter
  • Prefer rooms 2 and 3

ESTIMATED TIME: 30min

 

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Equipment Always Necessary

  • Micropuncture
  • 6Fr brite tip sheath Short
  • Wire: Soft-S-torq
  • Pen

PREP:

  • POSITION: Supine
  • DRAPE: standard
  • US and probe cover
  • Make sure fluoro is in DSA mode.

Stand by Equipment

  • 5Fr 40cm KMP catheter
  • 180cm Angled Glide wire
  • 7 and 8mm Dorado Balloons (80cm shaft)
  • Flair Stent or Viabahn (7 and 8mms)

 

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Dressing:

  • Usually just a Tip-Stop(R)
  • Consider glue 

PEARLS:

  • Make sure table in a position that can move across the extent of the arm
  • GIve preference to rooms 2 and 3 since they have the extra monitors.