冷冻球囊消融房颤标准化流程精编PPT课件.ppt

* “ To insert Achieve into Arctic Front, begin by taking the introducer/torquer on the proximal end of the catheter and slide it towards the distal loop of the catheter. As the tip of the introducer meets the beginning of the loop, slowly advance the introducer distally. As this is done, Achieve’s loop will straighten as it enters the lumen of the introducer. Continue to advance the introducer until the tip of Achieve is aligned with the tip of the introducer. Do not tighten the introducer prior to inserting Achieve into Arctic Front; tightening the introducer will prevent you from being able to freely advance Achieve to the distal tip of Arctic Front. Take care NOT TO REMOVE the introducer from catheter shaft.” * “After completing the guide wire lumen port is prepared on Arctic Front, open the tuohy valve and completely insert the introducer into the y-connector. Once the introducer is in place, advance Achieve toward the distal tip of Arctic Front.” * “As you advance Achieve, visualize and inspect the loop as it exits the tip of Arctic Front then pull back to align the tip of Achieve to Arctic Front’s tip. If the loop appears deformed or damaged, withdraw the product in question and restart the prep process with newly opened product.” * “Once Achieve is in position at the distal tip of Arctic Front, be sure that the introducer is withdrawn from the y-connector, the guide wire lumen is reflushed. Care must be used to clear any air from the Arctic Front guide wire lumen system after Achieve is in place, paying particular attention to the tuohy valve on the y-connector. Using a 20cc syringe, begin flushing the guide wire lumen with the tuohy valve open. As flush exits the tuohy valve opening, close the valve as you continue flushing toward the distal end of the catheter. Recheck the system once flush exits the distal end of the catheter. If air is noted in the y-connector, repeat the flush procedure. Remember once inserted into the body, NEVER aspirate t